A Two Generation Approach to Early Childhood Development and Poverty Alleviation

Last registered on November 17, 2025

Pre-Trial

Trial Information

General Information

Title
A Two Generation Approach to Early Childhood Development and Poverty Alleviation
RCT ID
AEARCTR-0017198
Initial registration date
November 07, 2025

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
November 17, 2025, 6:50 AM EST

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

Locations

Region

Primary Investigator

Affiliation
Innovations for Poverty Action

Other Primary Investigator(s)

Additional Trial Information

Status
On going
Start date
2023-01-01
End date
2025-12-31
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
For children facing severe adversity, the effectiveness of pre-primary education might be constrained by the broader challenges facing children in their homes and communities. Working to reduce household poverty in addition to providing quality pre-primary education could make the latter more effective. At the same time, recent research on different livelihoods and cash transfer interventions finds that even when successful at a household level, the impact of these interventions does not necessarily translate into impact for children. To more meaningfully address the intergenerational transmission of poverty, it might be necessary to incorporate ECD content into livelihoods and social protection programs. To address both of these perspectives and explore possible two generation programming, BRAC for the first time is implementing its Humanitarian Play Lab (HPL) and Ultra Poor Graduation (UPG) interventions at the same time and with the same population. In refugee and host communities in the West Nile Region of Uganda, households with children attending a HPL have been randomly assigned to receive the UPG program. This study investigates first, if the UPG program will improve caregiver and household outcomes such as food security and mental health, and then if so, will this translate into outcomes for young children? In addition, the study will investigate if the childcare provided by the HPL might affect households’ experience of the graduation program.
External Link(s)

Registration Citation

Citation
Kabay, Sarah. 2025. "A Two Generation Approach to Early Childhood Development and Poverty Alleviation." AEA RCT Registry. November 17. https://doi.org/10.1257/rct.17198-1.0
Experimental Details

Interventions

Intervention(s)
The Targeting the Ultra Poor Graduation Program is a comprehensive livelihoods program designed to graduate households out of extreme poverty. Typically delivered over two years, the program provides households with a holistic set of services including livelihood trainings,
productive asset transfers, consumption support, savings services, basic health services, and life skills coaching. In this context, BRAC implemented the program along with its Humanitarian Play Lab intervention and incorporated ECD content into the delivery of the Graduation program.
The Humanitarian Play Lab is an early childhood intervention developed by BRAC to use play to promote learning and healing for children ages 0-6, adapted for implementation in crisis and emergency settings. In this study in Uganda, the program is implemented as a center-based pre-primary education program
Intervention (Hidden)
Intervention Start Date
2023-04-01
Intervention End Date
2025-09-01

Primary Outcomes

Primary Outcomes (end points)
Child early childhood development (IDELA composite score)
Caregiver-provided stimulation and engagement (caregiver stimulation index)
Primary Outcomes (explanation)
Target Child early childhood development: Measured using the IDELA assessment (International Development and Early Learning Assessment), developed by Save the Children, covering motor development, socio-emotional development, emergent numeracy, emergent literacy, and executive functioning. The primary outcome will be a standardized IDELA composite score, calculated as the mean of domain z-scores (each domain scored according to IDELA manuals and standardized within the analysis sample). Individual domain z-scores will be treated as secondary outcomes.

Secondary Outcomes

Secondary Outcomes (end points)
Child malnutrition (middle upper arm circumference)
Child behavioral, emotional, and social functioning (Strengths and Difficulties Questionnaire)
Child motor development, socio-emotional development, emergent numeracy, emergent literacy, executive functioning (IDELA domain scores)
Child engagement in early learning (Play Lab/school attendance and caregiver participation in parenting sessions)
Caregiver psychological distress (Kessler Psychological Distress Scale)
Caregiver time use (hours per typical day spent on income-generating activities, hours per typical day spent on childcare, and hours specifically focused on the target child yesterday
Household food security (Household Food Insecurity Access Scale)
Household financial stress (difficulty making ends meet)
Secondary Outcomes (explanation)
We will explore three mediating pathways for the primary outcome, the IDELA : caregiver stress, household food security, and caregiver stimulation index

Experimental Design

Experimental Design
This study is a cluster randomized controlled trial. BRAC Uganda conducted a census and identified approximately 1,200 households that qualified for the Ultra Poor Graduation (UPG) program and also had a child in the age range to attend a BRAC Humanitarian Play Lab. All households in the study at baseline accordingly had a child expected to attend a Humanitarian Play Lab. Villages were randomly assigned to treatment and control, and qualifying households in treatment villages were offered the UPG program. Households in control villages were not offered the UPG program. This study accordingly assesses the impact of the UPG program among ultra poor households with a child attending a Humanitarian Play Lab. In total, the study includes approximately 1,200 households - 760 were initially included in the treatment group to be offered the UPG program and 458 were included in the control group.
Experimental Design Details
Randomization Method
Randomization done by a computer
Randomization Unit
Village
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
38 villages
Sample size: planned number of observations
1,200 child - caregiver dyads
Sample size (or number of clusters) by treatment arms
14
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
We used data from our baseline to explore possible statistical power for analysis of impact with a potential endline survey. We chose two initial indicators: 1) the International Development and Early Learning Assessment (IDELA), our primary measure of child development, and 2) total number of meals in the past three days, a question from our food security module included in the baseline. We calculated results for two different samples: first, our “research sample,” which includes the 894 households that participated in the baseline data collection exercise. Anticipating that statistical power might be a concern, we also included analysis for the “full sample,” which includes an additional 323 households that were randomly selected to receive the graduation program in order to reach implementation targets for the project but were not included in the baseline survey. In Table 1 we include the inputs we set and calculated as well as the results of the power calculations, the output being the Minimum Detectible Effect (MDE). As expected, the MDE is slightly smaller for the research sample than the full sample. In addition, other research using IDELA scores suggest that we might expect a correlation of 0.3 or 0.4 between baseline and endline scores, which would increase our statistical power. To help interpret our MDE, we provide some references to related interventions. For child development, we start by considering other research on outcomes for children in pre-primary education. Meta-analysis of pre-primary education in LMICs finds effect for children’s academic skills (0.15 sd) and social emotional skills and behavior (0.12 sd) (Holla et al., 2021). Improving the quality of early childhood centers can also improve children’s development, a study in India found that children in ECCE centers that received an additional part-time worker scored 0.29, 0.46, and 0.18 standard deviations higher on independent tests in math, language and executive function (Ganimian, Muralidharan & Waters, 2023). Our study does not address the provision or quality of the pre-primary education provided, and instead investigates children’s improved ability to benefit from pre-primary education. A relevant concern might be attendance, and if the graduation program improves children’s attendance in Play Labs. A study on pre-primary education in Chile found that for children’s vocabulary scores, every 1 unit increase in predicted likelihood of absenteeism index (where a 1 unit increase indicates one day out of ten, or a 10% increase) the end-of-intervention vocabulary score decreased by 0.35 SD (Arbour et al., 2016). Our MDE of 0.036 SD we accordingly believe to be very promising, especially considering that including controls for baseline IDELA scores and other factors would mean that our MDE is likely even lower. Outcome IDELA IDELA Food security Food security Unit Avg. Correct answers # of meals in last 3 days Sample Full Research Full Research Sample size 1218 894 1218 894 Power 0.8 0.8 0.8 0.8 Alpha 0.05 0.05 0.05 0.05 T/C cluster ratio 1 1 1 1 Clusters per arm 20 13.5 20 13.5 Cluster size 30.45 33.1481 30.45 33.1481 ICC 0.0271 0.0271 0.0427 0.0427 Base mean 0.3283 0.3283 1.6982 1.6982 SD 0.1686116 0.1686116 0.892793 0.892793 MDE 0.0363 0.0432 0.2153 0.2577
IRB

Institutional Review Boards (IRBs)

IRB Name
Mildmay Uganda Research Ethics Committee
IRB Approval Date
2025-08-06
IRB Approval Number
1107-2025
IRB Name
Ugandan National Council of Science and Technology
IRB Approval Date
2025-09-02
IRB Approval Number
SS4265ES

Post-Trial

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Intervention

Is the intervention completed?
No
Data Collection Complete
Data Publication

Data Publication

Is public data available?
No

Program Files

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