Evaluation of Save the Children's "First Steps" or "Intera za Mbere" Program

Last registered on September 14, 2021

Pre-Trial

Trial Information

General Information

Title
Evaluation of Save the Children's "First Steps" or "Intera za Mbere" Program
RCT ID
AEARCTR-0007899
Initial registration date
September 14, 2021
Last updated
September 14, 2021, 6:22 PM EDT

Locations

Primary Investigator

Affiliation
Laterite

Other Primary Investigator(s)

PI Affiliation
Laterite

Additional Trial Information

Status
On going
Start date
2019-09-01
End date
2021-12-31
Secondary IDs
Prior work
This trial does not extend or rely on any prior RCTs.
Abstract
This study is a randomized controlled trial evaluation of the impact of Save the Children's First Steps / Intera za Mbere program on parenting practices and early childhood development. The study takes place in three districts in Rwanda: Gasabo, Kirehe, and Ruhango. Early childhood development outcomes are assessed using the Malawi Developmental Assessment Tool (MDAT).
External Link(s)

Registration Citation

Citation
Le Saux, Laura and Maggie Vinyard. 2021. "Evaluation of Save the Children's "First Steps" or "Intera za Mbere" Program." AEA RCT Registry. September 14. https://doi.org/10.1257/rct.7899-1.0
Sponsors & Partners

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Experimental Details

Interventions

Intervention(s)
Save the Children’s First Steps parenting program aims to improve parenting practices, child development outcomes, and promotion of emergent literacy in the home. The program targets caregivers of children under three years of age. First Steps is delivered through parenting education group sessions using blended radio programming and community-based activities. The blended approach allows the program to reach more families at lower cost without compromising quality. Parenting sessions are delivered weekly in the community by the trained volunteers. All trained volunteers receive a facilitator’s guide, illustrated posters and booklets to support the sessions. Each session lasts between 75 and 90 minutes. The parenting education curriculum includes 18 sessions across four focus areas: responsive caring, playful learning, language & literacy, and healthy beginnings.

The program is implemented in two different versions: full and light-touch. Both versions receive the parenting education sessions as described above. Families receiving the full version also receive at least one home visit during the intervention; vulnerable families receive additional home visits from Inshuti z’umuryango (IZU) as needed. In addition, families in the full version receive additional materials and access to a children’s book bank.
Intervention Start Date
2019-11-01
Intervention End Date
2020-03-31

Primary Outcomes

Primary Outcomes (end points)
Early childhood development
Primary Outcomes (explanation)
Development will be measured using the Malawi Developmental Assessment Tool (MDAT). Raw scores will be converted to an age-standardized z-score. Scores will be reported by domain, and overall.

Secondary Outcomes

Secondary Outcomes (end points)
Caregiver knowledge, attitudes and practices
Secondary Outcomes (explanation)
Knowledge, attitudes, and practices around parenting including positive discipline, responsive parenting, health and nutrition

Experimental Design

Experimental Design
This evaluation is a randomized controlled trail of the effect of two versions of the First Steps program - light-touch or full intervention, compared to a control group - on parenting practices and child development outcomes.
Experimental Design Details
Not available
Randomization Method
Randomization done using random number generation by a computer in an office.
Randomization Unit
Clusters (cells, a geographic unit) randomized to treatment or control
Was the treatment clustered?
Yes

Experiment Characteristics

Sample size: planned number of clusters
99 cells
Sample size: planned number of observations
1,188 caregiver-child pairs
Sample size (or number of clusters) by treatment arms
33 cells per treatment arm: light-touch, full, and control
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
0.289 standard deviations
IRB

Institutional Review Boards (IRBs)

IRB Name
Rwanda National Ethics Committee
IRB Approval Date
2019-08-16
IRB Approval Number
No.621/RNEC/2019
IRB Name
National Institute of Statistics Rwanda
IRB Approval Date
2019-07-08
IRB Approval Number
No.0348/2019/10/NISR
IRB Name
National Council for Science and Technology
IRB Approval Date
2019-08-29
IRB Approval Number
No.NCST/482/130/2019
Analysis Plan

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