Clinical trial NCT05709457: Long Term Effects Of a Maternal Cash Transfer Experiment
Official title: Long Term Effects of an Intervention on Maternal Behavior, Child Health, and Community Influence
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Maternal Health Services
Outcome Assessment
Lead sponsor: RAND
Sponsor class: OTHER
First posted: 2023-02-02
Enrollment: 21000
Sex: ALL
Minimum age (years): 13
Maximum age (years): 60
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

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?

Detailed description: This study will build on what the study investigators learned from the RCT and extend it in novel directions. Research assistants will return to the study communities approximately 5 years after enrollment in the RCT to collect data on utilization of maternal health care services for births to the trial participants after the intervention, and on long run child health outcomes including child weight and height. The research assistants will also collect data on the birth outcomes of non-incentivized childbearing women in the study clusters. Data will be collected through in-person surveys of study participants.

This study will provide valuable new evidence about the indirect and long run effects of demand-side incentives. This is of critical importance because accounting for only the direct effects may severely underestimate the full effect of the program.

Eligibility criteria: Inclusion Criteria for Households:

* Resident in a community included in the RTC

Exclusion Criteria for Households:

* None

Inclusion Criteria for Women:

* 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

Exclusion Criteria for Women:

-

Primary outcomes:
measure: Proportion of births that take place in a health facility
timeFrame: 4-5 years after RCT enrollment
measure: Proportion of women that attended prenatal care during pregnancy
timeFrame: 4-5 years after RCT enrollment
measure: Child survival
timeFrame: 4-5 years after RCT enrollment
measure: Child health utilization
timeFrame: 4-5 years after RCT enrollment
measure: Proportion of children receiving recommended immunizations
timeFrame: 4-5 years after RCT enrollment
Secondary outcomes:
measure: Maternal health
timeFrame: 4-5 years after RCT enrollment
measure: Child weight
timeFrame: 4-5 years after RCT enrollment
measure: Child height
timeFrame: 4-5 years after RCT enrollment
measure: Birth outcome
timeFrame: 4-5 years after RCT enrollment
Other outcomes:
Locations:
city: Kano
country: Nigeria
facility: Amino Kano Teaching Hospital
Study officials:
affiliation: RAND
name: Edward N Okeke, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: