Transfer Modality Research Initiative - Bangladesh

NCT02237144 | Completed

• 1 other identifier: AEARCTR-0000247
• Study Type: interventional
• Target: 5,000
• Locations: 1 country
• Sites: 1

Brief Summary

This is a randomized control trial in two zones of Bangladesh (north and south). Treatment is assigned at the village level where treatments are: cash transfers (north and south); cash transfers + nutrition behavior communication change (north only); food transfers (north and south); food transfers + nutrition behavior communication change (south only); food-cash split (north and south); and controls (north and south). Within treatment localities, women living in very poor households are targeted to receive benefits for two years.

Conditions

Improving Pre-school Anthropometric Status; Improving Household Food Security; Improving Maternal Nutrition Knowledge

Outcome Measures

Primary Outcomes (6)

• Child anthropometry

  Height for age z scores Weight for height z scores Weight for age z scores Stunting Wasting Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

• Child food intake

  Number of unique foods consumed in previous 24 hours Number of food groups consumed in previous 24 hours Consumption of specified food groups - animal source foods, dairy, Vitamin A rich foods etc Caloric consumption in previous 24 hours Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

• Child health

  Did mother report child was ill in previous 2 weeks Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

• Distribution of food intake within the household

  Consumption of foods by all household members in previous 24 hours as recalled by mothers as measured by yes/no questions on foods, food groups and calories Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

• Household food security

  Food groups consumed by household in previous seven days Number of unique foods consumed in previous seven days Number of food groups consumed in previous seven days Number of food groups consumed in previous seven days weighted by nutritional value and frequency of consumption Value of food consumption in previous seven days Household caloric availability in previous seven days Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

• Maternal nutrition knowledge

  Maternal knowledge of infant and young child feeding practices (IYCF) Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Levels assessed in 2013 and 2014 and as changes between 2012-2013, 2013-2014 and 2012-2014

  Baseline. Up to 12 months. Up to 24 months.

Secondary Outcomes (5)

• Household consumption

  Baseline. Up to 12 months. Up to 24 months.

• Household income

  Baseline. Up to 12 months. Up to 24 months.

• Asset accumulation

  Baseline. Up to 12 months. Up to 24 months.

• Women's empowerment

  Up to 12 months. Up to 24 months.

• Information spillovers to non-beneficiaries

  Up to 24 months.

Study Arms (5)

Cash transfer

EXPERIMENTAL

1500 taka ($18.75) per household distributed monthly

Other: Cash transfer

Food transfer

EXPERIMENTAL

30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly

Other: Food transfer

Food and cash transfer

EXPERIMENTAL

15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly

Other: Food and cash transfer

Cash transfer + BCC

EXPERIMENTAL

1500 taka ($18.75) per household distributed monthly Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

Other: Cash transfer; Behavioral: Behavior Communication Change (BCC)

Food transfer + BCC

EXPERIMENTAL

30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

Other: Food transfer; Behavioral: Behavior Communication Change (BCC)

Interventions

Cash transfer OTHER

1500 taka ($18.75) per household distributed monthly

Cash transfer; Cash transfer + BCC

Food transfer OTHER

30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly

Food transfer; Food transfer + BCC

Food and cash transfer OTHER

15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly

Food and cash transfer

Behavior Communication Change (BCC) BEHAVIORAL

Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

Cash transfer + BCC; Food transfer + BCC

Eligibility Criteria

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

You may qualify if:

• Child age \< 60 months

You may not qualify if:

• None

Sponsors & Collaborators

• International Food Policy Research Institute: lead
• United Nations World Food Programme (WFP): collaborator
• Federal Ministry of Economic Cooperation and Development (Germany): collaborator
• Swiss Agency for Development and Cooperation: collaborator
• United States Agency for International Development (USAID): collaborator
• Department for International Development, United Kingdom: collaborator
• Consortium of International Agricultural Research Centers: collaborator

Study Sites (1)

International Food Policy Research Institute

Dhaka, Bangladesh

Location

Related Publications (1)

• Hoddinott J, Ahmed I, Ahmed A, Roy S. Behavior change communication activities improve infant and young child nutrition knowledge and practice of neighboring non-participants in a cluster-randomized trial in rural Bangladesh. PLoS One. 2017 Jun 21;12(6):e0179866. doi: 10.1371/journal.pone.0179866. eCollection 2017.

  PMID: 28636674 DERIVED

MeSH Terms

Interventions

Food

Intervention Hierarchy (Ancestors)

Diet, Food, and Nutrition; Physiological Phenomena; Food and Beverages

Study Officials

• Akhter Ahmed, PhD

  International Food Policy Research Institute

  PRINCIPAL INVESTIGATOR

• John Hoddinott, DPhil

  International Food Policy Research Institute

  PRINCIPAL INVESTIGATOR

• Shalini Roy, PhD

  International Food Policy Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 3, 2014
• First Posted: September 11, 2014
• Study Start: April 1, 2012
• Primary Completion: January 1, 2015
• Study Completion: July 1, 2018
• Last Updated: September 6, 2019

Record last verified: 2019-09

Locations

BA (1)