RT Journal Article
SR Electronic
T1 Formative Research to Inform Market-Based Interventions to Increase Egg Purchase and Consumption in Tigray, Ethiopia
JF Global Health: Science and Practice
JO GLOB HEALTH SCI PRACT
FD Johns Hopkins University- Global Health. Bloomberg School of Public Health, Center for Communication Programs
SP e2100567
DO 10.9745/GHSP-D-21-00567
VO 10
IS 4
A1 McClung, Sarah
A1 Delaney, Sarah
A1 Aakesson, Ashley
A1 Baye, Kaleab
A1 Klein, Alyssa
A1 Mowl, Zoe
A1 Clemmons, Lydia
YR 2022
UL http://www.ghspjournal.org/content/10/4/e2100567.abstract
AB Key FindingsEggs are the most likely animal source foods to be purchased for children’s consumption in Tigray, Ethiopia, and should be considered as a potential food source to achieve healthy, balanced diets for children.While food sellers within rural marketplaces proved willing to test innovative marketing practices to promote the sale of eggs, households do not regularly procure eggs in local markets.Both egg retailers and consumers indicated that households prefer to receive information about healthy food products, including eggs, from trusted community members such as religious leaders and health extension workers.Animal source foods (ASFs) have a demonstrated ability to improve child health yet are underutilized by many communities faced with malnutrition. Recognizing that improving knowledge about the benefits of consuming ASFs alone is not adequate to change behavior, the Studying Animal Food Markets in Rural Areas (SAFIRA) pilot project planned to test a market-based intervention to increasing the intake of ASFs by children 6–23 months in rural Tigray, Ethiopia. Our process of designing in-market behavior change strategies involved identifying the project’s target ASF, cocreating and testing marketing interventions, and understanding barriers and enablers driving key retailer behaviors. Qualitative research methods including focus group discussions, key informant interviews, trials of improved practices, and transect walks were used throughout 2 rounds of formative research. The first round of formative research led the project to focus on eggs, and the second round resulted in an improved understanding of the Tigrayan local food markets and egg consumption. Consumers were receptive to nutrition messaging from trusted community members and consider eggs to be healthy and affordable relative to other ASFs. Despite a willingness on the part of egg retailers in Tigrayan markets to try new practices to market eggs to consumers, formative research revealed that retailers function primarily as aggregators, moving eggs toward urban markets, correcting a foundational assumption that households routinely purchase eggs at local markets. These findings demonstrate the importance of formative research to inform design—especially in the development of context-specific behavior change interventions situated within local marketplaces.