The (in)direct effect of a training program on women's employment -- experimental evidence from the health sector in Egypt

Last registered on September 11, 2023

Pre-Trial

Trial Information

General Information

Title
The (in)direct effect of a training program on women's employment -- experimental evidence from the health sector in Egypt
RCT ID
AEARCTR-0010759
Initial registration date
January 11, 2023

Initial registration date is when the trial was registered.

It corresponds to when the registration was submitted to the Registry to be reviewed for publication.

First published
January 11, 2023, 4:44 PM EST

First published corresponds to when the trial was first made public on the Registry after being reviewed.

Last updated
September 11, 2023, 11:23 AM EDT

Last updated is the most recent time when changes to the trial's registration were published.

Locations

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Primary Investigator

Affiliation
IZA - Institute of Labor Economics

Other Primary Investigator(s)

PI Affiliation
Trinity College Dublin
PI Affiliation
American University in Cairo

Additional Trial Information

Status
On going
Start date
2022-07-01
End date
2024-12-31
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
Can female employment be pioneered through training schemes? We partner with a non-governmental organization that trains women to become primary care nurses in Southern Egypt, a context with very low female labor force participation. We investigate the extent to which trainees join the labor market and become employed (direct effect), and whether this affects the attitudes towards female employment and labor market outcomes of their social networks (indirect effect). Based on a clustered randomized control trial, we trace the impacts of these `pioneer' trainees on their social contacts, with some of these contacts being connected to treated participants and others to the control group individuals.
External Link(s)

Registration Citation

Citation
Elsayed, Ahmed, Selim Gulesci and Marc Witte. 2023. "The (in)direct effect of a training program on women's employment -- experimental evidence from the health sector in Egypt ." AEA RCT Registry. September 11. https://doi.org/10.1257/rct.10759-2.0
Experimental Details

Interventions

Intervention(s)
The goal of our study is to measure the impact of primary care training on labor outcomes and female empowerment, both for direct beneficiaries of the training as well as their social contacts. To that end, we collaborate with an Egyptian NGO---named Giving Without Limits (GLW)---that offers primary care training for young women in Southern Egypt. The training program targets approximately 650 young women (aged 18-29) in the two Governorates of Assiut and Sohag in Southern Egypt. The program prepares the beneficiaries for wage employment in private households of elderly people and geriatric care facilities, or to work as self-employed primary care specialists in rural areas. The training is conducted with the help of local medical schools in each province and runs for approximately 1.5 months, consisting of a combination of soft skills, technical skills, and on-the-job training. After graduation, trained participants are matched to potential employers.
Intervention Start Date
2022-08-01
Intervention End Date
2023-05-31

Primary Outcomes

Primary Outcomes (end points)
1. Attitudes and decision-making index, consisting of the following elements:
– Attitudes towards female employment
– Respondent makes employment decisions herself
2. Job search and expectations index, consisting of the following elements:
– Days searched for job in past seven days
– Expected number of job offers in next four months
– Expected earnings in next four months
3. Employment index, consisting of the following elements:
– Currently being in paid employment
– Weekly work hours
– Weekly income
Primary Outcomes (explanation)

Secondary Outcomes

Secondary Outcomes (end points)
1. A variable indicating whether the main applicant has referred the social contact to a job
2. A variable indicating whether the main applicant and the social contact talked about the
training program
3. Frequency and type of social interactions between main applicant and social contact
4. Aspiration outcomes:
– Whether the respondent sees herself in employment in five years
– Whether the respondent would like her daughter to be employed
– Based on a question “Who are people from your village/community that you aspire to be like in your social network?”, we will define an indicator for whether the respondent names [name of original participant] among the people she aspires to be like.
– How much would you like your life to be similar to [name of original participant]? (scale 1-10)
Secondary Outcomes (explanation)

Experimental Design

Experimental Design
We will evaluate the effects of the training intervention based on a clustered randomized controlled trial, where individuals applying to participate in the training program will be randomly assigned to a treatment or a control group. The unit of randomization will be the applicant's area of residence (hamlet in the local administrative language and referred to as `location' from now on), meaning that we randomize the location into treatment and control locations. Those individuals residing in treatment locations receive the opportunity to take-up the training; those residing in control locations will not get that opportunity. We stratify the randomization of the location by two variables: i) the number of applicants applying to the program in each location and ii) the tercile of the number of social contacts who were listed by the applicants in a given location (classified into bottom, middle, top tercile of number of social contacts listed). Stratifying by these two variables enforces more strongly a balance in both the number of applicants and the social contacts by whether a location is in the treatment or control group. In addition to analyzing the direct effect of the training program on the participants, we will further study the indirect impacts of the training program by following the close social contacts of program applicants.
Experimental Design Details
Not available
Randomization Method
randomization done in office by a computer
Randomization Unit
Location of residence of the applicant / her social contact (hamlet)
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
The expected sample size for the main sample of applicants is 1300 female applicants from 100-120 locations (hamlets). The expected sample size for the social network sample is 2500 female contacts from 100-120 locations (hamlets).
Sample size: planned number of observations
The expected sample size for the main sample of applicants is 1300 female applicants from 100-120 locations (hamlets). The expected sample size for the social network sample is 2500 female contacts from 100-120 locations (hamlets).
Sample size (or number of clusters) by treatment arms
50-60 locations (hamlets) treated (primary care training), 50-60 locations (hamlets) control
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
See PAP
IRB

Institutional Review Boards (IRBs)

IRB Name
The American University in Cairo Institutional Review Board
IRB Approval Date
2022-10-30
IRB Approval Number
2022-2023-045
Analysis Plan

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