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Completed

NCT Number: NCT05709457

Long Term Effects Of a Maternal Cash Transfer Experiment

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?

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Key information

Age range

13 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Amino Kano Teaching Hospital

Kano, Nigeria

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

for Households:

  • Resident in a community included in the RTC

Exclusion criteria

for Households:

  • None

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:

-

Treatment and study plan

Cash transfer in prior study

Behavioral

Women were offered a cash transfer conditional on attending prenatal and postnatal visits and delivering in a facility

Primary outcomes

  1. Proportion of births that take place in a health facility

    Time frame: 4-5 years after RCT enrollment

    Proportion of births that take place in a health facility

  2. Proportion of women that attended prenatal care during pregnancy

    Time frame: 4-5 years after RCT enrollment

    Proportion of women that attended prenatal care during pregnancy

  3. Child survival

    Time frame: 4-5 years after RCT enrollment

    Probability that child is alive

  4. Child health utilization

    Time frame: 4-5 years after RCT enrollment

    Proportion of children taken to a health facility for care when sick

  5. Proportion of children receiving recommended immunizations

    Time frame: 4-5 years after RCT enrollment

    Proportion of children receiving recommended immunizations

Secondary outcomes

  1. Maternal health

    Time frame: 4-5 years after RCT enrollment

    Self-rated health

  2. Child weight

    Time frame: 4-5 years after RCT enrollment

    Child weight measured at visit

  3. Child height

    Time frame: 4-5 years after RCT enrollment

    Child height measured at visit

  4. Birth outcome

    Time frame: 4-5 years after RCT enrollment

    Probability of a live birth

Sponsors and collaborators

Lead sponsor

RAND

Other

Registry information

Official study title

Long Term Effects of an Intervention on Maternal Behavior, Child Health, and Community Influence

Important dates

Study start
2021
Primary completion
2023
Study completion
2026
First posted
Feb 2, 2023
Registry last updated
Jul 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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