Impact Evaluation for Community-Based Health and Nutrition to Reduce Stunting Project under the Indonesia Compact
Last registered on June 27, 2018

Pre-Trial

Trial Information
General Information
Title
Impact Evaluation for Community-Based Health and Nutrition to Reduce Stunting Project under the Indonesia Compact
RCT ID
AEARCTR-0000333
Initial registration date
September 28, 2014
Last updated
June 27, 2018 10:34 AM EDT
Location(s)

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Primary Investigator
Affiliation
Mathematica Policy Research
Other Primary Investigator(s)
PI Affiliation
Mathematica Policy Research
PI Affiliation
Mathematica Policy Research
PI Affiliation
Mathematica Policy Research
Additional Trial Information
Status
On going
Start date
2013-09-09
End date
2019-12-31
Secondary IDs
Abstract
The Community-Based Health and Nutrition to Reduce Stunting Project, or the Nutrition Project, is part of the Millennium Challenge Corporation’s $600 million Compact with the Government of Indonesia, and seeks to improve a range of maternal and child health outcomes, particularly stunting, with the ultimate goal of reducing poverty. Demand and supply side activities include a community-level conditional cash transfer program, training for village-level health care workers, promoting improved sanitation and hygiene, providing micronutrients, providing length-taking equipment, and a national awareness campaign targeted at improving the determinants of stunting. Mathematica is conducting the impact evaluation of the Nutrition Project in three provinces, Central Kalimantan, West Kalimantan and South Sumatra, utilizing a randomized control trial design. The evaluation focuses primarily on impacts related to measures such as sanitation, hygiene, nutrition and breastfeeding practices, utilization of health services, and maternal and child health outcomes, such as stunting, birth weight, and anemia.
Registration Citation
Citation
Beatty, Amanda et al. 2018. "Impact Evaluation for Community-Based Health and Nutrition to Reduce Stunting Project under the Indonesia Compact." AEA RCT Registry. June 27. https://www.socialscienceregistry.org/trials/333/history/31260
Sponsors & Partners

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Experimental Details
Interventions
Intervention(s)
The intervention has several demand and supply side components. The project builds upon the successful PNPM-Generasi program, a community-driven development project that distributes incentivized block grants to communities to make progress on a set of 12 health and education indicators. Supply-side inputs include training for health service providers on Mother, Infant and Young Child Feeding (MIYCF) and growth monitoring, distribution of micronutrients to pregnant women and children, training service providers on promoting improved sanitation and hygiene, and provision of height and weight measuring equipment. Finally, a communication campaign will focus on raising awareness about the determinants of stunting.
Intervention Start Date
2014-01-01
Intervention End Date
2018-04-30
Primary Outcomes
Primary Outcomes (end points)
Stunting, Child anemia, Child diarrhea, Low birth weight, Maternal BMI, Maternal anemia (2nd and 3rd trimesters),
Primary Outcomes (explanation)
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
This study consists of 190 kecamatan that were randomized to either the treatment or control arm. The study will measure the intervention’s impacts through household surveys, including anthropometrics of pregnant women and young children, and surveys with health service providers at the sub-district and village levels. Four villages per sub-district will be randomly selected to participate in the survey.
Experimental Design Details
Not available
Randomization Method
Computer
Randomization Unit
Kecamatan (subdistrict)
Was the treatment clustered?
Yes
Experiment Characteristics
Sample size: planned number of clusters
190 kecamatan
Sample size: planned number of observations
9120 children and pregnant mothers
Sample size (or number of clusters) by treatment arms
95 control kecamatan, 95 treatment kecamatan
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
We expect the following MDIs (percentage points) with an endline sample size of 32 households with children 0-35 months per kecamatan, and 16 households with pregnant women in the second or third trimester per kecematan: Stunting (31.0%): 5.2 Anemia (38.3%): 7.4 Diarrhea in past month (17.2%): 3.7 Low birth weight (7.2%): 1.9 Low maternal BMI (11.6%): 3.7 Anemia in second and third trimester (46.0%): 5.6 Baseline prevalences are shown in parentheses. MDIs are for a two-tailed test with 80 percent power at a 95 percent significance level. Calculations also assume an R2 of 0.05 and a response rate of 95 percent.
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
University of Indonesia Institutional Review Board
IRB Approval Date
2014-09-02
IRB Approval Number
N/A