Cash Transfers to Increase Dietary Diversity in Grand Gedeh County, Liberia

NCT ID: NCT04101487

Last Updated: 2025-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

599 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-15

Study Completion Date

2022-11-01

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Malnutrition, Child

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

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

Group Type NO_INTERVENTION

No interventions assigned to this group

Cash Transfers

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

Group Type EXPERIMENTAL

Cash Transfer

Intervention Type OTHER

Monthly cash transfers

Cash Transfers and Nutrition Education

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.

Group Type EXPERIMENTAL

Cash Transfers and Nutrition Education

Intervention Type OTHER

Cash transfers every month and structured nutrition education provided at household level by community health assistants based on a nutrition education handbook

Interventions

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Cash Transfer

Monthly cash transfers

Intervention Type OTHER

Cash Transfers and Nutrition Education

Cash transfers every month and structured nutrition education provided at household level by community health assistants based on a nutrition education handbook

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participants 6 to 23 months of age
* Participants with consenting caregivers to have monthly visits and to participate in the program
* Caregivers of all ages will be included

Exclusion Criteria

* Participants who are younger than 6 months of age (children \< 6 months of age are encouraged to exclusively breastfeed, making dietary diversity irrelevant in this age group)
* Participants older than 23 months of age
* Participants with non-consenting caregivers
Minimum Eligible Age

6 Months

Maximum Eligible Age

23 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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UNICEF

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Michelle Niescierenko

Assistant Professor of Pediatrics and Emergency Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Grand Geddeh County Health Office

Zwedru, , Liberia

Site Status

Countries

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Liberia

References

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Rees CA, Cleon D, Davis AB, Sammy AM, Britto CD, Massaquoi W, Forkpa OW, Johnson AJ, Hook VF, MaCauley JA, Pewu GF, Gorpue M, Gborie A, Brown TT, Fannieh A, Dweh T, Marley RB, Baysah MK, Nowine NN, Niescierenko M, Zaizay L. Cash transfers and nutrition education to improve dietary diversity among children aged 6-23 months in Grand Gedeh County, Liberia: a cluster-randomized trial. J Trop Pediatr. 2022 Oct 6;68(6):fmac096. doi: 10.1093/tropej/fmac096.

Reference Type BACKGROUND
PMID: 36350714 (View on PubMed)

Other Identifiers

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P00031767

Identifier Type: -

Identifier Source: org_study_id

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