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Community Monitoring and Public Service Provision at Scale: An RCT of an Early Childhood Development Program in Nicaragua
Last registered on September 14, 2020

Pre-Trial

Trial Information
General Information
Title
Community Monitoring and Public Service Provision at Scale: An RCT of an Early Childhood Development Program in Nicaragua
RCT ID
AEARCTR-0006434
Initial registration date
September 11, 2020
Last updated
September 14, 2020 7:40 AM EDT
Location(s)
Region
Primary Investigator
Affiliation
Inter-American Development Bank
Other Primary Investigator(s)
PI Affiliation
The university of Illinois at Urbana-Champaign
PI Affiliation
Duke University
Additional Trial Information
Status
Completed
Start date
2013-07-15
End date
2018-05-15
Secondary IDs
Abstract
Expanding small-scale interventions without lowering quality and attenuating impact is a critical policy challenge. Community monitoring offers a low-cost mechanism to ensure quality by making service providers accountable to local citizens, rather than distant administrators. This paper evaluates the impact of a large-scale home visit parenting intervention implemented by the Nicaraguan government, with two types of monitoring: (a) institutional monitoring; and (b) community monitoring.
External Link(s)
Registration Citation
Citation
Kamei, Akito, Jane Leer and Florencia Lopez Boo. 2020. "Community Monitoring and Public Service Provision at Scale: An RCT of an Early Childhood Development Program in Nicaragua." AEA RCT Registry. September 14. https://doi.org/10.1257/rct.6434-1.0.
Sponsors & Partners

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Experimental Details
Interventions
Intervention(s)
The experimental evaluation of the Home Visit program consists of a sub-sample of 210 communities from 33 municipalities. The 210 communities in the evaluation sample were randomly assigned to intervention and control conditions, with randomization stratified by municipality. Assignment to the control condition implied no home visits until after the study period. Treatment Arms 1 and 2 received home visits, and in Treatment Arm 2, communities were also supported to implement a community-based monitoring strategy in addition to the standard institutional monitoring that both treatment arms received.
Intervention Start Date
2013-07-15
Intervention End Date
2018-05-15
Primary Outcomes
Primary Outcomes (end points)
Child development outcomes (Denver Language, Denver Fine Motor, and receptive vocabulary as measured by the PPVT)
Primary Outcomes (explanation)
Child development outcomes are constructed age specific z-score.
Secondary Outcomes
Secondary Outcomes (end points)
Child behavior and parenting measure
Secondary Outcomes (explanation)
Child behavior was measured via caregiver-report using an adapted version of Behavior Problem Index. Data on parenting were collected via caregiver self-report and direct observation of the primary caregiver and child during the baseline and follow-up interview, using the Home Observation for Measurement of the Environment (HOME)
Experimental Design
Experimental Design
The experimental evaluation of the Home Visit program consists of a sub-sample of 210 communities from 33 municipalities. The 210 communities in the evaluation sample were randomly assigned to intervention and control conditions, with randomization stratified by municipality. Assignment to the control condition implied no home visits until after the study period. Treatment Arms 1 and 2 received home visits, and in Treatment Arm 2, communities were also supported to implement a community-based monitoring strategy in addition to the standard institutional monitoring that both treatment arms received.
Experimental Design Details
Randomization Method
Randomization done in office by a computer.
Randomization Unit
Community level. Communities in our sample include 150 households on average, of which between 30-50% have children younger than three.
Was the treatment clustered?
Yes
Experiment Characteristics
Sample size: planned number of clusters
215 communities.
Sample size: planned number of observations
1325 children
Sample size (or number of clusters) by treatment arms
420 children from control communities
442 children from home visit
420 children from home visit + community monitoring
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
Duke University Campus Institutional Review Board
IRB Approval Date
2020-04-06
IRB Approval Number
2020-0413
Post-Trial
Post Trial Information
Study Withdrawal
Intervention
Is the intervention completed?
Yes
Intervention Completion Date
May 15, 2018, 12:00 AM +00:00
Is data collection complete?
Yes
Data Collection Completion Date
May 15, 2018, 12:00 AM +00:00
Final Sample Size: Number of Clusters (Unit of Randomization)
210 communities
Was attrition correlated with treatment status?
No
Final Sample Size: Total Number of Observations
1325 children
Final Sample Size (or Number of Clusters) by Treatment Arms
420 children from control communities 442 children from home visit 420 children from home visit + community monitoring
Data Publication
Data Publication
Is public data available?
No

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Program Files
Program Files
No
Reports, Papers & Other Materials
Relevant Paper(s)
REPORTS & OTHER MATERIALS