MAM'Out Project - Evaluation of Multiannual and Seasonal Cash Transfers to Prevent Acute Malnutrition (MAM'Out)
9 de octubre de 2015 actualizado por: Action Contre la Faim
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.
Descripción general del estudio
Descripción detallada
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.
Tipo de estudio
Intervencionista
Inscripción (Actual)
1278
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Tapoa
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Diapaga, Tapoa, Burkina Faso, BP 105
- Action Contre la Faim - Burkina Faso
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
No mayor que 1 año (Niño)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Poor or very poor household (HEA criteria)
- Having at least one children under 1 year old at the time of inclusion
Exclusion Criteria:
- Medium or rich economic status (HEA criteria)
- no child under one year old at the time of inclusion
- not living in one of the 32 selected villages in the Tapoa province
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Prevención
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: Cash transfer
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. |
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.
Otros nombres:
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Sin intervención: Grupo de comparación
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Cumulative incidence of child wasting
Periodo de tiempo: 3-monthly until 24 months after inclusion
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Record of the child's height, weight to compute Weight for Height Z-scores (WHZ scores) (wasting defined as WHZ<-2 or Edema)
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3-monthly until 24 months after inclusion
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Incremental cost-effectiveness ratio
Periodo de tiempo: 24 months after inclusion
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Calculation of a cost-effectiveness ratio at the end of the study
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24 months after inclusion
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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cumulative incidence of the state of stunting
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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mean height-for-age Z-score
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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mean weight-for-length Z-score
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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mid-upper arm circumference (MUAC)
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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edema
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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Prevalence of diarrhea
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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Prevalence of acute respiratory infections
Periodo de tiempo: 3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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Reported measle
Periodo de tiempo: 3-monthly until 24 months after inclusion
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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
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3-monthly until 24 months after inclusion
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Patrick Kolsteren, MD, PhD, Universiteit Gent, Institute of Tropical Medicine of Antwerp (Belgium)
- Director de estudio: Myriam Ait Aissa, MSc, Action Contre la Faim
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Tonguet-Papucci A, Houngbe F, Huybregts L, Ait-Aissa M, Altare C, Kolsteren P, Huneau JF. Unconditional Seasonal Cash Transfer Increases Intake of High-Nutritional-Value Foods in Young Burkinabe Children: Results of 24-Hour Dietary Recall Surveys within the Moderate Acute Malnutrition Out (MAM'Out) Randomized Controlled Trial. J Nutr. 2017 Jul;147(7):1418-1425. doi: 10.3945/jn.116.244517. Epub 2017 May 31.
- Tonguet-Papucci A, Houngbe F, Lompo P, Yameogo WME, Huneau JF, Ait Aissa M, Kolsteren P. Beneficiaries' perceptions and reported use of unconditional cash transfers intended to prevent acute malnutrition in children in poor rural communities in Burkina Faso: qualitative results from the MAM'Out randomized controlled trial. BMC Public Health. 2017 May 30;17(1):527. doi: 10.1186/s12889-017-4453-y.
- Houngbe F, Tonguet-Papucci A, Altare C, Ait-Aissa M, Huneau JF, Huybregts L, Kolsteren P. Unconditional Cash Transfers Do Not Prevent Children's Undernutrition in the Moderate Acute Malnutrition Out (MAM'Out) Cluster-Randomized Controlled Trial in Rural Burkina Faso. J Nutr. 2017 Jul;147(7):1410-1417. doi: 10.3945/jn.117.247858. Epub 2017 May 24.
- Tonguet-Papucci A, Huybregts L, Ait Aissa M, Huneau JF, Kolsteren P. The MAM'Out project: a randomized controlled trial to assess multiannual and seasonal cash transfers for the prevention of acute malnutrition in children under 36 months in Burkina Faso. BMC Public Health. 2015 Aug 8;15:762. doi: 10.1186/s12889-015-2060-3.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de mayo de 2013
Finalización primaria (Actual)
1 de octubre de 2015
Finalización del estudio (Actual)
1 de octubre de 2015
Fechas de registro del estudio
Enviado por primera vez
7 de mayo de 2013
Primero enviado que cumplió con los criterios de control de calidad
27 de mayo de 2013
Publicado por primera vez (Estimar)
31 de mayo de 2013
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
12 de octubre de 2015
Última actualización enviada que cumplió con los criterios de control de calidad
9 de octubre de 2015
Última verificación
1 de octubre de 2015
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- ACF0213
- 1U01GH000646-01 (Subvención/contrato del NIH de EE. UU.)
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .