Child Malnutrition Clinical Trial
— JigisemejiriOfficial title:
The Effect of a Cash Transfer Program and Preventive Nutrition Packages on Household Welfare and Child Nutritional Status in Mali
Verified date | September 2019 |
Source | International Food Policy Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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 and 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.
Status | Completed |
Enrollment | 4320 |
Est. completion date | August 10, 2019 |
Est. primary completion date | August 10, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 6 Months to 5 Years |
Eligibility |
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 |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
International Food Policy Research Institute | Implementation management committee of the Jigisemejiri program (Ministry of Economics and Finance, Government of Mali), Institut de Recherche pour le Developpement |
Mali,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Child Height-for-age Z-score | To calculate WHZ scores the 2006 WHO growth reference will be used | After 24 months of program implementation | |
Primary | Value of household consumption | The household consumption includes food and non-food related economic consumption | After 24 months of program implementation | |
Primary | Household dietary diversity | The household dietary diversity is estimated by a dietary diversity score counting food groups | After 24 months of program implementation | |
Primary | Child Height-for-age Z-score | To calculate HAZ scores the 2006 WHO growth reference will be used (only in cross-sectional survey) | After 48 months of program implementation (only in cross-sectional survey) | |
Primary | Value of household consumption | The household consumption includes food and non-food related economic consumption | After 48 months of program implementation | |
Primary | Household dietary diversity | The household dietary diversity is estimated by a dietary diversity score counting food groups | After 48 months of program implementation | |
Primary | Child Weight-for-Height Z-score | To calculate WHZ scores the 2006 WHO growth reference will be used (only in cross-sectional survey) | After 48 months of program implementation (only in cross-sectional survey) | |
Secondary | Child Weight-for-height Z-score | To calculate WHZ scores the 2006 WHO growth reference will be used | After 24 months of program implementation | |
Secondary | Prevalence of child wasting | To calculate WHZ scores the 2006 WHO growth reference will be used | After 24 months and 48 months (only in cross-sectional survey) of program implementation | |
Secondary | Prevalence of child stunting | To calculate WHZ scores the 2006 WHO growth reference will be used | After 24 months and 48 months (only in cross-sectional survey) of program implementation | |
Secondary | Child hemoglobin concentration | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Prevalence of child anemia | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Body Mass Index of primary caregiver of index child | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Early child development | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Child morbidity (acute respiratory infections, fever, vomiting, diarrhea) | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Caregiver's knowledge and practices related to Infant and Young Child Feeding (IYCF), child health and hygiene | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Household assets and savings | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Educational level of Household members | After 24 months and 48 months of program implementation | ||
Secondary | Household food security | Measured by the Household Food Insecurity Access Scale (HFIAS) | After 24 months and 48 months of program implementation | |
Secondary | Household composition | This entails the household size, the number of one parent households, monogamous and polygamous households, number of infants and children. | After 24 months and 48 months of program implementation | |
Secondary | Household agricultural production | The composition and quantity of all crops grown by the houshold over the last year is being recalled | After 24 months and 48 months of program implementation | |
Secondary | Cognitive function of the head of household | Measured by spatial Stroop test and digit span test (forward and backward) | After 24 months of program implementation | |
Secondary | Well-being of household members | Well-being is assessed by measuring stress, anxiety, psychological well-being, partner violence, marital quality, depression, occurrence of disputes and resource allocation. | After 24 months and 48 months of program implementation | |
Secondary | Women's empowerment | Measured by pro-WEAI instrument adapted to local context | After 24 months and 48 months of program implementation | |
Secondary | Child dietary diversity | Child dietary diversity is estimated by a dietary diversity score counting food groups consumed | After 24 months and 48 months (only in cross-sectional survey) of program implementation | |
Secondary | Professional occupation of household members | We assess if household members have different formal and informal professional occupations or main revenue generating activities between intervention and control group | After 24 months and 48 months of program implementation | |
Secondary | Child Mid-upper Arm Circumference | After 24 months and 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Maternal hemoglobin concentration | After 48 months (only in cross-sectional survey) of program implementation | ||
Secondary | Maternal anemia | After 48 months (only in cross-sectional survey) of program implementation |
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