Economic Evaluation of the MEWE Intervention

Depression Clinical Trial

— MEWE-EE  

Official title:

Economic Evaluation of the Men Engagement in Women Empowerment (MEWE) Intervention (MEWE-EE)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05598697
• Other study ID #: 108137
• Status: Completed
• Phase: N/A
• Start date: September 15, 2021
• Est. completion date: November 30, 2022

Study information

• Verified date: December 2023
• Source: London School of Economics and Political Science
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Cash transfers have shown promise in preventing intimate partner violence, and in reducing recipients' stress levels. Cash transfers with behavioral or psychological interventions have shown limited effectiveness at reducing stress in some African countries. Little is known of the cost-effectiveness of interventions delivered alongside cash transfer programs. The MEWE economic evaluation sub-study (MEWE-EE) runs alongside MEWE, a three-arm cluster-randomized controlled trial in Sindh, Pakistan. MEWE-EE will assess the costs and cost-effectiveness of delivering a cash-transfer program (BISP-CT) combined with a life-skills building curriculum (LSB curriculum), compared to the BISP-CT alone. The LSB curriculum is offered to either women who receive BISP-CT, or to women who receive BISP-CT and their husbands.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1536
• Est. completion date: November 30, 2022
• Est. primary completion date: June 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 15 Years to 49 Years

Eligibility

Inclusion Criteria:

• In receipt of Benazir Income Support Program (BISP) cash transfers (CTs)

• Parity: have at least one child, at least 18 months old

Exclusion Criteria:

• Plan for the family to migrate out of the village within the next 2 years

Related Conditions & MeSH terms

• Battered Women
• Depression
• Domestic Violence
• Gender-based Violence
• Intimate Partner Violence
• Mental Health Issue
• Rape Sexual Assault

Intervention

Behavioral:
• Life Skills Building (LSB) curriculum for males
The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions. All male study participants attending LSB curriculum classes are married to BISP-CT clients. For men, the MEWE intervention provides access to the LSB curriculum only.
• Life Skills Building (LSB) curriculum for females
The LSB curriculum offers ten weekly 90-minute sessions. Topics include effective communication, gender roles, power dynamics in the household; work-life balance and time management; conflict resolution; household decision making. The LSB teachers are trained in facilitation techniques to deliver the sessions. All female study participants attending LSB curriculum classes are BISP-CT clients. For females, the MEWE intervention comprises access to LSB curriculum + BISP CTs.

Other:
• Cash transfer to adult females
The BISP intervention offers access to quarterly unconditional cash transfers to adult females.

Locations

Country	Name	City	State
Pakistan	Mirpur Sakro	Thatta	Sindh

Sponsors (3)

Lead Sponsor	Collaborator
London School of Economics and Political Science	Aga Khan University, Bill and Melinda Gates Foundation

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incremental cost incurred per disability adjusted life year (DALY) averted: provider perspective	Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model.	12 months post randomisation
Primary	Incremental cost incurred per disability adjusted life year (DALY) averted: societal perspective	Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at 12 months from baseline. DALYs and costs will also be modelled up to a ten-year horizon using a Markov model.	12 months post randomisation
Secondary	Mean cost of intervention delivery	Cost of intervention delivery for different intervention models per patient, by category, annuitised	12 months post randomisation
Secondary	Mean cost of LSB session	Average cost of LSB session delivery for different intervention models, annuitised	12 months post randomisation
Secondary	Total incremental cost of the intervention in a research setting	Total additional cost of the intervention compared to the BISP-CT only for the study population and by intervention type during the research period.	12 months post randomisation
Secondary	Total incremental cost of the intervention in the modelling cohort	Total additional cost of the intervention for the modelling cohort by intervention type over a ten-year period.	12 months post randomisation
Secondary	Incremental cost incurred per disability adjusted life year (DALY) averted at scale: provider perspective	Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a provider perspective at scale.	12 months post randomisation
Secondary	Incremental cost incurred per disability adjusted life year (DALY) averted at scale: societal perspective	Incremental cost per disability-adjusted life year (DALY) averted by the intervention compared to the control group from a societal perspective at scale.	12 months post randomisation