NCT03810300

Brief Summary

This study assesses the sustainability of impacts, 4 years post-program, from a pilot safety net program that was implemented from May 2012-April 2014. The intervention, called the Transfer Modality Research Initiative (TMRI), was assigned following a cluster-randomized controlled trial design in two zones of Bangladesh (north and south). Intervention arms were assigned at the village level, where arms were as follows: (1) cash transfers \[north and south\]; (2) cash transfers + nutrition behavior communication change (BCC) \[north only\]; (3) food transfers \[north and south\]; (4) food transfers + nutrition BCC \[south only\]; (4) food-cash split \[north and south\]; and (5) control \[north and south\]. Within treatment villages, women living in very poor households were targeted to receive benefits for two years.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
5,000

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2012

Longer than P75 for not_applicable

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

April 15, 2012

Completed
6.1 years until next milestone

First Submitted

Initial submission to the registry

May 14, 2018

Completed
1 day until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 15, 2018

Completed
8 months until next milestone

First Posted

Study publicly available on registry

January 18, 2019

Completed
Last Updated

January 18, 2019

Status Verified

January 1, 2019

Enrollment Period

6.1 years

First QC Date

May 14, 2018

Last Update Submit

January 17, 2019

Conditions

Food SecurityPovertyChild NutritionChild DevelopmentIntimate Partner ViolenceGender Dynamics

Keywords

Cash transfersFood transfersBehavior change communicationSustainabilitySocial protectionNutritionGender

Outcome Measures

Primary Outcomes (3)

  • Food Consumption Score

    The Food Consumption Score, as defined by the World Food Programme, is calculated as the number of food groups consumed by the household in the previous 7 days, weighted by each food group's nutritional value and frequency of consumption. Scale range is 0 to 112, with higher values reflecting higher food consumption.

    After 4 years post-intervention

  • Child height-for-age z-score

    Calculated using the 2006 WHO growth reference. This is a continuous measure that represents the number of standard deviations from the mean among comparable children in the WHO growth reference.

    After 4 years post-intervention

  • Prevalence of physical intimate partner violence

    Prevalence of any physical intimate partner violence in the past 12 months measured using the WHO Violence Against Women instrument

    After 4 years post-intervention

Secondary Outcomes (36)

  • Household dietary diversity

    After 4 years post-intervention

  • Value of total household consumption

    After 4 years post-intervention

  • Value of household food consumption

    After 4 years post-intervention

  • Value of household non-food consumption

    After 4 years post-intervention

  • Household food insecurity

    After 4 years post-intervention

  • +31 more secondary outcomes

Study Arms (6)

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 + nutrition BCC

EXPERIMENTAL

1500 taka ($18.75) per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).

Other: Cash transferBehavioral: Nutrition behavior Communication Change (BCC)

Food transfer + nutrition BCC

EXPERIMENTAL

30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).

Other: Food transferBehavioral: Nutrition behavior Communication Change (BCC)

Control

EXPERIMENTAL

No transfer, no behavior change communication

Other: Control

Interventions

Cash transferOTHER

1500 taka ($18.75) per household distributed monthly

Cash transferCash transfer + nutrition BCC
Food transferOTHER

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

Food transferFood transfer + nutrition BCC
Food and cash transferOTHER

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
Nutrition behavior Communication Change (BCC)BEHAVIORAL

Weekly, group-based, one-hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings

Cash transfer + nutrition BCCFood transfer + nutrition BCC
ControlOTHER

No transfer, no behavior change communication

Control

Eligibility Criteria

Age15 Years - 65 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Former participant of Transfer Modality Research Initiative study (in cash, food, cash+BCC, food+BCC, or control arms)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Coitus

Interventions

Food

Condition Hierarchy (Ancestors)

Sexual BehaviorBehavior

Intervention Hierarchy (Ancestors)

Diet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Study Officials

  • Akhter Ahmed, PhD

    International Food Policy Research Institute

    PRINCIPAL INVESTIGATOR

  • Shalini Roy, PhD

    International Food Policy Research Institute

    PRINCIPAL INVESTIGATOR

  • John Hoddinott, DPhil

    Cornell University

    PRINCIPAL INVESTIGATOR

  • Melissa Hidrobo, 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

May 14, 2018

First Posted

January 18, 2019

Study Start

April 15, 2012

Primary Completion

May 15, 2018

Study Completion

May 15, 2018

Last Updated

January 18, 2019

Record last verified: 2019-01