Millennium Villages Project in Sub-Saharan Africa

NCT01125618 | Completed DMC

• 1 other identifier: AAAA8202
• Study Type: interventional
• Target: 65,000
• Locations: 9 countries
• Sites: 10

Brief Summary

The Millennium Villages Project involves the coordinated and simultaneous delivery of a package of proven interventions in health, agriculture, infrastructure and education. The project works in partnership with governments in 10 African countries in areas where progress towards achieving the Millennium Development Goals has been insufficient. The Project evaluation will test the following hypotheses:

1. 1.That after 5 years of operation, villages exposed to the MVP intervention will have a lower rate of under-5 mortality and parallel gains in MDG-related secondary outcomes when compared to similar villages not receiving the intervention.
2. 2.That the coordinated delivery a multi-sector package of health and development interventions implemented through a broad-based local partnership is feasible in a diversity of sub-Saharan African contexts, and;
3. 3.The intervention package can be delivered at a scalable cost of $40 per person per year in the health sector and $110 per person per year in total

Conditions

Child Survival

Keywords

child mortality; intervention; Poverty; Africa; Millennium Development Goal; Millennium Development Goals

Outcome Measures

Primary Outcomes (1)

• Child Mortality Rate

  Under 5 Mortality Rate

  5 years

Secondary Outcomes (22)

• Prevalence of Stunting

  5 years

• Prevalence of Diarrhea

  5 years

• Prevalence of Malaria

  5 years

• Prevalence of antenatal care

  5 years

• Survival rate to last grade of primary education (School Quality)

  5 years

Study Arms (2)

MVP village

EXPERIMENTAL

Wealth stratified and randomly selected households residing in a village exposed to the Millennium Villages Project intervention (or health and development intervention package)

Other: Health and development intervention package

Comparison village

ACTIVE COMPARATOR

Villages receiving routine services through established programs

Other: Routine services

Interventions

Health and development intervention package OTHER

The timing and sequence of intervention vary by site, but include improved access to seed-fertilizer to increase agricultural production; improved market and capital access; proven maternal-newborn-child health interventions delivered free of cost at the point of service; improvements to school number and quality; and access to basic infrastructure including safe water, sanitation, electricity, transport and communication.

Also known as: maternal-newborn-child health interventions, MVP

MVP village

Routine services OTHER

Routine services and programs currently being administered using prevailing resources, at the current pace and with established partnerships. There is no attempt to limit the introduction of new interventions or agencies into comparison sites.

Also known as: standard of care services

Comparison village

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Resident in a Millennium Village and consenting to periodic assessments

You may not qualify if:

• Those not consenting to participate

Sponsors & Collaborators

• Columbia University: lead
• United Nations: collaborator
• Bill and Melinda Gates Foundation: collaborator

Study Sites (11)

Koraro

Koraro, Ethiopia

Location

Bonsasso

Bonsasso, Ghana

Location

Sauri

Sauri, Kenya

Location

Mwandama

Mwandama, Malawi

Location

Tiby

Tiby, Mali

Location

Ikaram

Ikaram, Nigeria

Location

Pampaida

Pampaida, Nigeria

Location

Mayange

Mayange, Rwanda

Location

Potou

Potou, Senegal

Location

Mbola

Mbola, Tanzania

Location

Ruhiira

Ruhiira, Uganda

Location

Related Publications (1)

• Pronyk PM, Muniz M, Nemser B, Somers MA, McClellan L, Palm CA, Huynh UK, Ben Amor Y, Begashaw B, McArthur JW, Niang A, Sachs SE, Singh P, Teklehaimanot A, Sachs JD; Millennium Villages Study Group. The effect of an integrated multisector model for achieving the Millennium Development Goals and improving child survival in rural sub-Saharan Africa: a non-randomised controlled assessment. Lancet. 2012 Jun 9;379(9832):2179-88. doi: 10.1016/S0140-6736(12)60207-4. Epub 2012 May 8.

  PMID: 22572602 DERIVED

MeSH Terms

Interventions

Health

Intervention Hierarchy (Ancestors)

Population Characteristics

Study Officials

• Jeffrey Sachs, PhD

  The Earth Institute, Columbia University

  STUDY CHAIR

• Pedro Sanchez, PhD

  The Earth Institute, Columbia University

  STUDY DIRECTOR

• Cheryl Palm, PhD

  The Earth Institute, Columbia University

  PRINCIPAL INVESTIGATOR

• Sonia Sachs, MD, PhD

  Director of Health, The Earth Institute, Columbia University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Health, The Earth Institute

Study Record Dates

• First Submitted: May 12, 2010
• First Posted: May 18, 2010
• Study Start: January 1, 2005
• Primary Completion: June 25, 2016
• Study Completion: June 25, 2016
• Last Updated: April 21, 2017

Record last verified: 2017-04

Locations

ET (1); GH (1); KE (1); MA (1); NG (2); TA (1); SE (1); UG (1); RW (1)