MAM'Out Project - Evaluation of Multiannual and Seasonal Cash Transfers to Prevent Acute Malnutrition

This study is currently recruiting participants. (see Contacts and Locations)
Verified May 2013 by Action Contre la Faim
Sponsor:
Collaborators:
Universiteit Gent
AgroParisTech
Information provided by (Responsible Party):
Action Contre la Faim
ClinicalTrials.gov Identifier:
NCT01866124
First received: May 7, 2013
Last updated: May 27, 2013
Last verified: May 2013
  Purpose

The MAM'Out research project aims at evaluating a seasonal and multi-annual cash transfer program in the framework of a safety net to prevent acute malnutrition by children under 24 months, in terms of effectiveness and cost-effectiveness in the Tapoa province (East region of Burkina Faso, Africa). The program will be targeted to economically vulnerable households with children less than 1 year old at the time of inclusion and the cash distributed to mothers. The transfers will be assimilated to unconditional ones, leading to beneficiaries' self-determination on the use that will be made of cash. This study will be designed as a two-arm cluster randomized intervention trial, based on randomization of rural villages of the Tapoa province. One arm will receive the intervention and one will be a control arm. The main outcomes will be the cumulative incidence of acute malnutrition (or wasting) and the cost-effectiveness. Anthropometric measures (height, weight and MUAC) will be measured, as well as indicators of dietary diversity, food security, health center frequentation, families' expenses and morbidities. Questionnaires and 24-hour food recalls will also be analyzed. Finally, based on a model theory framework built a priori, the pathways used by the cash to have an effect on the prevention of under-nutrition will be assessed.


Condition Intervention
Acute Malnutrition
Other: Cash transfer

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: MAM'Out Project - Evaluation of Multiannual and Seasonal Cash Transfers to Prevent Acute Malnutrition

Resource links provided by NLM:


Further study details as provided by Action Contre la Faim:

Primary Outcome Measures:
  • Cumulative incidence of child wasting [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
    Record of the child's height, weight to compute Weight for Height Z-scores (WHZ scores) (wasting defined as WHZ<-2 or Edema)

  • Incremental cost-effectiveness ratio [ Time Frame: 24 months after inclusion ] [ Designated as safety issue: No ]
    Calculation of a cost-effectiveness ratio at the end of the study


Secondary Outcome Measures:
  • cumulative incidence of the state of stunting [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • mean height-for-age Z-score [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • mean weight-for-length Z-score [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • mid-upper arm circumference (MUAC) [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • edema [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • Prevalence of diarrhea [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • Prevalence of acute respiratory infections [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
  • Reported measle [ Time Frame: 3-monthly until 24 months after inclusion ] [ Designated as safety issue: No ]
    the symptoms used to detect measles will be the following ones (from WHO) : tiny white spots on the inside of the mouth and rash on the face and/or the body


Estimated Enrollment: 1600
Study Start Date: May 2013
Estimated Study Completion Date: May 2015
Estimated Primary Completion Date: May 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Cash transfer

Mothers are the primary recipient of the CT. The proposed approach will be based on monthly seasonal CTs during 5 months, from May to September, for two years (2013 and 2014). A monthly 10 000 FCFA will be transferred to the selected households.

These CTs will be done via mobile phones, in collaboration with the mobile phone company Airtel.

Other: Cash transfer
Recipient of transfers Mothers are the primary recipient of the CT. Cash is transferred using mobile phone credits that can be cashed at specific cash points provided by a telecom company.
Other Name: Multiannual and seasonal cash transfer
No Intervention: Comparison group

Detailed Description:

At international level, the WHO formulated guidelines for the treatment of severe acute malnutrition (or wasting) (WHO 1999, and more recently ACF 2011), and guidelines for moderate acute malnutrition (or wasting) are in the process of formulation. In contrast, surprisingly little is known on preventive schemes for acute malnutrition. In Haiti, Ruel et al (2008) found that targeting nutrition interventions to prevent children from becoming malnourished might be more effective than curative treatment to reduce child wasting. In addition, recent preventive trials in humanitarian settings focused on the use of food-based strategies, especially ready-to-use food (Isanaka, 2009; Hendricks, 2010; Parikh, 2010; Imbad, 2011; Huybregts, 2012). However, it is well known that the causes of under-nutrition are numerous and also relate to inadequate health and care practices, lack of food diversification, food insecurity… Therefore, the MAM'Out research project aims at assessing a context-adapted preventive approach, which is likely to influence several underlying causes of under-nutrition and not based primarily on food supplementation. The objective is to provide an evidence base for this alternative approach, in order that proven intervention be taken into account for scale-up at policy-making levels.

  Eligibility

Ages Eligible for Study:   up to 12 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Poor or very poor household (HEA criteria)
  • Having at least one children under 1 year old at the time of inclusion

Exclusion Criteria:

  • Medium or rich economic status (HEA criteria)
  • no child under one year old at the time of inclusion
  • not living in one of the 32 selected villages in the Tapoa province
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01866124

Contacts
Contact: Patrick Kolsteren, MD, PhD +32(0)3 2476 389 PKolsteren@itg.be
Contact: Audrey Papucci, MSc +331 71 28 02 54 apapucci@actioncontrelafaim.org

Locations
Burkina Faso
Action Contre la Faim - Burkina Faso Recruiting
Diapaga, Tapoa, Burkina Faso, BP 105
Contact: Freddy Houngbe, MSc    (+226) 75 99 90 63    rpmamout-diapaga@bf.missions-acf.org   
Sub-Investigator: Freddy Houngbé, MSc         
Sponsors and Collaborators
Action Contre la Faim
Universiteit Gent
AgroParisTech
Investigators
Principal Investigator: Patrick Kolsteren, MD, PhD Universiteit Gent, Institute of Tropical Medicine of Antwerp (Belgium)
Study Director: Myriam Ait Aissa, MSc Action Contre la Faim
  More Information

No publications provided

Responsible Party: Action Contre la Faim
ClinicalTrials.gov Identifier: NCT01866124     History of Changes
Other Study ID Numbers: ACF0213, 1U01GH000646-01
Study First Received: May 7, 2013
Last Updated: May 27, 2013
Health Authority: Burkina Faso: Ministry of Public Health- Building LAMIZANA, 09 BP 7009 9 OUAGADOUGOU BURKINA FASO

Keywords provided by Action Contre la Faim:
acute malnutrition
multiannual and seasonal cash transfers
safety nets
Burkina Faso

Additional relevant MeSH terms:
Malnutrition
Nutrition Disorders

ClinicalTrials.gov processed this record on August 28, 2014