The Invisible Fishers: Empowering and Safeguarding Women in Fisheries Value Chains in Ghana to Reduce Anemia
Our ongoing formative research and an extended consultation process with stakeholders and community participants have identified two priority strategies for intervention within smoked fish value chains that are feasible, scalable, likely to reduce anemia through multiple mechanisms, and for which there is clear potential for sustainability of impact: 1) strengthening the linkages between fish processors and markets, and 2) mitigating occupational health risks associated with fish smoking. Findings from our formative research also clearly indicate the need for a complementary intervention strategy focused on social behavior change communication (SBCC). Based on these findings, we propose a second stage of formative research that will enable us to: 1) define the scope, feasibility, and scalability of these intervention strategies, 2) adapt the interventions to our proposed study contexts, and 3) design and pilot test specific implementation strategies, as well as a monitoring and evaluation framework for assessing intervention delivery, uptake, and impacts at multiple loci along the hypothesized program impact pathways (Figure 2). We expect that the pilot testing of these interventions and an evaluation framework will directly inform the implementation and evaluation of a cluster-randomized controlled trial (CRCT) that will evaluate the effectiveness of these interventions on anemia mitigation among women in Ghana.
Funding: Bill and Melinda Gates Foundation (Grant Award OPP1182940)
Funding Period: 11/9/2017 to 5/31/2019