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Trial record 1 of 23 for:    ("social welfare") OR ("social work*") | Recruiting, Not yet recruiting, Available Studies | Last update posted from 08/01/2016 to 12/30/2016
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The Effect of a Cash Transfer Program on Household Welfare and Child Nutritional Status in Mali (Jigisemejiri)

This study is currently recruiting participants.
Verified August 2016 by International Food Policy Research Institute
Sponsor:
ClinicalTrials.gov Identifier:
NCT02858011
First Posted: August 8, 2016
Last Update Posted: August 10, 2016
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
Collaborators:
Institut de Recherche pour le Developpement
Implementation management committee of the Jigisemejiri program (Ministry of Economics and Finance, Government of Mali)
Information provided by (Responsible Party):
International Food Policy Research Institute
  Purpose

In the last two decades, cash transfer (CT) programs have emerged as a popular approach to long-term poverty alleviation. While the main goal of cash transfer programs is to reduce poverty, they also have the potential to improve many development outcomes, such as health and education.

While many studies, mainly in Latin America and Asia, have investigated the impacts of CTs on poverty and food security and have, for the most part, found positive impacts, less is known about the impacts of CTs in Africa south of the Sahara, and, in particular, West Africa. Moreover, despite the fact that cash transfers have been shown to lead to decreases in poverty, improvements in household food security, and increases in health service utilization, impacts on children's nutritional status (including anthropometric measures) are generally small (Manley, Gitter, and Slavchevska 2013). Consequently, policymakers and governments are left with the question of how to design social safety nets, such as cash transfers, to achieve greater impact on diet quality, health, and nutrition.

The overall goal of this research is to generate evidence and knowledge on an integrated program implemented by the Government of Mali that includes a combination of cash transfers and targeted nutrition interventions. The information generated will inform program implementers and policymakers about best options to improve food security and nutrition among vulnerable groups and individuals in West Africa. Specifically, the main objectives of the research are

  1. To provide evidence on the contribution of integrated social transfer programs to enhancing household welfare, food security, dietary diversity, and maternal and child nutrition in West Africa.
  2. To test different features and combinations of cash transfers with targeted nutrition interventions, and assess their impact on food security and maternal and child nutrition and health outcomes in Mali.
  3. To generate knowledge regarding the pathways of impact of these different program packages, identify the most effective and efficient modalities in the context of Mali, and derive lessons learned for other countries in the region.

The research entails two study designs: i) a repeated cross-sectional survey (baseline, midline and endline) in a sample of 1,440 children between 6 and 24 months of age, mainly to asses the program's impact on child nutrition and health outcomes; ii) a panel study following a cohort of 2,880 children over 3 years mainly focusing on the evaluation of household welfare outcomes. The study will be conducted in the 96 communes where the Jigisemejiri program is being implemented, situated in 5 regions of Mali: Sikasso, Koulikoro, Segou, Mopti and Kayes.


Condition Intervention Phase
Poverty Child Malnutrition Other: Cash distribution during 36 months Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during 36 months Dietary Supplement: PNP Other: Cash distribution during the last 12 months Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during the last 12 months Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: The Effect of a Cash Transfer Program on Household Welfare and Child Nutritional Status in Mali

Resource links provided by NLM:


Further study details as provided by International Food Policy Research Institute:

Primary Outcome Measures:
  • Child Height-for-age Z-score [ Time Frame: After 24 months of program implementation ]
    To calculate WHZ scores the 2006 WHO growth reference will be used

  • Value of household consumption [ Time Frame: After 24 months of program implementation ]
    The household consumption includes food and non-food related economic consumption

  • Household dietary diversity [ Time Frame: After 24 months of program implementation ]
    The household dietary diversity is estimated by a dietary diversity score counting food groups

  • Child Height-for-age Z-score [ Time Frame: After 36 months of program implementation ]
    To calculate WHZ scores the 2006 WHO growth reference will be used

  • Value of household consumption [ Time Frame: After 36 months of program implementation ]
    The household consumption includes food and non-food related economic consumption

  • Household dietary diversity [ Time Frame: After 36 months of program implementation ]
    The household dietary diversity is estimated by a dietary diversity score counting food groups


Secondary Outcome Measures:
  • Child Weight-for-height Z-score [ Time Frame: After 24 months and 36 months of program implementation ]
    To calculate WHZ scores the 2006 WHO growth reference will be used

  • Prevalence of child wasting [ Time Frame: After 24 months and 36 months of program implementation ]
    To calculate WHZ scores the 2006 WHO growth reference will be used

  • Prevalence of child stunting [ Time Frame: After 24 months and 36 months of program implementation ]
    To calculate WHZ scores the 2006 WHO growth reference will be used

  • Child hemoglobin concentration [ Time Frame: After 24 months and 36 months of program implementation ]
  • Prevalence of child anemia [ Time Frame: After 24 months and 36 months of program implementation ]
  • Body Mass Index of primary caregiver of index child [ Time Frame: After 24 months and 36 months of program implementation ]
  • Early child development [ Time Frame: After 24 months and 36 months of program implementation ]
  • Child morbidity (acute respiratory infections, fever, vomiting, diarrhea) [ Time Frame: After 24 months and 36 months of program implementation ]
  • Caregiver's knowledge and practices related to Infant and Young Child Feeding (IYCF), child health and hygiene [ Time Frame: After 24 months and 36 months of program implementation ]
  • Household assets and savings [ Time Frame: After 24 months and 36 months of program implementation ]
  • Educational level of Household members [ Time Frame: After 24 months and 36 months of program implementation ]
  • Household food security [ Time Frame: After 24 months and 36 months of program implementation ]
    Measured by the Household Food Insecurity Access Scale (HFIAS)

  • Household composition [ Time Frame: After 24 months and 36 months of program implementation ]
    This entails the household size, the number of one parent households, monogamous and polygamous households, number of infants and children.

  • Household agricultural production [ Time Frame: After 24 months and 36 months of program implementation ]
    The composition and quantity of all crops grown by the houshold over the last year is being recalled

  • Cognitive function of the head of household [ Time Frame: After 24 months and 36 months of program implementation ]
    Measured by spatial Stroop test and digit span test (forward and backward)

  • Well-being of household members [ Time Frame: After 24 months and 36 months of program implementation ]
    Well-being is assessed by measuring stress, anxiety, psychological well-being, partner violence, marital quality, depression, occurrence of disputes and resource allocation.

  • Women's empowerment [ Time Frame: After 24 months and 36 months of program implementation ]
    Measured by pro-WEAI instrument adapted to local context

  • Child dietary diversity [ Time Frame: After 24 months and 36 months of program implementation ]
    Child dietary diversity is estimated by a dietary diversity score counting food groups consumed

  • Professional occupation of household members [ Time Frame: After 24 months and 36 months of program implementation ]
    We assess if household members have different formal and informal professional occupations or main revenue generating activities between intervention and control group

  • Child Mid-upper Arm Circumference [ Time Frame: After 24 months and 36 months of program implementation ]

Estimated Enrollment: 4320
Study Start Date: September 2014
Estimated Study Completion Date: July 2018
Estimated Primary Completion Date: December 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Control and comparison group
The program is implemented during 36 months. During the first 24 months the control group does not receive any intervention. During the last 12 months eligible beneficiaries receive cash transfer and accompanying information sessions on health, child nutrition, household economics every three months (identical to experimental group).
Other: Cash distribution during the last 12 months
Three-monthly distribution of Cash (30,000 FCFA/trimester) to households that are beneficiary of the Jigisemejiri program.
Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during the last 12 months
Large group gatherings of cash beneficiaries are organized in parallel to the cash distributions. During these meetings, local NGOs present and discuss a topic related to health, child nutrition, household economics or education.
Experimental: Jigisemejiri cash transfer program - no PNP
Unconditional cash is distributed every 3 months to beneficiaries of the Jigisemejiri program. During cash handouts, information sessions on health, child nutrition, households economics and education are organized by local NGOs.
Other: Cash distribution during 36 months
Three-monthly distribution of Cash (30,000 FCFA/trimester) to households that are beneficiary of the Jigisemejiri program.
Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during 36 months
Large group gatherings of cash beneficiaries are organized in parallel to the cash distributions. During these meetings, local NGOs present and discuss a topic related to health, child nutrition, household economics or education.
Experimental: Jigisemejiri cash transfer program - PNP

Unconditional cash is distributed every 3 months to beneficiaries of the Jigisemejiri program. During cash handouts, information sessions on health, child nutrition, household economics and education are organized by local NGOs.

In addition, households with children and/or pregnant/lactating women receive rations of fortified flour (PNP) during the last 12 months of the project

Other: Cash distribution during 36 months
Three-monthly distribution of Cash (30,000 FCFA/trimester) to households that are beneficiary of the Jigisemejiri program.
Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during 36 months
Large group gatherings of cash beneficiaries are organized in parallel to the cash distributions. During these meetings, local NGOs present and discuss a topic related to health, child nutrition, household economics or education.
Dietary Supplement: PNP
Fortified flour supplements for children and pregnant/lactating mothers.

  Eligibility

Information from the National Library of Medicine

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, Learn About Clinical Studies.


Ages Eligible for Study:   6 Months to 5 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Being a Household that is beneficiary of the Jigisemejiri program
  • Having a child between 6 and 24 months of age

Exclusion Criteria:

  • Congenital malformations that hamper anthropometric measurements
  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): NCT02858011


Contacts
Contact: Melissa Hidrobo, PhD m.hidrobo@cgiar.org
Contact: Shalini Roy, PhD s.roy@cgiar.org

Locations
Mali
Recruiting
Bamako, Mali
Contact: Yves Kameli, MSc       yves.kameli@ird.fr   
Contact: Eric Sessou, MSc       e.sessou@cgiar.org   
Sponsors and Collaborators
International Food Policy Research Institute
Institut de Recherche pour le Developpement
Implementation management committee of the Jigisemejiri program (Ministry of Economics and Finance, Government of Mali)
Investigators
Study Chair: Dan Gilligan, PhD IFPRI
Study Chair: Marie Ruel, PhD IFPRI
Principal Investigator: Melissa Hidrobo, PhD IFPRI
Principal Investigator: Shalini Roy, PhD IFPRI
Principal Investigator: Lieven Huybregts, PhD IFPRI
  More Information

Responsible Party: International Food Policy Research Institute
ClinicalTrials.gov Identifier: NCT02858011     History of Changes
Other Study ID Numbers: 2014-26-PHND-M
First Submitted: August 3, 2016
First Posted: August 8, 2016
Last Update Posted: August 10, 2016
Last Verified: August 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by International Food Policy Research Institute:
behavior change communication
cash transfer
household welfare
child nutrition status

Additional relevant MeSH terms:
Malnutrition
Child Nutrition Disorders
Nutrition Disorders