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Field
Intervention (Public)
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Before
Arm 1 ("group" sessions): Group meetings only
Intervention for Arm 1:
Behavioral: Group sessions
Mother-child dyads in Arm 1 households will receive biweekly ECD sessions for a total of 16 sessions over 7 months. CHVs will record attendance at each session. To maximize participation, prior to each session the CHVs will send an SMS reminder of the session's topic, time and location to all participants.
Arm 2 ("group+home" sessions): Group meetings with a limited number of individual home visits and booster sessions
Intervention for Arm 2:
Behavioral: Group+Home sessions
Households in Arm 2 will receive a total of 16 sessions with identical content similar to Arm 1, but 4 of those sessions will replace group sessions held at the level of villages for personalized home visits, in which the CHV will visit each participant household to deliver these sessions. These home visits will cover identical material and topics as the group sessions in Arm 1 villages, but will be delivered on a personalized basis in the home of the mother and child. Personal barriers to the practices will be discussed and an active resolution strategy developed in concert with the CHV. Households in Arm 2 will also receive two additional booster visits 3 and 6 months after the end of the ECD sessions.
Arm 3: No Intervention
This arm will serve as the control group to identify the effects of a parenting intervention and the most effective mode of delivery, as well as the sustained impacts from the intervention
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After
Arm 1 ("group" sessions): Group meetings only
Intervention for Arm 1:
Behavioral: Group sessions
Mother-child dyads in Arm 1 households will receive biweekly ECD sessions for a total of 16 sessions over 7 months. CHVs will record attendance at each session. To maximize participation, prior to each session the CHVs will send an SMS reminder of the session's topic, time and location to all participants.
After the end of the 16 biweekly sessions, we will re-randomize across the 40 intervention villages, stratified by Arms 1 and 2, and half of each of Arm 1 and Arm 2 villages will receive bimonthly booster visits for the period between endline and follow-up surveys.
Arm 2 ("group+home" sessions): Group meetings with a limited number of individual home visits and booster sessions
Intervention for Arm 2:
Behavioral: Group+Home sessions
Households in Arm 2 will receive a total of 16 sessions with identical content similar to Arm 1, but 4 of those sessions will replace group sessions held at the level of villages for personalized home visits, in which the CHV will visit each participant household to deliver these sessions. These home visits will cover identical material and topics as the group sessions in Arm 1 villages, but will be delivered on a personalized basis in the home of the mother and child. Personal barriers to the practices will be discussed and an active resolution strategy developed in concert with the CHV.
After the end of the 16 biweekly sessions, we will re-randomize across the 40 intervention villages, stratified by Arms 1 and 2, and half of each of Arm 1 and Arm 2 villages will receive bimonthly booster visits for the period between endline and follow-up surveys.
Arm 3: No Intervention
This arm will serve as the control group to identify the effects of a parenting intervention and the most effective mode of delivery, as well as the sustained impacts from the intervention
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Field
Experimental Design (Public)
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Before
The evaluation design is a factorial assignment and consists of a clustered Randomized Control Trial (cRCT) in which 60 CHVs and their associated villages will be randomly assigned to one of three equally-sized treatment arms. Arms 1 and 2 comprise a 2x2 factorial design, while Arm 3 will serve as a control group. Our experimental design features 3 treatments: group meetings only (Arm 1), group meetings with a limited number of individual home visits and booster sessions (Arm 2), and the involvement of fathers in the integrated intervention (one half of villages in Arms 1 and 2). All households, including the control group (Arm 3), will receive basic information about child feeding during a baseline survey.
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After
The evaluation design is a factorial assignment and consists of a clustered Randomized Control Trial (cRCT) in which 60 CHVs and their associated villages will be randomly assigned to one of three equally-sized treatment arms. Arms 1 and 2 comprise a 2x2 factorial design, while Arm 3 will serve as a control group. Our experimental design features 3 treatments: group meetings only with some booster sessions (Arm 1), group meetings with a limited number of individual home visits and booster sessions (Arm 2), and the involvement of fathers in the integrated intervention (one half of villages in Arms 1 and 2). All households, including the control group (Arm 3), will receive basic information about child feeding during a baseline survey.
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