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Completed

NCT Number: NCT02237144

Transfer Modality Research Initiative - Bangladesh

This is a randomized control trial in two zones of Bangladesh (north and south). Treatment is assigned at the village level where treatments are: cash transfers (north and south); cash transfers + nutrition behavior communication change (north only); food transfers (north and south); food transfers + nutrition behavior communication change (south only); food-cash split (north and south); and controls (north and south). Within treatment localities, women living in very poor households are targeted to receive benefits for two years.

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Key information

Conditions

Improving Pre-school Anthropometric Status Improving Household Food Security Improving Maternal Nutrition Knowledge

Age range

15 year–65 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

International Food Policy Research Institute

Dhaka, Bangladesh

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Child age < 60 months

Exclusion criteria

  • None

Treatment and study plan

Cash Transfer

Other

1500 taka ($18.75) per household distributed monthly

Food transfer

Other

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

Food and cash transfer

Other

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

Behavior Communication Change (BCC)

Behavioral

Weekly, one hour meetings on maternal and child nutrition, sanitation and health knowledge, attitudes and practice Occasional home visits

Primary outcomes

  1. Child anthropometry

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Height for age z scores Weight for height z scores Weight for age z scores Stunting Wasting Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  2. Child food intake

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Number of unique foods consumed in previous 24 hours Number of food groups consumed in previous 24 hours Consumption of specified food groups - animal source foods, dairy, Vitamin A rich foods etc Caloric consumption in previous 24 hours Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  3. Child health

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Did mother report child was ill in previous 2 weeks Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  4. Distribution of food intake within the household

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Consumption of foods by all household members in previous 24 hours as recalled by mothers as measured by yes/no questions on foods, food groups and calories Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  5. Household food security

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Food groups consumed by household in previous seven days Number of unique foods consumed in previous seven days Number of food groups consumed in previous seven days Number of food groups consumed in previous seven days weighted by nutritional value and frequency of consumption Value of food consumption in previous seven days Household caloric availability in previous seven days Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  6. Maternal nutrition knowledge

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Maternal knowledge of infant and young child feeding practices (IYCF) Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Levels assessed in 2013 and 2014 and as changes between 2012-2013, 2013-2014 and 2012-2014

Secondary outcomes

  1. Household consumption

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Value of food consumption in previous seven days Value of monthly non-food consumption Value of monthly non-food consumption by specified sub-groups (clothing, medical expenses, education expenses, transport, consumables, semi-durables) Value of monthly household consumption (food and non-food) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  2. Household income

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Value of annual income derived from agriculture at endline (2014) Value of annual income derived from non-agricultural sources at endline (2014) Value of annual total income derived from all sources at endline (2014) Change in annual income (agriculture, non-agricultural, total) between 2012-2013, 2013-2014 and 2012-2014 Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  3. Asset accumulation

    Time frame: Baseline. Up to 12 months. Up to 24 months.

    Index (z score) of consumer durables Index (z score) of productive assets Index of quality of housing stock Productive land ownership (ha) Outcomes specified in terms of levels one year after intervention started (2013), two years after intervention started and as changes: 2012-2013, 2013-2014 and 2012-2014

  4. Women's empowerment

    Time frame: Up to 12 months. Up to 24 months.

    Index of women's decision making autonomy within the household Index of women's mobility outside the household Outcome measured as level in 2013, level in 2014 and change between 2013-2014

  5. Information spillovers to non-beneficiaries

    Time frame: Up to 24 months.

    Knowledge of infant and young child feeding practices (IYCF) of mothers Knowledge, attitudes, practice of IYCF Scored as yes/no and as a total score on all questions Non-beneficiaries are mothers living near intervention households (within approximately a 10 minute walk) in the following treatment arms: North: cash, cash + BCC, control. South: food, food + BCC, control. Levels assessed in 2014

Sponsors and collaborators

Lead sponsor

International Food Policy Research Institute

Other

Collaborators

  • Consortium of International Agricultural Research Centers
  • Department for International Development, United Kingdom
  • Federal Ministry of Economic Cooperation and Development (Germany)
  • Swiss Agency for Development and Cooperation
  • United Nations World Food Programme (WFP)
  • United States Agency for International Development (USAID)

Registry information

Acronym: TMRI

Important dates

Study start
2012
Primary completion
2015
Study completion
2018
First posted
Sep 11, 2014
Registry last updated
Sep 6, 2019

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.