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Field
Abstract
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Before
The majority of the rural Indian population do not consume adequate amounts of fruit and vegetables, which is a key risk factor for morbidity and mortality. Food prices are a key barrier to healthy diets. The aim of this study is to implement and evaluate a sustainable financial incentive scheme to increase fruit and vegetables purchase in rural India. The study is nested within the Andhra Pradesh Children and Parents Study (APCAPS) in rural Telangana, India, and the intervention will be implemented in three randomly selected villages for six months, with another three villages as controls. We will use both quantitative and qualitative methods with community members (N=1,500 households), fruit and vegetable vendors, and local stakeholders (e.g. village leaders) to assess the short-term effect on fruit and vegetables purchasing, assess perceptions of the intervention and potential adverse effects, and establish the need for a full-scale trial which would evaluate the impact on clinical outcomes.
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After
The majority of the rural Indian population do not consume adequate amounts of fruit and vegetables, which is a key risk factor for morbidity and mortality. Food prices are a key barrier to healthy diets. The aim of this study is to implement and evaluate a sustainable financial incentive scheme to increase fruit and vegetables purchase in rural India. The study is nested within the Andhra Pradesh Children and Parents Study (APCAPS) in rural Telangana, India, and the intervention will be implemented in three randomly selected villages for three months, with another three villages as controls. We will use both quantitative and qualitative methods with community members (N=1,500 households), fruit and vegetable vendors, and local stakeholders (e.g. village leaders) to assess the short-term effect on fruit and vegetables purchasing, assess perceptions of the intervention and potential adverse effects, and establish the need for a full-scale trial which would evaluate the impact on clinical outcomes.
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Field
Trial End Date
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Before
June 30, 2021
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After
August 31, 2021
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Field
Last Published
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Before
April 29, 2021 01:50 PM
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After
June 29, 2021 05:36 AM
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Field
Intervention (Public)
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Before
The intervention will be implemented at the village level for 3-months. The financial incentive scheme consists of a coupon, on which participants will receive a stamp for every Rs. 10 (Indian rupees) spent on fruit and vegetables from a participating local vendor. If participants spend Rs. 250 within one week, they will receive a Rs. 50 reimbursement from the APCAPS field team.
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After
The intervention will be implemented at the village level for 3-months. The financial incentive scheme consists of a coupon, on which participants will receive a stamp for every Rs. 10 (Indian rupees) spent on fruit and vegetables from a local vendor. If participants spend Rs. 250 within one week, they will receive a Rs. 50 reimbursement from the APCAPS field team.
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Keyword(s)
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Before
Health, Other
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After
Health, Other
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Field
Intervention (Hidden)
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Before
We will implement the village level intervention in the 3 randomly selected intervention villages for 3-months, with another 3 villages acting as controls. The intervention consists of a coupon promising a value of 50 Indian rupees to be redeemed after a purchase of Rs. 250 worth of fruit and vegetables within 1-week. At the start of the 3-months, the study team will distribute the coupon booklets (valid for the total 3-months) to every household in the intervention villages. We will provide an instruction pamphlet which will consist of details of the programme, coupon distribution and particulars on coupon redemption. Each vendor from the intervention villages will be provided with a stamp with a unique serial number. The coupon consists of 25 circles which will be stamped by participating vendors, with each circle amounting to Rs. 10. If a participant purchases multiples of Rs. 10 from the same vendor, they will receive that many stamps, each worth Rs. 10 (a purchase of Rs. 10 or higher but less than Rs. 20 will equate to one stamp). The APCAPS field staff will visit the intervention villages once a week and reimburse participants Rs. 50 once they provide their completed coupon. The study team will be accompanied by promotional material (for instance jingles, posters, videos) which will advertise the coupon scheme.
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After
We will implement the village level intervention in the 3 randomly selected intervention villages for 3-months, with another 3 villages acting as controls. The intervention consists of a coupon promising a value of 50 Indian rupees to be redeemed after a purchase of Rs. 250 worth of fruit and vegetables within 1-week. At the start of the 3-months, the study team will distribute the coupon booklets (valid for the total 3-months) to every household in the intervention villages. We will provide an instruction pamphlet which will consist of details of the programme, coupon distribution and particulars on coupon redemption. The coupon consists of 25 circles which will be stamped by members of the study team each day, with each circle amounting to Rs. 10. If a participant purchases multiples of Rs. 10, they will receive that many stamps, each worth Rs. 10 (a purchase of Rs. 10 or higher but less than Rs. 20 will equate to one stamp). The APCAPS field staff will visit the intervention villages once a week and reimburse participants Rs. 50 once they provide their completed coupon. The study team will be accompanied by promotional material (for instance jingles, posters, videos) which will advertise the coupon scheme.
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Field
Secondary Outcomes (Explanation)
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Before
The amount spent (in Indian rupees) on fruit and vegetables and quantity of fruit and vegetables obtained from other sources in the previous week will also be collected during the quantitative survey of the randomly selected households (alongside the primary outcome). Vendors will be surveyed once per month during the follow-up period, for quantity and value of fruit and vegetables sold. A process evaluation will combine routinely collected data (the redeemed coupons), a monthly quantitative vendor survey (to estimate the volume and cost of purchase and sales), a weekly vendor audit survey (conducted through observations by the field team), an intervention evaluation survey with participating households and vendors (conducted in the final month of the intervention), and qualitative interviews with local stakeholders (e.g. government personnel, Anganwadi workers). The process evaluation will evaluate how the intervention was implemented, the potential causal mechanisms (for instance perception and understanding of the intervention), unexpected outcomes, and the contextual factors that may have affected intervention implementation and consequences.
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After
The amount spent (in Indian rupees) on fruit and vegetables and quantity of fruit and vegetables obtained from other sources in the previous week will also be collected during the quantitative survey of the randomly selected households (alongside the primary outcome). Vendors will be surveyed once per month during the follow-up period, for quantity and value of fruit and vegetables sold. A process evaluation will combine routinely collected data (the redeemed coupons), a monthly quantitative vendor survey (to estimate the volume and cost of purchase and sales), an intervention evaluation survey with participating households and vendors (conducted in the final month of the intervention), and qualitative interviews with community members, vendors, study staff, and local stakeholders (e.g. government personnel, Anganwadi workers). The process evaluation will evaluate how the intervention was implemented, the potential causal mechanisms (for instance perception and understanding of the intervention), unexpected outcomes, and the contextual factors that may have affected intervention implementation and consequences.
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