Child Protective Outcomes Among Ultra-poor Families in Burkina Faso

NCT02415933 | Completed

• 1 other identifier: IRB13-1481
• Study Type: interventional
• Target: 720
• Locations: 1 country
• Sites: 1

Brief Summary

This study tests the effects of family-based economic empowerment intervention, alone and in combination with child rights sensitization component, on child protective outcomes among ultra-poor families in Nord Region, Burkina Faso.

Conditions

Child Abuse; Child Maltreatment

Keywords

Burkina Faso; West Africa; Children; Child Abuse; Child Mental Health; Economic Empowerment; Women's Empowerment; Domestic Violence; Child and Family Well-being; Child Separation; Child Labor; Child Maltreatment

Outcome Measures

Primary Outcomes (2)

• Change in Child Protection

  Questions assess children's labor-related family separation, early and forced marriage, involvement in child labor and exposure to the Worst Forms of Child Labor (e.g. slavery, debt bondage, serfdom, transactional sex, forced or hazardous work). Questions adapted from International Labour Organization (ILO)'s Statistical Information and Monitoring Programme on Child Labour (SIMPOC) Survey.

  Baseline, 12 months, 24 months

• Change in Exposure to Child Abuse

  Exposure to physical and emotional violence is measured using the International Society for the Prevention of Child Abuse and Neglect Screening Tool (Child Abuse Screening Tool, Children's Version / ICASTCH).

  Baseline, 12 months, 24 months

Secondary Outcomes (1)

• Change in Child Mental Health

  Baseline, 12 months, 24 months

Other Outcomes (2)

• Change in Mother's Level of Depression

  Baseline, 12 months, 24 months

• Change in Mother's Level of Anxiety

  Baseline, 12 months, 24 months

Study Arms (3)

Trickle Up

EXPERIMENTAL

Economic empowerment

Behavioral: Trickle Up

Trickle Up Plus

EXPERIMENTAL

Economic empowerment + child rights sensitization

Behavioral: Trickle Up Plus

Wait-list

NO INTERVENTION

Women in villages assigned to the control arm do not receive any intervention during the study period, but are placed on a wait-list to receive the intervention upon completion of the evaluation phase.

Interventions

Trickle Up BEHAVIORAL

Female caregivers (mothers) receive a package of interventions on economic empowerment and livelihood strengthening: * Savings group formation and training for a group of 15-25 women which provides a place to save, take out emergency loans and builds community networks and social capital; * Provision of seed grants to assist in business start-ups through microfinance loans; * One-on-one mentoring and coaching on livelihood development, which is held on a bi-weekly or monthly basis; * Trainings on financial planning and household livelihoods.

Trickle Up

Trickle Up Plus BEHAVIORAL

In addition to the economic empowerment program for women (Trickle Up), all members of the household assigned to Trickle Up+ arm receive sensitization component on beliefs and knowledge related to protection of children from violence and exploitation. Training sessions are developed and delivered by a local organization, Aide aux Enfants et aux Familles Démunies (ADEFAD). Sessions involve all members of the household and focus on knowledge and cultural norms associated with child protective outcomes (e.g. the dangers of child separation such as sending children away for work, the importance of education for girls, risks of child and forced marriage).

Trickle Up Plus

Eligibility Criteria

• Age: 10 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Households that meet the following eligibility criteria will be invited to participate in the study:
• Household meets locally defined poverty criteria (classified as an ultrapoor household);
• Mother or female caregiver of at least one child between the ages of 10 and 15.
• Child is between the ages of 10 and 15.
• Male head of household provides permission for his wife and child to participate in the study;
• Eligible child and female caregiver/parent can commit to study participation.

You may not qualify if:

• Household doesn't meet locally defined poverty criteria (classified as an ultrapoor household);
• Mother or female caregiver doesn't have at least one child between the ages of 10 and 15.
• Child is not between the ages of 10 and 15.
• Male head of household does not provide permission for his wife and child to participate in the study;
• Eligible child or mother/female caregiver cannot commit to study participation.
• Participants are also excluded from participation in the study if the child or the parent is assessed to have a cognitive impairment that would interfere with their ability to provide informed consent and participate in the study.

Sponsors & Collaborators

• University of Chicago: lead
• TrickleUp: collaborator
• Women's Refugee Commission: collaborator
• Aide aux Enfants et aux Familles Démunies (ADEFAD): collaborator
• Network of European Foundations (NEF): collaborator
• Child Protection Working Group (UNICEF): collaborator
• Bernard van Leer Foundation: collaborator
• Oak Foundation: collaborator
• UBS Optimus Foundation: collaborator
• University of California, Los Angeles: collaborator

Study Sites (1)

Trickle Up Burkina Faso

Ouagadougou, Burkina Faso

Location

Related Publications (6)

• Ismayilova L, Gaveras E, Blum A, To-Camier A, Nanema R. Maltreatment and Mental Health Outcomes among Ultra-Poor Children in Burkina Faso: A Latent Class Analysis. PLoS One. 2016 Oct 20;11(10):e0164790. doi: 10.1371/journal.pone.0164790. eCollection 2016.

  PMID: 27764155 RESULT

• Karimli L, Rost L, Ismayilova L. Integrating Economic Strengthening and Family Coaching to Reduce Work-Related Health Hazards Among Children of Poor Households: Burkina Faso. J Adolesc Health. 2018 Jan;62(1S):S6-S14. doi: 10.1016/j.jadohealth.2017.07.007.

  PMID: 29273116 RESULT

• Ismayilova L, Karimli L. Harsh Parenting and Violence Against Children: A Trial with Ultrapoor Families in Francophone West Africa. J Clin Child Adolesc Psychol. 2020 Jan-Feb;49(1):18-35. doi: 10.1080/15374416.2018.1485103. Epub 2018 Aug 15.

  PMID: 30110179 RESULT

• Ismayilova L, Karimli L, Sanson J, Gaveras E, Nanema R, To-Camier A, Chaffin J. Improving mental health among ultra-poor children: Two-year outcomes of a cluster-randomized trial in Burkina Faso. Soc Sci Med. 2018 Jul;208:180-189. doi: 10.1016/j.socscimed.2018.04.022. Epub 2018 May 7.

  PMID: 29743136 RESULT

• Ismayilova L, Karimli L, Gaveras E, To-Camier A, Sanson J, Chaffin J, Nanema R. An Integrated Approach to Increasing Women's Empowerment and Reducing Domestic Violence: Results of a Cluster-Randomized Controlled Trial in a West African Country. Psychol Violence. 2018 Jul;8(4):448-459. doi: 10.1037/vio0000136. Epub 2017 Aug 7.

  PMID: 34790432 RESULT

• Karimli, L., Bose, B., & Kagotho, N. (2019). Integrated Graduation Program and its Effect on Women and Household Economic Well-being: Findings from a Randomised Controlled Trial in Burkina Faso. The Journal of Development Studies, 1-18. https://doi.org/10.1080/00220388.2019.1677887

  RESULT

Study Officials

• Leyla Ismayilova, PhD

  University of Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 30, 2015
• First Posted: April 14, 2015
• Study Start: October 1, 2014
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2016
• Last Updated: December 31, 2024

Record last verified: 2023-09

Locations

BU (1)