Impact Evaluation of the DFID Programme to Accelerate Improved Nutrition of the Extreme Poor in Bangladesh
1 other identifier
interventional
11,340
1 country
1
Brief Summary
This is a randomized study in three areas of Bangladesh (Chars region where CLP operates, Haor region where Shiree operates, and urban slums where UPPR operates). Treatment is assigned at the community level, where treatments are:
- Livelihoods intervention only (L only)
- Livelihoods intervention plus nutrition intervention (L+N) In UPPR only, the study also includes a non-randomly selected comparison group (C). Within treatment localities, targeted beneficiaries include women, adolescent girls, and children under 24 months. Benefits are received for two years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2013
Typical duration for not_applicable
1 active site
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
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 28, 2015
CompletedFirst Posted
Study publicly available on registry
November 5, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedSeptember 15, 2016
November 1, 2015
2.7 years
October 28, 2015
September 13, 2016
Conditions
Outcome Measures
Primary Outcomes (23)
Child anthropometry - height for age
Height for age z scores. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Child food intake - number unique foods
Number of unique foods consumed in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Dietary diversity of index child's mother, father, and of adolescent girl - unique foods
Number of unique foods consumed in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Index child mother's nutrition knowledge
Knowledge (total score) of index child's mother regarding questions on breastfeeding, complementary feeding, nutrition, and sanitation practices (29 questions). Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Household food security - food groups
Food groups consumed by household in previous seven days. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Infant and young child feeding practices - breastfeeding
Length of breastfeeding of index child. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Receipt of and participation in livelihoods and nutrition interventions (take up)
Whether received livelihoods and nutrition interventions carried out by CLP/Shiree/UPPR programmes. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Community nutrition worker knowledge and activities.
Misconceptions regarding nutrition knowledge and attitudes (regarding breastfeeding, complementary feeding, and sanitation knowledge). Outcomes specified in terms of levels two years after intervention started.
Up to 24 months.
Child anthropometry - weight for age
Weight for age z scores. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Child anthropometry - stunting
Percentage of children 0-24 stunted. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Child anthropometry - wasting
Percentage of children 0-24 wasted. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Child food intake - number food groups
Number of food groups consumed in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Child food intake - food groups
Consumption of specific food groups (animal source foods, dairy, vitamin A rich foods, etc.) in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months
Child food intake - caloric consumption
Caloric consumption in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Dietary diversity of index child's mother, father, and of adolescent girl
Number of food groups consumed in previous 24 hours. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Household food security - unique foods
Number of unique foods consumed in previous seven days. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Household food security - number of food groups
Number of food groups consumed in previous seven days weighted by nutritional value and frequency of consumption. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Household food security - value of consumption
Value of food consumption in previous seven days. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Household food security - caloric availability
Household caloric availability in previous seven days. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Infant and young child feeding practices - complementary feeding
Age complementary feeding initiated. Outcomes specified in terms of levels two years after intervention started, and as changes (2013-2015).
Baseline. Up to 24 months.
Community nutrition worker knowledge and activities
Number of home visits and group training sessions in past month. Outcomes specified in terms of levels two years after intervention started.
Up to 24 months.
Child anthropometry - weight for height
Weight for height z scores. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Women's BMI
Body mass index of index child's mother. Weight for height z scores. Outcomes specified in terms of levels two years after intervention started, as well as in changes (2013-2015).
Baseline. Up to 24 months.
Secondary Outcomes (16)
Nutrition knowledge of adolescent girl
Baseline. Up to 24 months.
Health of index child <36 months - child ill
Baseline. Up to 24 months.
Antenatal care - attendance
Baseline. Up to 24 months.
Sanitation practices for index child
Baseline. Up to 24 months.
Women's status index
Baseline. Up to 24 months.
- +11 more secondary outcomes
Study Arms (7)
UPPR: Control
EXPERIMENTALNo interventions are provided.
UPPR: Livelihoods only
EXPERIMENTALLivelihoods programmes offered by UPPR.
UPPR: Livelihoods plus nutrition
EXPERIMENTALLivelihoods programmes offered by UPPR, plus nutrition programmes offered by UPPR.
CLP: Livelihoods only
EXPERIMENTALLivelihoods programmes offered by CLP.
CLP: Livelihoods plus nutrition
EXPERIMENTALLivelihoods programmes offered by CLP, plus nutrition programmes offered by CLP.
Shiree: Livelihoods only
EXPERIMENTALLivelihoods programmes offered by Shiree.
Shiree: Livelihoods plus nutrition
EXPERIMENTALLivelihoods programmes offered by Shiree, plus nutrition programmes offered by Shiree.
Interventions
Capital for purchase of income generating asset, physical infrastructure (plinths, latrines, tubewells), livelihood maintenance stipend, monthly asset maintenance cost stipend, agricultural livelihood training, non-agricultural livelihood training, financial training, health and nutrition training.
Counseling on breastfeeding and complementary feeding; five components micronutrients (iron 12.5 mg, folic acid 0.16 mg, zinc 5 mg, vitamin A 0.3 mg, vitamin C 30 mg) for children 7-23 months dosage of 120 sachets per year; 180 iron and folic acid tablets (60 mg iron and 400 mg folic acid) tablets to each pregnant woman after first trimester and up to 180 for each breastfeeding woman per year, as well as 104 tablets to each adolescent girl; deworming treatment for children aged 1-5 years, adolescent girls, pregnant women after first trimester; identification and referral of acute malnutrition; facilitation of government campaigns on nutrition.
Financial training; input support for livelihoods (cropping, livestock, poultry, fishing, bamboo working, small businesses, tailoring etc.); capacity building (mobilising Self Help Groups, facilitating community based organizations (CBOs), skills transfer); innovation support (market linkage and access to value chains); credit and savings groups; support in mobilizing communities to advocate for their needs.
Counseling on breastfeeding, complementary feeding, and sanitation; community discussions including adolescent girls on early and forced marriage; five components micronutrients (iron 12.5 mg, folic acid 0.16 mg, zinc 5 mg, vitamin A 0.3 mg, vitamin C 30 mg) for children aged 7-23 months; 180 iron and folic acid tablets (60 mg iron and 400 mg folic acid) tablets to each pregnant woman after first trimester and up to 180 for each breastfeeding woman per year, as well as 104 tablets to each adolescent girl; deworming treatment for children aged 1-5 years, adolescent girls, pregnant women after first trimester.
Monetary support for communities to improve infrastructure (drains, footpaths, latrines and water dwells, access to roads and markets); financing for apprenticeships; grants for small businesses; education grants for girls; grants for urban food production activities; financial training; establishment of savings and credit groups; support for communities in advocating for their needs; microcredit; improving access to health facilities; improving housing conditions; provision of plinths.
Counseling on breastfeeding, complementary feeding, and sanitation; community discussions including adolescent girls on early and forced marriage; five components micronutrients (iron 12.5 mg, folic acid 0.16 mg, zinc 5 mg, vitamin A 0.3 mg, vitamin C 30 mg) for children aged 7-23 months; 180 iron and folic acid tablets (60 mg iron and 400 mg folic acid) tablets to each pregnant woman after first trimester and up to 180 for each breastfeeding woman per year, as well as 104 tablets to each adolescent girl; deworming treatment for children aged 1-5 years, adolescent girls, pregnant women after first trimester.
Eligibility Criteria
You may qualify if:
- Children (boys and girls) 0-36 months
- Pregnant and breastfeeding women
- Adolescent girls (aged 13-19)
- Households must meet eligibility criteria of each of the three programmes (CLP, Shiree, UPPR) except for the control group in UPPR.
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- International Food Policy Research Institutelead
- Department for International Development, United Kingdomcollaborator
- Institute of Development Studiescollaborator
- Chars Livelihoods Programmecollaborator
- Shiree, Stimulating Household Improvements Resulting in Economic Empowermentcollaborator
- Urban Partnerships for Poverty Reductioncollaborator
- Consortium of International Agricultural Research Centerscollaborator
Study Sites (1)
International Food Policy Research Institute
Dhaka, Bangladesh
Related Publications (5)
Smith, L. C., U. Ramakrishnan, A. Ndiaye, L. Haddad, and R. Martorell. 2002. "The Asian Engima. Chapter 7 of The Importance of Women's Status for Child Nutrition in Developing Countries. Research Report 131. Washington, DC: International Food Policy Research Institute.
BACKGROUNDRamalingaswami, V., U. Jonsson, and J. Rohde. 1996. "Commentary: The Asian Enigma." In The Progress of Nations. New York: UNICEF.
BACKGROUNDDeaton, A., and J. Dreze. 2009.
BACKGROUNDBhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, Webb P, Lartey A, Black RE; Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group. Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet. 2013 Aug 3;382(9890):452-477. doi: 10.1016/S0140-6736(13)60996-4. Epub 2013 Jun 6.
PMID: 23746776BACKGROUNDHoddinott J, Behrman JR, Maluccio JA, Melgar P, Quisumbing AR, Ramirez-Zea M, Stein AD, Yount KM, Martorell R. Adult consequences of growth failure in early childhood. Am J Clin Nutr. 2013 Nov;98(5):1170-8. doi: 10.3945/ajcn.113.064584. Epub 2013 Sep 4.
PMID: 24004889BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
John Hoddinott, DPhil
Cornell University
- PRINCIPAL INVESTIGATOR
Shalini Roy, PhD
International Food Policy Research Institute
- PRINCIPAL INVESTIGATOR
Naureen Karachiwalla, DPhil
International Food Policy Research Institute
- PRINCIPAL INVESTIGATOR
Firdousi Naher, PhD
University of Dhaka
- PRINCIPAL INVESTIGATOR
Nick Nisbett, PhD
Institute for Development Studies, University of Sussex
- PRINCIPAL INVESTIGATOR
Jean Pierre Tranchant, PhD
Institute for Development Studies, University of Sussex
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
October 28, 2015
First Posted
November 5, 2015
Study Start
July 1, 2013
Primary Completion
March 1, 2016
Study Completion
June 1, 2016
Last Updated
September 15, 2016
Record last verified: 2015-11