Transfer Modality Research Initiative - Bangladesh

Improving Household Food Security Clinical Trial

— TMRI  

Official title:

Transfer Modality Research Initiative - Bangladesh

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02237144
• Other study ID #: AEARCTR-0000247
• Status: Completed
• Phase: N/A
• Start date: April 2012
• Est. completion date: July 2018

Study information

• Verified date: September 2019
• Source: International Food Policy Research Institute
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a randomized control trial in two zones of Bangladesh (north and south). Treatment is assigned at the village level where treatments are: cash transfers (north and south); cash transfers + nutrition behavior communication change (north only); food transfers (north and south); food transfers + nutrition behavior communication change (south only); food-cash split (north and south); and controls (north and south). Within treatment localities, women living in very poor households are targeted to receive benefits for two years.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 5000
• Est. completion date: July 2018
• Est. primary completion date: January 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 15 Years to 65 Years

Eligibility

Inclusion Criteria:

• Child age < 60 months

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Improving Household Food Security
• Improving Maternal Nutrition Knowledge
• Improving Pre-school Anthropometric Status

Intervention

Other:
• Cash transfer
1500 taka ($18.75) per household distributed monthly
• Food transfer
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
• Food and cash transfer
15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly

Behavioral:
• Behavior Communication Change (BCC)
Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

Locations

Country	Name	City	State
Bangladesh	International Food Policy Research Institute	Dhaka

Sponsors (7)

Lead Sponsor	Collaborator
International Food Policy Research Institute	Consortium of International Agricultural Research Centers, Department for International Development, United Kingdom, Federal Ministry of Economic Cooperation and Development (Germany), Swiss Agency for Development and Cooperation, United Nations World Food Programme (WFP), United States Agency for International Development (USAID)

Country where clinical trial is conducted

Bangladesh, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Child anthropometry	Height for age z scores Weight for height z scores Weight for age z scores Stunting Wasting Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Primary	Child food intake	Number of unique foods consumed in previous 24 hours Number of food groups consumed in previous 24 hours Consumption of specified food groups - animal source foods, dairy, Vitamin A rich foods etc Caloric consumption in previous 24 hours Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Primary	Child health	Did mother report child was ill in previous 2 weeks Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Primary	Distribution of food intake within the household	Consumption of foods by all household members in previous 24 hours as recalled by mothers as measured by yes/no questions on foods, food groups and calories Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Primary	Household food security	Food groups consumed by household in previous seven days Number of unique foods consumed in previous seven days Number of food groups consumed in previous seven days Number of food groups consumed in previous seven days weighted by nutritional value and frequency of consumption Value of food consumption in previous seven days Household caloric availability in previous seven days Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Primary	Maternal nutrition knowledge	Maternal knowledge of infant and young child feeding practices (IYCF) Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Levels assessed in 2013 and 2014 and as changes between 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Secondary	Household consumption	Value of food consumption in previous seven days Value of monthly non-food consumption Value of monthly non-food consumption by specified sub-groups (clothing, medical expenses, education expenses, transport, consumables, semi-durables) Value of monthly household consumption (food and non-food) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Secondary	Household income	Value of annual income derived from agriculture at endline (2014) Value of annual income derived from non-agricultural sources at endline (2014) Value of annual total income derived from all sources at endline (2014) Change in annual income (agriculture, non-agricultural, total) between 2012-2013, 2013-2014 and 2012-2014 Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Secondary	Asset accumulation	Index (z score) of consumer durables Index (z score) of productive assets Index of quality of housing stock Productive land ownership (ha) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014	Baseline. Up to 12 months. Up to 24 months.
Secondary	Women's empowerment	Index of women's decision making autonomy within the household Index of women's mobility outside the household Outcome measured as level in 2013, level in 2014 and change between 2013-2014	Up to 12 months. Up to 24 months.
Secondary	Information spillovers to non-beneficiaries	Knowledge of infant and young child feeding practices (IYCF) of mothers Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Non-beneficiaries are mothers living near intervention households (within approximately a 10 minute walk) in the following treatment arms: North: cash, cash + BCC, control. South: food, food + BCC, control. Levels assessed in 2014	Up to 24 months.