Head of Household Clinical Trial
Official title:
Impact of Pedestrian Footbridges on Economic, Health and Educational Outcomes in Rural Communities
Isolation caused by lack of transportation infrastructure affects almost every facet of life
for the rural poor. Without adequate transportation access, families cannot access schools,
health care, employment, or local markets to sell and buy goods. The World Bank estimates
that nearly a billion people worldwide lack access to an all-season road within two
kilometers, illustrating the scope of the problem, and the challenge of addressing it at
scale.
Bridges to Prosperity (B2P) is a non-profit organization that builds footbridges to connect
rural communities facing isolation to road networks and critical destinations and services.
B2P has constructed more than 280 footbridges in 20 countries, an infrastructure intervention
that is cost-effective, durable, and relatively simple to scale. B2P's field program in
Rwanda started in 2012 and has led to the completion of 37 footbridges that have created new
safe access for an estimated 225,000 people. Over the next five years, B2P plans to construct
approximately 350 footbridges in Rwanda. This rapid program growth presents an unprecedented
opportunity for rigorous investigation of the effects of new footbridges on a number of key
economic, health, agricultural and education outcomes for rural communities.
As such, the research team has been brought on to carry out an impact evaluation of
B2P-constructed footbridges in rural Rwanda. This protocol is for the first phase of the
study and will focus on 12 footbridge sites and 12 comparison sites over the course of one
year, while the larger study will encompass approximately 350 sites over the planned
five-year construction period. The results of this first phase will inform the design of the
larger study.
Status | Recruiting |
Enrollment | 2400 |
Est. completion date | March 1, 2020 |
Est. primary completion date | March 1, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Random selection of first 100 households in a village from administrative data - Head of household in intervention and comparison villages Exclusion Criteria: - None |
Country | Name | City | State |
---|---|---|---|
Rwanda | Communities in Rwanda | Kigali |
Lead Sponsor | Collaborator |
---|---|
University of Colorado, Boulder | University of Colorado, Denver, University of Notre Dame, Yale University |
Rwanda,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Household food expenditure | Rwandan francs - percentage change from baseline Household representatives will be asked survey questions regarding the prices and quantities of consumption of food items to determine total household expenditure on food, including distinction between own-produced food and market purchases. | 18 months | |
Primary | Household income | Rwandan francs - percentage change from baseline Household representatives will be asked survey questions regarding the income generating activities of adults in the household and the amount of income from each activity to determine total household income. | 18 months | |
Primary | Household use of fertilizer | Yes/no - change in percentage Household representatives will be asked whether or not their household uses fertilizer when growing crops. | 18 months | |
Primary | Monetary value of livestock | Rwandan francs - percentage change from baseline Household representatives will be asked survey questions regarding the types, quantities, and value of livestock their household owns. | 18 months | |
Primary | Work outside of community | Yes/no - change in percentage yes/no) - change in percentage Household representatives will be asked survey questions regarding the location of work for adults in the household, and specifically whether individuals leave the community to work daily, seasonally or for longer periods of time. | 18 months | |
Primary | Access to health care | Yes/no - change in percentage Household representatives will be asked whether or not household members have visited a health clinic in the last month. | 18 months | |
Primary | Mid-upper arm circumference (MUAC) | Centimeters - percentage change from baseline With household representative's permission, the MUAC of children in the household between 6 months and 5 years will be measured using an MUAC tape. | 18 months | |
Secondary | Child enrollment in school | Household representatives will be asked whether the children in the household are enrolled in school | 18 months | |
Secondary | Days of school missed | Household representatives will be asked how many days of school each child attending school missed in the past month | 18 months | |
Secondary | Access to prenatal care | If the household representative is pregnant or a household member under 18 is pregnant, the household representative will be asked if the pregnant woman or girl has visited a clinic for prenatal care during the current pregnancy. | 18 months | |
Secondary | Type of prenatal services received | If prenatal services have been received by a household member during a current pregnancy, the household representative will be asked what type of services were received. | 18 months | |
Secondary | Prenatal tetanus vaccination | If the household representative is pregnant or a household member under 18 is pregnant, the enumerator will request to see their vaccination card and document whether they have received their tetanus vaccine. If the card is not available or the respondent does not want to show the card, the enumerator will ask if the pregnant person has received their tetanus vaccine. | 18 months | |
Secondary | Child vaccination | For children under 5 years of age, the enumerator will ask to see their vaccination cards and, if available, document what vaccines the child has received. If not available or not made available, the enumerator will ask the household representative which vaccines the child has received. | 18 months |