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

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ClinicalTrials.gov Identifier: NCT01866124
Recruitment Status : Completed
First Posted : May 31, 2013
Last Update Posted : October 12, 2015
Information provided by (Responsible Party):

Study Description
Brief Summary:
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 or disease Intervention/treatment
Acute Malnutrition Other: Cash transfer

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.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1278 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: MAM'Out Project - Evaluation of Multiannual and Seasonal Cash Transfers to Prevent Acute Malnutrition
Study Start Date : May 2013
Primary Completion Date : October 2015
Study Completion Date : October 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Malnutrition
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
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

Outcome Measures

Primary Outcome Measures :
  1. Cumulative incidence of child wasting [ Time Frame: 3-monthly until 24 months after inclusion ]
    Record of the child's height, weight to compute Weight for Height Z-scores (WHZ scores) (wasting defined as WHZ<-2 or Edema)

  2. Incremental cost-effectiveness ratio [ Time Frame: 24 months after inclusion ]
    Calculation of a cost-effectiveness ratio at the end of the study

Secondary Outcome Measures :
  1. cumulative incidence of the state of stunting [ Time Frame: 3-monthly until 24 months after inclusion ]
  2. mean height-for-age Z-score [ Time Frame: 3-monthly until 24 months after inclusion ]
  3. mean weight-for-length Z-score [ Time Frame: 3-monthly until 24 months after inclusion ]
  4. mid-upper arm circumference (MUAC) [ Time Frame: 3-monthly until 24 months after inclusion ]
  5. edema [ Time Frame: 3-monthly until 24 months after inclusion ]
  6. Prevalence of diarrhea [ Time Frame: 3-monthly until 24 months after inclusion ]
  7. Prevalence of acute respiratory infections [ Time Frame: 3-monthly until 24 months after inclusion ]
  8. Reported measle [ Time Frame: 3-monthly until 24 months after inclusion ]
    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

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   up to 12 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01866124

Burkina Faso
Action Contre la Faim - Burkina Faso
Diapaga, Tapoa, Burkina Faso, BP 105
Sponsors and Collaborators
Action Contre la Faim
Centers for Disease Control and Prevention
University Ghent
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

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Action Contre la Faim
ClinicalTrials.gov Identifier: NCT01866124     History of Changes
Other Study ID Numbers: ACF0213
1U01GH000646-01 ( U.S. NIH Grant/Contract )
First Posted: May 31, 2013    Key Record Dates
Last Update Posted: October 12, 2015
Last Verified: October 2015

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

Additional relevant MeSH terms:
Nutrition Disorders