Impact Evaluation for Community-Based Health and Nutrition to Reduce Stunting Project under the Indonesia Compact

Last registered on April 28, 2020

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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

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

September 28, 2014, 8:14 PM EDT

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

Last updated

April 28, 2020, 9:57 AM EDT

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

Locations

Country

Indonesia

Region

South Sumatra, West Kalimantan, Central Kalimantan

Primary Investigator

Name

Amanda Beatty

Affiliation

Innovations for Poverty Action

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Other Primary Investigator(s)

PI Name

Amanda Beatty

PI Affiliation

Mathematica Policy Research

Contact Investigator

PI Name

Anu Rangarajan

PI Affiliation

Mathematica Policy Research

Contact Investigator

PI Name

Clair Null

PI Affiliation

Mathematica Policy Research

Contact Investigator

Additional Trial Information

Status

Completed

Start date

2013-09-09

End date

2020-03-31

Keywords

Health

Additional Keywords

Nutrition, Community-driven development

JEL code(s)

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.

External Link(s)

Impact Evaluation Final Report

Interim report

Link to download baseline microdata

Baseline codebooks

Baseline questionnaires in MCC's evaluation catalog

Brief on baseline breastfeeding

Brief on baseline stunting

Brief on baseline anemia

Baseline report

Evaluation design report

Registration Citation

Citation

Beatty, Amanda et al. 2020. "Impact Evaluation for Community-Based Health and Nutrition to Reduce Stunting Project under the Indonesia Compact." AEA RCT Registry. April 28. https://doi.org/10.1257/rct.333-5.0

Former Citation

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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

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

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.

Supporting Documents and Materials

IRB