Assessing the role of cash transfer programmes in reducing the risk of acute malnutrition in Somalia
- Conditions
- Child undernutritionNutritional, Metabolic, Endocrine
- Registration Number
- ISRCTN29521514
- Lead Sponsor
- niversity College London
- Brief Summary
2017 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/28683834 protocol 2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30372440 results
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 1200
1. The geographical inclusion criteria is camps for internally displaced people within the Afgooye Corridor area of peri-urban Mogadishu
2. Within this geographical area camps that have been previously targeted for inclusion within the Concern Worldwide humanitarian cash transfer programme will be eligible for inclusion in the study. A selection of camps form adjacent areas, that are not targeted for cash transfers, will also be selected for inclusion in the study as control/comparison clusters
3. Within clusters, a sample of households will be randomly selected for inclusion in the baseline and end-line surveys. Within these selected households, two groups of individuals will be exhaustively sampled: children aged 6-59 months and women aged 15-49 years
4. Children from all households within the clusters will be included in the nutrition surveillance part of the study, which will involve monthly nutritional assessment using MUAC
1. Children with a disability that prevents taking weight or height measures
2. Children with a medical condition that prevents them eating a normal diet
3. Children confined to bed due to illness
4. Children living in a household in which the mother/carer is unable to respond to questions due to a speech or hearing impairment
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <br> 1. Individual diet diversity scores of children aged 6-59 months, measured during the baseline survey and during end-line survey after 3 months of intervention<br> 2. Incidence of acute malnutrition in children aged 6-59 months (defined as a mid-upper arm circumference (MUAC) < 12.5 cm and/or nutritional oedema), measured over 6 months of follow-up following the start of the intervention<br>
- Secondary Outcome Measures
Name Time Method <br> 1. Prevalence of global acute malnutrition (weight-for-height <-2 z scores (WHO 2006 growth standards) and/or nutritional oedema) in children 6-59 months<br> 2. Mean weight-for-height (WHO 2006 growth standards) in children 6-59 months<br> 3. Household expenditure<br> 4. Household Dietary Diversity Score (24 hour recall)<br> 5. Household Food Insecurity Access Scale score (one month recall)<br> 6. Coping Strategies Index (7 day recall)<br> 7. Access to water and sanitation<br> 8. Infant and Young Child Feeding practices in the under twos<br> 9. Two week retrospective morbidity<br> 10. Treatment sought and received<br> 11. Mean Maternal MUAC<br> 12. Mean Maternal BMI<br><br> All measured during the baseline survey before the intervention begins and during the end-line survey after 3 months of intervention.<br>