Clinical trial NCT03810300: Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh
Official title: Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh: Transfer Modality Research Initiative
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Food Security
Poverty
Child Nutrition
Child Development
Intimate Partner Violence
Gender Dynamics
Keywords: Cash transfers
Food transfers
Behavior change communication
Sustainability
Social protection
Nutrition
Gender
Lead sponsor: International Food Policy Research Institute
Sponsor class: OTHER
Collaborators: name: Cornell University
name: Data Analysis and Technical Assistance Ltd
name: World Food Programme, Bangladesh
First posted: 2019-01-18
Enrollment: 5000
Sex: FEMALE
Minimum age (years): 15
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: BASIC_SCIENCE

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.

Detailed description: The objective of the study is to assess, 4 years after a pilot safety net intervention ended in April 2014, the sustainability of the intervention's impacts on households, children, and women. 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). WFP-Bangladesh implemented the intervention, and the International Food Policy Research Institute (IFPRI) conducted the impact evaluation research. 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 \[south only\]; (5) 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, from May 2012-April 2014. For the original impact evaluation, longitudinal data on 5000 households were collected from 2012-2015 (ClinicalTrials.gov Identifier: NCT02237144).

For the sustainability study in 2018, given available funding, the sampling frame will include 4000 households. This will include all households that were originally in the following arms: (1) cash transfers \[north and south\]; (2) cash transfers + nutrition BCC \[north only\]; (3) food transfers \[north and south\]; (4) food transfers + nutrition BCC \[south only\]; (5) control \[north and south\].

Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

-

Primary outcomes:
measure: Food Consumption Score
timeFrame: After 4 years post-intervention
measure: Child height-for-age z-score
timeFrame: After 4 years post-intervention
measure: Prevalence of physical intimate partner violence
timeFrame: After 4 years post-intervention
Secondary outcomes:
measure: Household dietary diversity
timeFrame: After 4 years post-intervention
measure: Value of total household consumption
timeFrame: After 4 years post-intervention
measure: Value of household food consumption
timeFrame: After 4 years post-intervention
measure: Value of household non-food consumption
timeFrame: After 4 years post-intervention
measure: Household food insecurity
timeFrame: After 4 years post-intervention
measure: Value of household labor income
timeFrame: After 4 years post-intervention
measure: Value of household non-labor income
timeFrame: After 4 years post-intervention
measure: Value of household asset ownership
timeFrame: After 4 years post-intervention
measure: Household land ownership
timeFrame: After 4 years post-intervention
measure: Housing quality: interviews
timeFrame: After 4 years post-intervention
measure: Maternal nutrition knowledge score
timeFrame: After 4 years post-intervention
measure: Maternal infant and young child feeding practices
timeFrame: After 4 years post-intervention
measure: Child score on Raven's Progressive Matrices
timeFrame: After 4 years post-intervention
measure: Child score on Early Grade Reading Assessment
timeFrame: After 4 years post-intervention
measure: Child score on Early Grade Mathematics Assessment
timeFrame: After 4 years post-intervention
measure: Child score on Strengths and Difficulties Questionnaire
timeFrame: After 4 years post-intervention
measure: Child weight-for-height z-score
timeFrame: After 4 years post-intervention
measure: Prevalence of child stunting
timeFrame: After 4 years post-intervention
measure: Prevalence of child wasting
timeFrame: After 4 years post-intervention
measure: Child illness
timeFrame: After 4 years post-intervention
measure: Parental interaction with child
timeFrame: After 4 years post-intervention
measure: Parental discipline of the child
timeFrame: After 4 years post-intervention
measure: Community norms on gender
timeFrame: After 4 years post-intervention
measure: Prevalence of emotional violence
timeFrame: After 4 years post-intervention
measure: Prevalence of controlling behaviors
timeFrame: After 4 years post-intervention
measure: Prevalence of individual acts of intimate partner violence
timeFrame: After 4 years post-intervention
measure: Individual decisionmaking
timeFrame: After 4 years post-intervention
measure: Individual asset ownership
timeFrame: After 4 years post-intervention
measure: Individual mobility
timeFrame: After 4 years post-intervention
measure: Individual labor force participation
timeFrame: After 4 years post-intervention
measure: Individual attitudes toward gender and intimate partner violence
timeFrame: After 4 years post-intervention
measure: Individual social capital
timeFrame: After 4 years post-intervention
measure: Individual stress
timeFrame: After 4 years post-intervention
measure: Individual depression
timeFrame: After 4 years post-intervention
measure: Individual aspirations
timeFrame: After 4 years post-intervention
measure: Spousal relationship
timeFrame: After 4 years post-intervention
Other outcomes:
Locations:
Study officials:
affiliation: International Food Policy Research Institute
name: Akhter Ahmed, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: International Food Policy Research Institute
name: Shalini Roy, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Cornell University
name: John Hoddinott, DPhil
role: PRINCIPAL_INVESTIGATOR
affiliation: International Food Policy Research Institute
name: Melissa Hidrobo, PhD
role: PRINCIPAL_INVESTIGATOR
References: