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Food SecurityTMRINCT03810300

Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh

A study testing Cash transfer, Food transfer and Food and cash transfer in people with Food Security and Poverty, run by International Food Policy Research Institute.

Completed

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

Official record
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Trial summary

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… Read more about this study

Who is it for?
Ages 15 to 65 years, women onlyHealthy volunteers can take part
Conditions the study is for
Food Security, Poverty, Child Nutrition
What is being tested?
Cash transfer, Food transfer and Food and cash transfer
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5,000 participants
Where
No sites listed yet
Study dates
15 Apr 2012to 15 May 2018
Phase
Interventional
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 15 to 65 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • Former participant of Transfer Modality Research Initiative study (in cash, food, cash+BCC, food+BCC, or control arms)

Who cannot join

  • -

About this study

Official title: Sustainability of Impacts of Cash Transfers, Food Transfers, and Behavior Change Communication in Bangladesh: Transfer Modality Research Initiative

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.

Read the detailed description

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].

Being tested
Cash transfer, Food transfer, Food and cash transfer, Nutrition behavior Communication Change (BCC), Control
Keywords
Cash transfers, Food transfers, Behavior change communication, Sustainability, Social protection, Nutrition, Gender
Medical subject headings
Coitus

What participants receive

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

  • Cash transferOther

    1500 taka ($18.75) per household distributed monthly

  • Food transferOther

    30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly

  • Food and cash transferOther

    15 kg of rice, 1 kg of lentils, and 1 kg of micronutrient-fortified cooking oil, and 750 taka cash per household, distributed monthly

  • Nutrition behavior Communication Change (BCC)Behavioural

    Weekly, group-based, one-hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice; twice-a-month home visits; monthly community meetings

  • ControlOther

    No transfer, no behavior change communication

Study groups in NCT03810300
Study groupRoleWhat they receive
Cash transferExperimental1500 taka ($18.75) per household distributed monthly
Receives: Other: Cash transfer
Food transferExperimental30 kg rice, 2 kg lentils, and 2 kg micro-nutrient fortified cooking oil per household distributed monthly
Receives: Other: Food transfer
Food and cash transferExperimental15 kg of rice; 1 kg of lentils and 1 kg of micronutrient fortified cooking oil and 750 taka cash per household, distributed monthly
Receives: Other: Food and cash transfer
Cash transfer + nutrition BCCExperimental1500 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).
Receives: Other: Cash transfer; Behavioral: Nutrition behavior Communication Change (BCC)
Food transfer + nutrition BCCExperimental30 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).
Receives: Other: Food transfer; Behavioral: Nutrition behavior Communication Change (BCC)
ControlExperimentalNo transfer, no behavior change communication
Receives: Other: Control

What is being measured

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

  1. Food Consumption Score

    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.

    Measured: After 4 years post-intervention

  2. Child height-for-age z-score

    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.

    Measured: After 4 years post-intervention

  3. Prevalence of physical intimate partner violence

    Prevalence of any physical intimate partner violence in the past 12 months measured using the WHO Violence Against Women instrument

    Measured: After 4 years post-intervention

Secondary outcomes (36)
  1. Household dietary diversity

    Measured by counting the number of food groups consumed by the household

    Measured: After 4 years post-intervention

  2. Value of total household consumption

    Aggregate value of household food and non-food consumption expenditures. This is a continuous measure calculated from household survey responses on consumption behavior, using the methodology and questionnaire modules described in Deaton and Zaidi (2002). Citation: A.Deaton,, and S. Zaidi. 2002. "Guidelines for Constructing Consumption Aggregates for Welfare Analysis." Washington, DC : World Bank.

    Measured: After 4 years post-intervention

  3. Value of household food consumption

    Value of household food consumption expenditures. This is a continuous measure calculated from household survey responses on consumption behavior, using the methodology and questionnaire modules described in Deaton and Zaidi (2002). Citation: A.Deaton,, and S. Zaidi. 2002. "Guidelines for Constructing Consumption Aggregates for Welfare Analysis." Washington, DC : World Bank.

    Measured: After 4 years post-intervention

  4. Value of household non-food consumption

    Value of household non-food consumption expenditures. This is a continuous measure calculated from household survey responses on consumption behavior, using the methodology and questionnaire modules described in Deaton and Zaidi (2002). Citation: A.Deaton,, and S. Zaidi. 2002. "Guidelines for Constructing Consumption Aggregates for Welfare Analysis." Washington, DC : World Bank.

    Measured: After 4 years post-intervention

  5. Household food insecurity

    Measured using the Household Food Insecurity Access Scale. Scale range is 0 to 27, with higher values reflecting higher food insecurity.

    Measured: After 4 years post-intervention

  6. Value of household labor income

    Value of annual labor income over all household members

    Measured: After 4 years post-intervention

  7. Value of household non-labor income

    Value of annual non-labor income over all household members

    Measured: After 4 years post-intervention

  8. Value of household asset ownership

    Total value of all assets owned

    Measured: After 4 years post-intervention

  9. Household land ownership

    Area of land owned

    Measured: After 4 years post-intervention

  10. Housing quality: interviews

    Quality of housing stock. This is measured using a module developed for the study context, and information is collected through household enumerator observation during interviews.

    Measured: After 4 years post-intervention

  11. Maternal nutrition knowledge score

    Number answered correctly on a test of maternal knowledge regarding infant and young child feeding practices developed for the survey, based on the curriculum of training sessions in the intervention.

    Measured: After 4 years post-intervention

  12. Maternal infant and young child feeding practices

    Maternal adherence to WHO-recommended infant and young child feeding practices

    Measured: After 4 years post-intervention

  13. Child score on Raven's Progressive Matrices

    Measured using Raven's Progressive Matrices set A and set B. This is constructed following the test's protocol for scoring.

    Measured: After 4 years post-intervention

  14. Child score on Early Grade Reading Assessment

    Measured using Early Grade Reading Assessment adapted to local context. This is constructed following the test's protocol for scoring.

    Measured: After 4 years post-intervention

  15. Child score on Early Grade Mathematics Assessment

    Measured using Early Grade Mathematics Assessment adapted to local context. This is constructed following the test's protocol for scoring.

    Measured: After 4 years post-intervention

  16. Child score on Strengths and Difficulties Questionnaire

    Measured using Strengths and Difficulties Questionnaire, part of the Development and Well-Being Assessment family of mental heath measures. This is constructed following the test's protocol for scoring.

    Measured: After 4 years post-intervention

  17. Child weight-for-height z-score

    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.

    Measured: After 4 years post-intervention

  18. Prevalence of child stunting

    Calculated using the 2006 WHO growth reference

    Measured: After 4 years post-intervention

  19. Prevalence of child wasting

    Calculated using the 2006 WHO growth reference

    Measured: After 4 years post-intervention

  20. Child illness

    Mother's report of child illness in previous 2 weeks

    Measured: After 4 years post-intervention

  21. Parental interaction with child

    Time spent on child stimulation activities in previous 7 days, measured using modules developed for the survey

    Measured: After 4 years post-intervention

  22. Parental discipline of the child

    Disciplinary measures used in the past month, measured using modules developed for the survey

    Measured: After 4 years post-intervention

  23. Community norms on gender

    Community leaders' attitudes toward gender, measured using modules developed for the survey

    Measured: After 4 years post-intervention

  24. Prevalence of emotional violence

    Prevalence of any emotional intimate partner violence in the past 12 months measured using the WHO Violence Against Women instrument

    Measured: After 4 years post-intervention

  25. Prevalence of controlling behaviors

    Prevalence of any controlling behaviors in the past 12 months measured using the WHO Violence Against Women instrument

    Measured: After 4 years post-intervention

  26. Prevalence of individual acts of intimate partner violence

    Prevalence of individual acts of intimate partner violence in the past 12 months measured using the WHO Violence Against Women instrument

    Measured: After 4 years post-intervention

  27. Individual decisionmaking

    Measured using men's and women's decisionmaking modules adapted from pro-WEAI

    Measured: After 4 years post-intervention

  28. Individual asset ownership

    Measured using men's and women's asset ownership modules developed for the survey

    Measured: After 4 years post-intervention

  29. Individual mobility

    Measured using men's and women's mobility modules adapted from pro-WEAI

    Measured: After 4 years post-intervention

  30. Individual labor force participation

    Measured using men's and women's labor modules developed for the survey

    Measured: After 4 years post-intervention

  31. Individual attitudes toward gender and intimate partner violence

    Measured using men's and women's attitudes toward gender and intimate partner violence modules developed for the survey

    Measured: After 4 years post-intervention

  32. Individual social capital

    Measured using men's and women's social capital modules developed for the survey

    Measured: After 4 years post-intervention

  33. Individual stress

    Measured using men's and women's Perceived Stress Scale scores

    Measured: After 4 years post-intervention

  34. Individual depression

    Measured using men's and women's Patient Health Questionnaire-9 Depression Test scores

    Measured: After 4 years post-intervention

  35. Individual aspirations

    Measured using men's and women's aspirations modules developed for the survey

    Measured: After 4 years post-intervention

  36. Spousal relationship

    Measured using men's and women's relationship modules developed for the survey

    Measured: After 4 years post-intervention

Timeline

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

  1. First posted18 Jan 2019
  2. Study start15 Apr 2012
  3. Primary completion15 May 2018
  4. Study completion15 May 2018

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 N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
5,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03810300
Sponsor's protocol ID
12835
Acronym
TMRI
Status last verified
Jan 2019
First submitted
14 May 2018
Last updated
18 Jan 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Cash transfer, Food transfer and Food and cash transfer in people with Food Security and Poverty, run by International Food Policy Research Institute.

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 1 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 18 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

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.

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?

Food Consumption Score (time frame: After 4 years post-intervention). The study lists 3 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 18 Jan 2019.

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