LCRIAH Seminar: The "Food and Agricultural Approaches to Reducing Malnutrition“ (FAARM) cluster-randomized trial in rural Bangladesh

Date and Time

Tuesday, March 7, 2017 - 12:30 to 13:30

Event type



LIDC Upper Meeting Room

Sabine Gabrysch,  Institute of Public Health, University of Heidelberg

Integrated home gardening and nutrition education programs are a promising approach to tackle the problem of chronic undernutrition sustainably. However, evidence of their effect on nutritional status is still lacking as most studies so far did not employ rigorous methodology.

The ongoing FAARM cluster-randomized trial is evaluating the impact of a Homestead Food Production program implemented by the NGO Helen Keller International in Sylhet, Bangladesh on undernutrition in women and young children. The primary outcome is stunting (length-for-age) in children under age 3. Secondary outcomes include micronutrient deficiencies, diarrhea prevalence and size at birth. We are also studying program impact pathways, including through dietary diversity, food hygiene, income and empowerment of women.

In 2015, we conducted a baseline survey and enrolled 2600 young women in 96 villages. In the 48 intervention villages, women are receiving training and support in Homestead Food Production over three years. In 2019, we will evaluate nutritional status of the women and all their children born during the trial. Due to this design, children in the intervention group should have benefitted throughout their crucial first 1000 days.

The presentation will share details of the ongoing trial and various add-on projects, including a LANSA project on urine-biochar fertilizer.