Effectiveness of unconditional Cash transfers and mobile behaviour change communications to reduce child under nutrition in rural Bangladesh
- Michael J Dibley
Study PeriodJanuary 2019 - October 2020
The primary hypothesis of our study is in a community-based, cluster randomized controlled trial of women from food insecure populations, with follow up from early pregnancy for 30 months, mobile phone nutrition BCC and unconditional cash transfers, will reduce the prevalence of child stunting at 24 months by 6.5% (54% control – 47.5% intervention, or 12% relative reduction) compared with usual programs.
The secondary hypotheses are mobile phone nutrition BCC and unconditional cash transfers compared to usual programs will: a) increase maternal caloric intake and dietary diversity; b) reduce the rate of low birthweight & small for gestational age newborns; c) improve breastfeeding and complementary feeding practices, including dietary diversity, & d) be cost effective in reducing child undernutrition.
- Intervention Arm: mobile phone nutrition behaviour change communication combined with unconditional cash transfers.
- Control Arm: control receiving current Government of Bangladesh health and nutrition services.
- The primary trial outcome will be changes in the percentage of stunted children (height-for-age <-2 Z) assessed monthly for 6 months from birth, at 9th months of age, 12th month of age, 18th months of age and 24 months of age
- Cash transfer
- Behavior change communication (BCC)
Which food products do recipients enjoy eating and have the fewest side effects?
How well do different food compositions and interventions prevent or treat undernutrition, when implemented "on the ground"?
What novel food-based products and programming methods effectively prevent and treat undernutrition?