Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh: Transfer Modality Research Initiative
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5,000
- 主要终点
- Prevalence of physical intimate partner violence
研究概览
简要总结
This study assesses the sustainability of impacts, 4 years post-program, from a pilot safety net program that was implemented from May 2012-April 2014. The intervention, called the Transfer Modality Research Initiative (TMRI), was assigned following a cluster-randomized controlled trial design in two zones of Bangladesh (north and south). Intervention arms were assigned at the village level, where arms were as follows: (1) cash transfers [north and south]; (2) cash transfers + nutrition behavior communication change (BCC) [north only]; (3) food transfers [north and south]; (4) food transfers + nutrition BCC [south only]; (4) food-cash split [north and south]; and (5) control [north and south]. Within treatment villages, women living in very poor households were targeted to receive benefits for two years.
详细描述
The objective of the study is to assess, 4 years after a pilot safety net intervention ended in April 2014, the sustainability of the intervention's impacts on households, children, and women. The intervention, called the Transfer Modality Research Initiative (TMRI), was assigned following a cluster-randomized controlled trial design in two zones of Bangladesh (north and south). WFP-Bangladesh implemented the intervention, and the International Food Policy Research Institute (IFPRI) conducted the impact evaluation research. Intervention arms were assigned at the village level, where arms were as follows: (1) cash transfers [north and south]; (2) cash transfers + nutrition behavior communication change (BCC) [north only]; (3) food transfers [north and south]; (4) food transfers + nutrition BCC [south only]; (5) food-cash split [north and south]; and (5) control [north and south]. Within treatment villages, women living in very poor households were targeted to receive benefits for two years, from May 2012-April 2014. For the original impact evaluation, longitudinal data on 5000 households were collected from 2012-2015 (ClinicalTrials.gov Identifier: NCT02237144).
For the sustainability study in 2018, given available funding, the sampling frame will include 4000 households. This will include all households that were originally in the following arms: (1) cash transfers [north and south]; (2) cash transfers + nutrition BCC [north only]; (3) food transfers [north and south]; (4) food transfers + nutrition BCC [south only]; (5) control [north and south].
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Former participant of Transfer Modality Research Initiative study (in cash, food, cash+BCC, food+BCC, or control arms)
排除标准
- 未提供
研究组 & 干预措施
Control
No transfer, no behavior change communication
干预措施: Control (Other)
Cash transfer + nutrition BCC
1500 taka ($18.75) per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).
干预措施: Cash transfer (Other)
Cash transfer + nutrition BCC
1500 taka ($18.75) per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).
干预措施: Nutrition behavior Communication Change (BCC) (Behavioral)
Food transfer + nutrition BCC
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).
干预措施: Food transfer (Other)
Food transfer + nutrition BCC
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly. Nutrition behavior change communication (weekly, one-hour group-based meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings).
干预措施: Nutrition behavior Communication Change (BCC) (Behavioral)
Food transfer
30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
干预措施: Food transfer (Other)
Food and cash transfer
15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly
干预措施: Food and cash transfer (Other)
Cash transfer
1500 taka ($18.75) per household distributed monthly
干预措施: Cash transfer (Other)
结局指标
主要结局
Prevalence of physical intimate partner violence
时间窗: After 4 years post-intervention
Prevalence of any physical intimate partner violence in the past 12 months measured using the WHO Violence Against Women instrument
Food Consumption Score
时间窗: After 4 years post-intervention
The Food Consumption Score, as defined by the World Food Programme, is calculated as the number of food groups consumed by the household in the previous 7 days, weighted by each food group's nutritional value and frequency of consumption. Scale range is 0 to 112, with higher values reflecting higher food consumption.
Child height-for-age z-score
时间窗: After 4 years post-intervention
Calculated using the 2006 WHO growth reference. This is a continuous measure that represents the number of standard deviations from the mean among comparable children in the WHO growth reference.
次要结局
- Household dietary diversity(After 4 years post-intervention)
- Value of household asset ownership(After 4 years post-intervention)
- Child score on Strengths and Difficulties Questionnaire(After 4 years post-intervention)
- Parental interaction with child(After 4 years post-intervention)
- Parental discipline of the child(After 4 years post-intervention)
- Community norms on gender(After 4 years post-intervention)
- Value of household food consumption(After 4 years post-intervention)
- Value of household non-food consumption(After 4 years post-intervention)
- Household food insecurity(After 4 years post-intervention)
- Value of household labor income(After 4 years post-intervention)
- Value of household non-labor income(After 4 years post-intervention)
- Household land ownership(After 4 years post-intervention)
- Child score on Raven's Progressive Matrices(After 4 years post-intervention)
- Child score on Early Grade Reading Assessment(After 4 years post-intervention)
- Child score on Early Grade Mathematics Assessment(After 4 years post-intervention)
- Value of total household consumption(After 4 years post-intervention)
- Housing quality: interviews(After 4 years post-intervention)
- Maternal nutrition knowledge score(After 4 years post-intervention)
- Maternal infant and young child feeding practices(After 4 years post-intervention)
- Child weight-for-height z-score(After 4 years post-intervention)
- Prevalence of child stunting(After 4 years post-intervention)
- Individual attitudes toward gender and intimate partner violence(After 4 years post-intervention)
- Prevalence of child wasting(After 4 years post-intervention)
- Child illness(After 4 years post-intervention)
- Prevalence of emotional violence(After 4 years post-intervention)
- Individual decisionmaking(After 4 years post-intervention)
- Individual asset ownership(After 4 years post-intervention)
- Individual mobility(After 4 years post-intervention)
- Individual labor force participation(After 4 years post-intervention)
- Prevalence of controlling behaviors(After 4 years post-intervention)
- Prevalence of individual acts of intimate partner violence(After 4 years post-intervention)
- Individual social capital(After 4 years post-intervention)
- Individual stress(After 4 years post-intervention)
- Individual depression(After 4 years post-intervention)
- Individual aspirations(After 4 years post-intervention)
- Spousal relationship(After 4 years post-intervention)