An interventional study of Cash Transfer and Cash Transfers and Nutrition Education in Malnutrition, Child, sponsored by Boston Children's Hospital. Completed at 1 site in Liberia. Open to participants aged 6 Months to 23 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-01-10.
Sponsored by Boston Children's Hospital · Not applicable, Interventional, and Treatment
The investigators aim to evaluate the efficacy of a cash transfer and nutrition education program delivered by community health assistants to increase dietary diversity among children 6 to 23 months of age in Grand Gedeh County, Liberia.
Worldwide, more than one in five children suffer from chronic malnutrition. In Liberia, there are more than 230,000 children suffering from chronic malnutrition and 32% of children under five are stunted. Previous studies have shown that inadequate dietary diversity is strongly associated with stunting in children under two years of age. An interventional package including cash transfers and education has the potential to improve dietary diversity and long-term outcomes such as improved growth and reduced rates of stunting among children.
The investigators' objective is to evaluate the efficacy of a cash transfer and nutrition education program delivered by community health assistants to increase dietary diversity among children 6 to 23 months of age in Grand Gedeh County, Liberia. The investigators will conduct a pilot, cluster randomized trial in 45 communities. The investigators hypothesize that a multi-pronged interventional package aimed at strengthening the household environment will result in improved dietary diversity for children 6 to 23 months of age. Moreover, the investigators also hypothesize that unconditional cash transfers will result in improved dietary diversity for children 6 to 23 months of age in Grand Gedeh County, Liberia.
167 studies on the registry are indexed under Child Nutrition Disorders; 36 are open to participants now.
This study's enrollment of 599 is above the median of 402 across 132 interventional studies indexed under Child Nutrition Disorders.
Browse Child Nutrition Disorders studies →Boston Children's Hospital is the lead sponsor of 608 studies on the registry; 147 are open to participants now.
Of its 32 completed or terminated interventional studies of FDA-regulated products, 19 (59%) have results posted.
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Exclusion Criteria:
Participants in this arm will receive routine monthly visits along with survey administration and the regular package of health services provided at the facility level and at home by community health assistants
Participants in this arm will receive routine monthly visits along with the regular package of health services provided at the facility level and at home by community health assistants and unconditional cash transfers every month
Other: Cash Transfer
Participants in this arm will receive routine monthly visits along with the regular package of health services provided at the facility level and at home by community health assistants, unconditional cash transfers every month, and structured nutrition education provided at household level by community health assistants based on a structured nutrition education handbook.
Other: Cash Transfers and Nutrition Education
Monthly cash transfers
Cash transfers every month and structured nutrition education provided at household level by community health assistants based on a nutrition education handbook
Change in proportion of children 6 to 23 months of age who meet minimum dietary diversity scores (DDS) over the study period as reported by caregivers
The DDS has been widely used to measure the sum of diverse food groups consumed in a 24-hour period
Time frame: 6 months
Meal frequency
Mean self-reported meal frequency over the 24-hour period prior to monthly CHA visits
Time frame: 6 months
Increase in child weight in kilograms
changes in child weight in kilograms during the study period measured with digital scale (UNISCALE)
Time frame: 6 months
Increase in mid upper arm circumference in centimeters
changes in mid upper arm circumference in centimeters measured with MUAC tape measure
Time frame: 6 months
Increase in child length/height in centimeters
changes in child length/height in centimeters during the study period measured with Height Board
Time frame: 6 months
Health care utilization (clinic)
number of clinic visits for illnesses (including type of illness)
Time frame: 6 months
Health care utilization (hospital)
hospitalizations (if any) during the study period
Time frame: 6 months
Health care utilization (antimicrobials)
use of antibiotics/antimalarials during the study period
Time frame: 6 months
Health care utilization (nutritional support)
if the child received supplementary nutritional support (e.g. ready to use therapeutic food RUTF)
Time frame: 6 months
Knowledge, attitudes, and practices
caregiver's knowledge, attitudes, and practices (KAP) of infant and young child feeding
Time frame: 6 months
Plan to share: No
This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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