Long Term Effects Of a Maternal Cash Transfer Experiment

Outcome Assessment Clinical Trial

Official title:

Long Term Effects of an Intervention on Maternal Behavior, Child Health, and Community Influence

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05709457
• Other study ID #: R01HD102412
• Status: Active, not recruiting
• Phase: N/A
• Start date: May 15, 2021
• Est. completion date: April 30, 2024

Study information

• Verified date: November 2023
• Source: RAND
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a follow-on study to a cluster randomized trial of maternal conditional incentives conducted in Nigeria. This study found that cash transfers, conditional on women obtaining facility-based prenatal, delivery, and postnatal care, resulted in large, significant effects on maternal and child outcomes (NICHD R01HD083444). This study will answer additional key policy questions. First, are the effects on maternal behavior temporary, or do they result in more sustained behavior change? Second, do measured short run (SR) child health effects persist over the long run? Third, did the program generate spillovers?

Description:

This study will build on what the study investigators learned from the RCT and extend it in novel directions. Research assistants will return to the study communities approximately 5 years after enrollment in the RCT to collect data on utilization of maternal health care services for births to the trial participants after the intervention, and on long run child health outcomes including child weight and height. The research assistants will also collect data on the birth outcomes of non-incentivized childbearing women in the study clusters. Data will be collected through in-person surveys of study participants.

This study will provide valuable new evidence about the indirect and long run effects of demand-side incentives. This is of critical importance because accounting for only the direct effects may severely underestimate the full effect of the program.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 21000
• Est. completion date: April 30, 2024
• Est. primary completion date: July 31, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 13 Years to 60 Years

Eligibility

Inclusion Criteria for Households:

• Resident in a community included in the RTC

Exclusion Criteria for Households:

• None

Inclusion Criteria for Women:

• Women must have participated in an earlier randomized trial of conditional incentives OR

• They did not take part in the earlier trial but are resident in clusters that participated in the earlier trial and have given birth since 2018

Exclusion Criteria for Women:

-

Related Conditions & MeSH terms

• Maternal Health Services
• Outcome Assessment

Intervention

Behavioral:
• Cash transfer in prior study
Women were offered a cash transfer conditional on attending prenatal and postnatal visits and delivering in a facility

Locations

Country	Name	City	State
Nigeria	Amino Kano Teaching Hospital	Kano

Sponsors (1)

Lead Sponsor	Collaborator
RAND

Country where clinical trial is conducted

Nigeria, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of births that take place in a health facility	Proportion of births that take place in a health facility	4-5 years after RCT enrollment
Primary	Proportion of women that attended prenatal care during pregnancy	Proportion of women that attended prenatal care during pregnancy	4-5 years after RCT enrollment
Primary	Child survival	Probability that child is alive	4-5 years after RCT enrollment
Primary	Child health utilization	Proportion of children taken to a health facility for care when sick	4-5 years after RCT enrollment
Primary	Proportion of children receiving recommended immunizations	Proportion of children receiving recommended immunizations	4-5 years after RCT enrollment
Secondary	Maternal health	Self-rated health	4-5 years after RCT enrollment
Secondary	Child weight	Child weight measured at visit	4-5 years after RCT enrollment
Secondary	Child height	Child height measured at visit	4-5 years after RCT enrollment
Secondary	Birth outcome	Probability of a live birth	4-5 years after RCT enrollment