Long Term Effects of an Intervention on Maternal Behavior, Child Health, and Community Influence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- RAND
- 入组人数
- 18,131
- 试验地点
- 1
- 主要终点
- Proportion of births that take place in a health facility
研究概览
简要总结
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?
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 60 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for Households:
- •Resident in a community included in the RTC
排除标准
- •for Households:
- •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:
研究组 & 干预措施
Non-RCT participants
Women and children in the same communities included in the earlier study who did not participate in that study.
RCT Participants
Women and children who participated in the earlier study.
干预措施: Cash transfer in prior study (Behavioral)
结局指标
主要结局
Proportion of births that take place in a health facility
时间窗: 4-5 years after RCT enrollment
Proportion of births that take place in a health facility
Child health utilization
时间窗: 4-5 years after RCT enrollment
Proportion of children taken to a health facility for care when sick
Proportion of women that attended prenatal care during pregnancy
时间窗: 4-5 years after RCT enrollment
Proportion of women that attended prenatal care during pregnancy
Child survival
时间窗: 4-5 years after RCT enrollment
Probability that child is alive
Proportion of children receiving recommended immunizations
时间窗: 4-5 years after RCT enrollment
Proportion of children receiving recommended immunizations
次要结局
- Child height(4-5 years after RCT enrollment)
- Child weight(4-5 years after RCT enrollment)
- Maternal health(4-5 years after RCT enrollment)
- Birth outcome(4-5 years after RCT enrollment)