Long Term Effects Of a Maternal Cash Transfer Experiment

NCT05709457 | Completed

• 1 other identifier: R01HD102412
• Study Type: interventional
• Target: 18,131
• Locations: 1 country
• Sites: 1

Brief Summary

This is a follow-on study to a cluster randomized trial of maternal conditional incentives conducted in Nigeria. This study found that cash transfers, conditional on women obtaining facility-based prenatal, delivery, and postnatal care, resulted in large, significant effects on maternal and child outcomes (NICHD R01HD083444). This study will answer additional key policy questions. First, are the effects on maternal behavior temporary, or do they result in more sustained behavior change? Second, do measured short run (SR) child health effects persist over the long run? Third, did the program generate spillovers?

Conditions

Maternal Health Services; Outcome Assessment

Outcome Measures

Primary Outcomes (5)

• Proportion of births that take place in a health facility

  Proportion of births that take place in a health facility

  4-5 years after RCT enrollment

• Proportion of women that attended prenatal care during pregnancy

  Proportion of women that attended prenatal care during pregnancy

  4-5 years after RCT enrollment

• Child survival

  Probability that child is alive

  4-5 years after RCT enrollment

• Child health utilization

  Proportion of children taken to a health facility for care when sick

  4-5 years after RCT enrollment

• Proportion of children receiving recommended immunizations

  Proportion of children receiving recommended immunizations

  4-5 years after RCT enrollment

Secondary Outcomes (4)

• Maternal health

  4-5 years after RCT enrollment

• Child weight

  4-5 years after RCT enrollment

• Child height

  4-5 years after RCT enrollment

• Birth outcome

  4-5 years after RCT enrollment

Study Arms (2)

RCT Participants

EXPERIMENTAL

Women and children who participated in the earlier study.

Behavioral: Cash transfer in prior study

Non-RCT participants

NO INTERVENTION

Women and children in the same communities included in the earlier study who did not participate in that study.

Interventions

Cash transfer in prior study BEHAVIORAL

Women were offered a cash transfer conditional on attending prenatal and postnatal visits and delivering in a facility

RCT Participants

Eligibility Criteria

• Age: 13 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Resident in a community included in the RTC

You may not qualify if:

• None
• Women must have participated in an earlier randomized trial of conditional incentives OR
• They did not take part in the earlier trial but are resident in clusters that participated in the earlier trial and have given birth since 2018

Sponsors & Collaborators

• RAND: lead

Study Sites (1)

Amino Kano Teaching Hospital

Kano, Nigeria

Location

Study Officials

• Edward N Okeke, MD, PhD

  RAND

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 19, 2022
• First Posted: February 2, 2023
• Study Start: May 15, 2021
• Primary Completion: July 31, 2023
• Study Completion: April 30, 2026
• Last Updated: July 2, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: ANALYTIC CODE

Locations

NG (1)