AzTrials
AzTrials

PovertyPhase 4JigisemejiriNCT02858011

The Effect of a Cash Transfer Program and Preventive Nutrition Packages on Household Welfare and Child Nutritional Status in Mali

A Phase 4 study testing Cash distribution during first 36 months, Accompanying information sessions on health, child nutrition, household economics and education during first 36 months and Preventive Nutrition Packages during last 12 months in people with Poverty and Child Malnutrition, run by International Food Policy Research Institute at 1 site in Mali.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

In the last two decades, cash transfer (CT) programs have emerged as a popular approach to long-term poverty alleviation. While the main goal of cash transfer programs is to reduce poverty, they also have the potential to improve many development outcomes, such as health and education. Read more about this study

Who is it for?
Ages 6 months to 5 years
Conditions the study is for
Poverty, Child Malnutrition
What is being tested?
Cash distribution during first 36 months, Accompanying information sessions on health, child nutrition, household economics and education during first 36 months and Preventive Nutrition Packages during last 12 months
Could I receive a placebo?
No, everyone receives an active treatment
How many people
4,320 participants
Where
1 siteMali
Study dates
Sep 2014to 10 Aug 2019
Phase
Phase 4
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 months to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Being a Household that is beneficiary of the Jigisemejiri program
  • Having a child between 6 and 24 months of age

Who cannot join

  • Congenital malformations that hamper anthropometric measurements

Trial locations and contacts

1 site in 1 country.

Mali1 site
  • Study site

    Bamako

Other trials in Mali

About this study

In the last two decades, cash transfer (CT) programs have emerged as a popular approach to long-term poverty alleviation. While the main goal of cash transfer programs is to reduce poverty, they also have the potential to improve many development outcomes, such as health and education.

While many studies, mainly in Latin America and Asia, have investigated the impacts of CTs on poverty and food security and have, for the most part, found positive impacts, less is known about the impacts of CTs in Africa south of the Sahara, and, in particular, West Africa. Moreover, despite the fact that cash transfers have been shown to lead to decreases in poverty, improvements in household food security, and increases in health service utilization, impacts on children's nutritional status (including anthropometric measures) are generally small (Manley, Gitter, and Slavchevska 2013). Consequently, policymakers and governments are left with the question of how to design social safety nets, such as cash transfers, to achieve greater impact on diet quality, health, and nutrition.

Read more

The overall goal of this research is to generate evidence and knowledge on an integrated program implemented by the Government of Mali that includes a combination of cash transfers and targeted nutrition interventions. The information generated will inform program implementers and policymakers about best options to improve food security and nutrition among vulnerable groups and individuals in West Africa. Specifically, the main objectives of the research are

  1. To provide evidence on the contribution of integrated social transfer programs to enhancing household welfare, food security, dietary diversity, and maternal and child nutrition in West Africa.
  2. To test different features and combinations of cash transfers and targeted nutrition interventions, and assess their impact on food security and maternal and child nutrition and health outcomes in Mali.
  3. To generate knowledge regarding the pathways of impact of these different program packages, identify the most effective and efficient modalities in the context of Mali, and derive lessons learned for other countries in the region.
Read the detailed description

The research entails two study designs: i) a repeated cross-sectional survey (baseline, midline and endline) in a sample of 1,440 children between 6 and 24 months of age, mainly to asses the program's impact on child nutrition and health outcomes; ii) a panel study following a cohort of 2,880 children over 3 years mainly focusing on the evaluation of household welfare outcomes. The study will be conducted in the 96 communes where the Jigisemejiri program is being implemented, situated in 5 regions of Mali: Sikasso, Koulikoro, Segou, Mopti and Kayes. Data will be collected at baseline (2014, T=0), midline (2016, T=~24 months) and endline (2018, T=~48 months).

The program is implemented for 48 months. The experimental group receives the cash transfer and group counselling intervention for 36 months. During the last 12 months the experimental group does not receive any intervention. The control group receives no intervention during the first 36 months, but receives the cash transfer and group counselling during the last 12 months. In a subsample of communes from the experimental group, villages were randomized to either receive Preventive Nutrition Packages (PNP) or nothing. The impact of PNP is analyzed by comparing villages that received PNP and villages that did not receive PNP during the last 12 months of the program.

Being tested
Cash distribution during first 36 months, Accompanying information sessions on health, child nutrition, household economics and education during first 36 months, Preventive Nutrition Packages during last 12 months, Cash distribution during the last 12 months, Accompanying information sessions on health, child nutrition, household economics and education during the last 12 months
Keywords
behavior change communication, cash transfer, household welfare, child nutrition status
Medical subject headings
Child Nutrition Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cash distribution during first 36 monthsOther

    Three-monthly distribution of Cash (30,000 FCFA/trimester) to households that are beneficiary of the Jigisemejiri program.

  • Accompanying information sessions on health, child nutrition, household economics and education during first 36 monthsBehavioural

    Large group gatherings of cash beneficiaries are organized in parallel to the cash distributions. During these meetings, local NGOs present and discuss a topic related to health, child nutrition, household economics or education.

  • Preventive Nutrition Packages during last 12 monthsDietary supplement

    Fortified flour supplements for children (Supercereal Plus)and pregnant/lactating mothers (super Cereal)

  • Cash distribution during the last 12 monthsOther

    Three-monthly distribution of Cash (30,000 FCFA/trimester) to households that are beneficiary of the Jigisemejiri program.

  • Accompanying information sessions on health, child nutrition, household economics and education during the last 12 monthsBehavioural

    Large group gatherings of cash beneficiaries are organized in parallel to the cash distributions. During these meetings, local NGOs present and discuss a topic related to health, child nutrition, household economics or education.

Study groups in NCT02858011
Study groupRoleWhat they receive
Control and comparison group -cash transfer programActive comparatorThe program is implemented during 48 months. During the first 36 months the control group does not receive any intervention. During the last 12 months eligible beneficiaries receive cash transfer and accompanying information sessions on health, child nutrition, household economics every three months (identical to experimental group).
Receives: Other: Cash distribution during the last 12 months; Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during the last 12 months
Jigisemejiri cash transfer programExperimentalUnconditional cash is distributed every 3 months to beneficiaries of the Jigisemejiri program. During cash handouts, information sessions on health, child nutrition, households economics and education are organized by local NGOs.
Receives: Other: Cash distribution during first 36 months; Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during first 36 months
Jigisemejiri - Preventive Nutrition packagesExperimentalHouseholds belonging to the experimental group who previously received Cash transfer and information sessions on health, child nutrition, households economics and education for 36 months, with children and/or pregnant/lactating women receiving rations of fortified flour (PNP) during the last 12 months of the project
Receives: Other: Cash distribution during first 36 months; Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during first 36 months; Dietary Supplement: Preventive Nutrition Packages during last 12 months
Control and comparison group - Preventive Nutrition packagesActive comparatorHouseholds belonging to the experimental group who previously received Cash transfer and information sessions on health, child nutrition, households economics and education for 36 months, with children and/or pregnant/lactating women
Receives: Other: Cash distribution during first 36 months; Behavioral: Accompanying information sessions on health, child nutrition, household economics and education during first 36 months

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Child Height-for-age Z-score

    To calculate WHZ scores the 2006 WHO growth reference will be used

    Measured: After 24 months of program implementation

  2. Value of household consumption

    The household consumption includes food and non-food related economic consumption

    Measured: After 24 months of program implementation

  3. Household dietary diversity

    The household dietary diversity is estimated by a dietary diversity score counting food groups

    Measured: After 24 months of program implementation

  4. Child Height-for-age Z-score

    To calculate HAZ scores the 2006 WHO growth reference will be used (only in cross-sectional survey)

    Measured: After 48 months of program implementation (only in cross-sectional survey)

  5. Value of household consumption

    The household consumption includes food and non-food related economic consumption

    Measured: After 48 months of program implementation

  6. Household dietary diversity

    The household dietary diversity is estimated by a dietary diversity score counting food groups

    Measured: After 48 months of program implementation

  7. Child Weight-for-Height Z-score

    To calculate WHZ scores the 2006 WHO growth reference will be used (only in cross-sectional survey)

    Measured: After 48 months of program implementation (only in cross-sectional survey)

Secondary outcomes (22)
  1. Child Weight-for-height Z-score

    To calculate WHZ scores the 2006 WHO growth reference will be used

    Measured: After 24 months of program implementation

  2. Prevalence of child wasting

    To calculate WHZ scores the 2006 WHO growth reference will be used

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  3. Prevalence of child stunting

    To calculate WHZ scores the 2006 WHO growth reference will be used

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  4. Child hemoglobin concentration

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  5. Prevalence of child anemia

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  6. Body Mass Index of primary caregiver of index child

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  7. Early child development

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  8. Child morbidity (acute respiratory infections, fever, vomiting, diarrhea)

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  9. Caregiver's knowledge and practices related to Infant and Young Child Feeding (IYCF), child health and hygiene

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  10. Household assets and savings

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  11. Educational level of Household members

    Measured: After 24 months and 48 months of program implementation

  12. Household food security

    Measured by the Household Food Insecurity Access Scale (HFIAS)

    Measured: After 24 months and 48 months of program implementation

  13. Household composition

    This entails the household size, the number of one parent households, monogamous and polygamous households, number of infants and children.

    Measured: After 24 months and 48 months of program implementation

  14. Household agricultural production

    The composition and quantity of all crops grown by the houshold over the last year is being recalled

    Measured: After 24 months and 48 months of program implementation

  15. Cognitive function of the head of household

    Measured by spatial Stroop test and digit span test (forward and backward)

    Measured: After 24 months of program implementation

  16. Well-being of household members

    Well-being is assessed by measuring stress, anxiety, psychological well-being, partner violence, marital quality, depression, occurrence of disputes and resource allocation.

    Measured: After 24 months and 48 months of program implementation

  17. Women's empowerment

    Measured by pro-WEAI instrument adapted to local context

    Measured: After 24 months and 48 months of program implementation

  18. Child dietary diversity

    Child dietary diversity is estimated by a dietary diversity score counting food groups consumed

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  19. Professional occupation of household members

    We assess if household members have different formal and informal professional occupations or main revenue generating activities between intervention and control group

    Measured: After 24 months and 48 months of program implementation

  20. Child Mid-upper Arm Circumference

    Measured: After 24 months and 48 months (only in cross-sectional survey) of program implementation

  21. Maternal hemoglobin concentration

    Measured: After 48 months (only in cross-sectional survey) of program implementation

  22. Maternal anemia

    Measured: After 48 months (only in cross-sectional survey) of program implementation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Aug 2016 (estimated)
  2. Study startSep 2014
  3. Primary completion10 Aug 2019
  4. Study completion10 Aug 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
4,320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02858011
Sponsor's protocol ID
2014-26-PHND-M
Acronym
Jigisemejiri
Status last verified
Sep 2019
First submitted
3 Aug 2016
Last updated
6 Sep 2019
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Cash distribution during first 36 months, Accompanying information sessions on health, child nutrition, household economics and education during first 36 months and Preventive Nutrition Packages during last 12 months in people with Poverty and Child Malnutrition, run by International Food Policy Research Institute at 1 site in Mali.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Mali. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Child Height-for-age Z-score (time frame: After 24 months of program implementation). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Sep 2019.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in