Demographic and socio-economic data will be collected at baseline for all participants using questions adapted from the 5
th round of the Indian National Family Health Survey (NFHS-5) [5 ]. Specific variables to be assessed include age, sex, marital status, educational attainment, occupation, caste, cooking fuel, source of drinking water, toilet facility, household construction materials, and asset ownership including livestock. A household wealth index will be calculated from these variables using principal components analysis.
Information on cropping pattern, land cultivated, land irrigated, and land owned, in both Kharif (monsoon season) and Rabi (winter season), will be collected using questions adapted from the Indian Agriculture Census [103 ] and NSSO Situation Assessment Survey of Agricultural Households [102 ]. Farmer estimates will be used to estimate crop yields, quantity sold, where it was sold, and the sale value. This survey will also include questions on chemical input use, pesticide storage, and all expenses relating to crop production in the past 12 months (seeds, soil, fertilisers, manure, pesticides, diesel, electricity, human labour, animal labour, irrigation, minor repairs and maintenances, machinery hire, and lease rent for land). Detailed information will be collected from all adult participants on years working in agriculture; how many days per week and hours per day engaged in agricultural work; and which specific agricultural activities are undertaken. For those reporting activities relating to pesticides (e.g., mixing, loading, and/or application), additional information on chemicals used, application rate, method of mixing, method of application, use of personal protective measures and/or equipment, and personal hygiene practices will be collected. This survey will also query domestic use of pesticides for insect control. Questions are adapted from a survey on pesticide use in Thailand [93 (
link)].
We will measure key practices emphasised by the APCNF programme in order to quantify fidelity. Indicators, as provided by RySS, will include poly cropping, inter cropping, multi-layer cropping, border crops, trap crops, fruit trees, pre-monsoon dry sowing, cattle grazing on pre-monsoon dry sowed crop, 365 days green cover, indigenous seeds, Beejamrutham seed coating, minimal tillage, mulching, manual weeding, mechanical weeding, irrigation, botanical inputs for pest management, pheromone and sticky traps for pest management, use of Jeevamruth, and use of cattle manure.
Self-reported medical history and current medication use will be assessed for all participants. Diseases will include diabetes, hypertension, high blood cholesterol, heart disease/angina/heart attack/stroke, chronic kidney disease, kidney stones, asthma/chronic obstructive pulmonary disease/emphysema, cancer, and cataracts. We will also collect information on pesticide poisoning (both intentional and unintentional). Information will be collected from women on their number of pregnancies and number of live births.
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, & Prabhakaran P. (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.