Jaacks, L. M. et al. (2023) Co-Benefits of Largescale Organic farming On huMan health (BLOOM): protocol for a cluster-randomised controlled evaluation of the Andhra Pradesh Community-managed Natural Farming programme in India. PLoS ONE, 18(3), e0281677. (doi: 10.1371/journal.pone.0281677) (PMID:36862623) (PMCID:PMC9980745)
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Abstract
The BLOOM study (co-Benefits of Largescale Organic farming On huMan health) aims to determine if a government-implemented agroecology programme reduces pesticide exposure and improves dietary diversity in agricultural households. To achieve this aim, a community-based, cluster-randomised controlled evaluation of the Andhra Pradesh Community-managed Natural Farming (APCNF) programme will be conducted in 80 clusters (40 intervention and 40 control) across four districts of Andhra Pradesh state in south India. Approximately 34 households per cluster will be randomly selected for screening and enrolment into the evaluation at baseline. The two primary outcomes, measured 12 months post-baseline assessment, are urinary pesticide metabolites in a 15% random subsample of participants and dietary diversity in all participants. Both primary outcomes will be measured in (1) adult men ≥18 years old, (2) adult women ≥18 years old, and (3) children <38 months old at enrolment. Secondary outcomes measured in the same households include crop yields, household income, adult anthropometry, anaemia, glycaemia, kidney function, musculoskeletal pain, clinical symptoms, depressive symptoms, women’s empowerment, and child growth and development. Analysis will be on an intention-to-treat basis with an a priori secondary analysis to estimate the per-protocol effect of APCNF on the outcomes. The BLOOM study will provide robust evidence of the impact of a large-scale, transformational government-implemented agroecology programme on pesticide exposure and dietary diversity in agricultural households. It will also provide the first evidence of the nutritional, developmental, and health co-benefits of adopting agroecology, inclusive of malnourishment as well as common chronic diseases.
| Item Type: | Articles |
|---|---|
| Additional Information: | Funding: LMJ received award MR/T044527/1 from the Medical Research Council/UK Research and Innovation and additional support from the Scottish Funding Council. PC acknowledges core funding from the UK Medical Research Council (MC_UU_00022/2) and the Scottish Government Chief Scientist Office (SPHSU17). |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Craig, Professor Peter |
| Authors: | Jaacks, L. M., Bliznashka, L., Craig, P., Eddleston, M., Gathorne-Hardy, A., Kumar, R., Mohan, S., Norrie, J., Rajan, S., Roy, A., Yandrapu, B., Srinivasapura Venkateshmurthy, N., and Prabhakaran, P. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
| Journal Name: | PLoS ONE |
| Publisher: | Public Library of Science |
| ISSN: | 1932-6203 |
| ISSN (Online): | 1932-6203 |
| Copyright Holders: | Copyright © 2023 Jaacks et al. |
| First Published: | First published in PLoS ONE 18(3):e0281677 |
| Publisher Policy: | Reproduced under a Creative Commons license |
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