NCT01866124

Brief Summary

The MAM'Out research project aims at evaluating a seasonal and multi-annual cash transfer program in the framework of a safety net to prevent acute malnutrition by children under 24 months, in terms of effectiveness and cost-effectiveness in the Tapoa province (East region of Burkina Faso, Africa). The program will be targeted to economically vulnerable households with children less than 1 year old at the time of inclusion and the cash distributed to mothers. The transfers will be assimilated to unconditional ones, leading to beneficiaries' self-determination on the use that will be made of cash. This study will be designed as a two-arm cluster randomized intervention trial, based on randomization of rural villages of the Tapoa province. One arm will receive the intervention and one will be a control arm. The main outcomes will be the cumulative incidence of acute malnutrition (or wasting) and the cost-effectiveness. Anthropometric measures (height, weight and MUAC) will be measured, as well as indicators of dietary diversity, food security, health center frequentation, families' expenses and morbidities. Questionnaires and 24-hour food recalls will also be analyzed. Finally, based on a model theory framework built a priori, the pathways used by the cash to have an effect on the prevention of under-nutrition will be assessed.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,278

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2013

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2013

Completed
6 days until next milestone

First Submitted

Initial submission to the registry

May 7, 2013

Completed
24 days until next milestone

First Posted

Study publicly available on registry

May 31, 2013

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2015

Completed
Last Updated

October 12, 2015

Status Verified

October 1, 2015

Enrollment Period

2.4 years

First QC Date

May 7, 2013

Last Update Submit

October 9, 2015

Conditions

Acute Malnutrition

Keywords

acute malnutritionmultiannual and seasonal cash transferssafety netsBurkina Faso

Outcome Measures

Primary Outcomes (2)

  • Cumulative incidence of child wasting

    Record of the child's height, weight to compute Weight for Height Z-scores (WHZ scores) (wasting defined as WHZ\<-2 or Edema)

    3-monthly until 24 months after inclusion

  • Incremental cost-effectiveness ratio

    Calculation of a cost-effectiveness ratio at the end of the study

    24 months after inclusion

Secondary Outcomes (8)

  • cumulative incidence of the state of stunting

    3-monthly until 24 months after inclusion

  • mean height-for-age Z-score

    3-monthly until 24 months after inclusion

  • mean weight-for-length Z-score

    3-monthly until 24 months after inclusion

  • mid-upper arm circumference (MUAC)

    3-monthly until 24 months after inclusion

  • edema

    3-monthly until 24 months after inclusion

  • +3 more secondary outcomes

Study Arms (2)

Cash transfer

EXPERIMENTAL

Mothers are the primary recipient of the CT. The proposed approach will be based on monthly seasonal CTs during 5 months, from May to September, for two years (2013 and 2014). A monthly 10 000 FCFA will be transferred to the selected households. These CTs will be done via mobile phones, in collaboration with the mobile phone company Airtel.

Other: Cash transfer

Comparison group

NO INTERVENTION

Interventions

Cash transferOTHER

Recipient of transfers Mothers are the primary recipient of the CT. Cash is transferred using mobile phone credits that can be cashed at specific cash points provided by a telecom company.

Also known as: Multiannual and seasonal cash transfer
Cash transfer

Eligibility Criteria

AgeUp to 12 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Poor or very poor household (HEA criteria)

You may not qualify if:

  • Medium or rich economic status (HEA criteria)
  • not living in one of the 32 selected villages in the Tapoa province

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Action Contre la Faim - Burkina Faso

Diapaga, Tapoa, BP 105, Burkina Faso

Location

Related Publications (4)

  • Tonguet-Papucci A, Houngbe F, Huybregts L, Ait-Aissa M, Altare C, Kolsteren P, Huneau JF. Unconditional Seasonal Cash Transfer Increases Intake of High-Nutritional-Value Foods in Young Burkinabe Children: Results of 24-Hour Dietary Recall Surveys within the Moderate Acute Malnutrition Out (MAM'Out) Randomized Controlled Trial. J Nutr. 2017 Jul;147(7):1418-1425. doi: 10.3945/jn.116.244517. Epub 2017 May 31.

    PMID: 28566529DERIVED

  • Tonguet-Papucci A, Houngbe F, Lompo P, Yameogo WME, Huneau JF, Ait Aissa M, Kolsteren P. Beneficiaries' perceptions and reported use of unconditional cash transfers intended to prevent acute malnutrition in children in poor rural communities in Burkina Faso: qualitative results from the MAM'Out randomized controlled trial. BMC Public Health. 2017 May 30;17(1):527. doi: 10.1186/s12889-017-4453-y.

    PMID: 28558709DERIVED

  • Houngbe F, Tonguet-Papucci A, Altare C, Ait-Aissa M, Huneau JF, Huybregts L, Kolsteren P. Unconditional Cash Transfers Do Not Prevent Children's Undernutrition in the Moderate Acute Malnutrition Out (MAM'Out) Cluster-Randomized Controlled Trial in Rural Burkina Faso. J Nutr. 2017 Jul;147(7):1410-1417. doi: 10.3945/jn.117.247858. Epub 2017 May 24.

    PMID: 28539413DERIVED

  • Tonguet-Papucci A, Huybregts L, Ait Aissa M, Huneau JF, Kolsteren P. The MAM'Out project: a randomized controlled trial to assess multiannual and seasonal cash transfers for the prevention of acute malnutrition in children under 36 months in Burkina Faso. BMC Public Health. 2015 Aug 8;15:762. doi: 10.1186/s12889-015-2060-3.

    PMID: 26253152DERIVED

Study Officials

  • Patrick Kolsteren, MD, PhD

    Universiteit Gent, Institute of Tropical Medicine of Antwerp (Belgium)

    PRINCIPAL INVESTIGATOR

  • Myriam Ait Aissa, MSc

    Action Contre la Faim

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 7, 2013

First Posted

May 31, 2013

Study Start

May 1, 2013

Primary Completion

October 1, 2015

Study Completion

October 1, 2015

Last Updated

October 12, 2015

Record last verified: 2015-10

Locations

BU(1)