MAM'Out Project - Evaluation of Multiannual and Seasonal Cash Transfers to Prevent Acute Malnutrition (MAM'Out)
2015年10月9日 更新者：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.
研究概览
详细说明
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.
研究类型
介入性
注册 (实际的)
1278
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Tapoa
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Diapaga、Tapoa、布基纳法索、BP 105
- Action Contre la Faim - Burkina Faso
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
不超过 1年 (孩子)
接受健康志愿者
不
有资格学习的性别
全部
描述
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
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的：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.
其他名称：
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无干预：对照组
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Cumulative incidence of child wasting
大体时间：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
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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cumulative incidence of the state of stunting
大体时间：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
大体时间：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
大体时间：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)
大体时间：3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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edema
大体时间：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
大体时间：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
大体时间：3-monthly until 24 months after inclusion
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3-monthly until 24 months after inclusion
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Reported measle
大体时间：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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Patrick Kolsteren, MD, PhD、Universiteit Gent, Institute of Tropical Medicine of Antwerp (Belgium)
- 研究主任：Myriam Ait Aissa, MSc、Action Contre la Faim
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- 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.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年5月1日
初级完成 (实际的)
2015年10月1日
研究完成 (实际的)
2015年10月1日
研究注册日期
首次提交
2013年5月7日
首先提交符合 QC 标准的
2013年5月27日
首次发布 (估计)
2013年5月31日
研究记录更新
最后更新发布 (估计)
2015年10月12日
上次提交的符合 QC 标准的更新
2015年10月9日
最后验证
2015年10月1日
更多信息
与本研究相关的术语
其他研究编号
- ACF0213
- 1U01GH000646-01 (美国 NIH 拨款/合同)
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.