An interventional study of Cash transfer in Acute Malnutrition, sponsored by Action Contre la Faim. Completed at 1 site in Burkina Faso. Open to participants aged Up to 12 Months. Per ClinicalTrials.gov, last updated 2015-10-12.
Sponsored by Action Contre la Faim · Not applicable, Interventional, and Prevention
The MAM'Out research project aims at evaluating a seasonal and multi-annual cash transfer program in the framework of a safety net to prevent acute malnutrition by children under 24 months, in terms of effectiveness and cost-effectiveness in the Tapoa province (East region of Burkina Faso, Africa). The program will be targeted to economically vulnerable households with children less than 1 year old at the time of inclusion and the cash distributed to mothers. The transfers will be assimilated to unconditional ones, leading to beneficiaries' self-determination on the use that will be made of cash. This study will be designed as a two-arm cluster randomized intervention trial, based on randomization of rural villages of the Tapoa province. One arm will receive the intervention and one will be a control arm. The main outcomes will be the cumulative incidence of acute malnutrition (or wasting) and the cost-effectiveness. Anthropometric measures (height, weight and MUAC) will be measured, as well as indicators of dietary diversity, food security, health center frequentation, families' expenses and morbidities. Questionnaires and 24-hour food recalls will also be analyzed. Finally, based on a model theory framework built a priori, the pathways used by the cash to have an effect on the prevention of under-nutrition will be assessed.
At international level, the WHO formulated guidelines for the treatment of severe acute malnutrition (or wasting) (WHO 1999, and more recently ACF 2011), and guidelines for moderate acute malnutrition (or wasting) are in the process of formulation. In contrast, surprisingly little is known on preventive schemes for acute malnutrition. In Haiti, Ruel et al (2008) found that targeting nutrition interventions to prevent children from becoming malnourished might be more effective than curative treatment to reduce child wasting. In addition, recent preventive trials in humanitarian settings focused on the use of food-based strategies, especially ready-to-use food (Isanaka, 2009; Hendricks, 2010; Parikh, 2010; Imbad, 2011; Huybregts, 2012). However, it is well known that the causes of under-nutrition are numerous and also relate to inadequate health and care practices, lack of food diversification, food insecurity... Therefore, the MAM'Out research project aims at assessing a context-adapted preventive approach, which is likely to influence several underlying causes of under-nutrition and not based primarily on food supplementation. The objective is to provide an evidence base for this alternative approach, in order that proven intervention be taken into account for scale-up at policy-making levels.
1,277 studies on the registry are indexed under Malnutrition; 230 are open to participants now.
This study's enrollment of 1,278 is above the median of 118 across 843 interventional studies indexed under Malnutrition.
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Exclusion Criteria:
Mothers are the primary recipient of the CT. The proposed approach will be based on monthly seasonal CTs during 5 months, from May to September, for two years (2013 and 2014). A monthly 10 000 FCFA will be transferred to the selected households. These CTs will be done via mobile phones, in collaboration with the mobile phone company Airtel.
Other: Cash transfer
Recipient of transfers Mothers are the primary recipient of the CT. Cash is transferred using mobile phone credits that can be cashed at specific cash points provided by a telecom company.
Also known as: Multiannual and seasonal cash transfer
Cumulative incidence of child wasting
Record of the child's height, weight to compute Weight for Height Z-scores (WHZ scores) (wasting defined as WHZ\<-2 or Edema)
Time frame: 3-monthly until 24 months after inclusion
Incremental cost-effectiveness ratio
Calculation of a cost-effectiveness ratio at the end of the study
Time frame: 24 months after inclusion
cumulative incidence of the state of stunting
Time frame: 3-monthly until 24 months after inclusion
mean height-for-age Z-score
Time frame: 3-monthly until 24 months after inclusion
mean weight-for-length Z-score
Time frame: 3-monthly until 24 months after inclusion
mid-upper arm circumference (MUAC)
Time frame: 3-monthly until 24 months after inclusion
edema
Time frame: 3-monthly until 24 months after inclusion
Prevalence of diarrhea
Time frame: 3-monthly until 24 months after inclusion
Prevalence of acute respiratory infections
Time frame: 3-monthly until 24 months after inclusion
Reported measle
the symptoms used to detect measles will be the following ones (from WHO) : tiny white spots on the inside of the mouth and rash on the face and/or the body
Time frame: 3-monthly until 24 months after inclusion
The record gives a start of May 2013, a primary completion of Oct 2015 and a completion of Oct 2015. It does not say whether these dates are actual or estimated.
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This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.
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Action Contre la Faim