Measuring the Effects of Child Care Subsidies on Household Economic Welfare in the Slums of Nairobi
Last registered on September 15, 2015

Pre-Trial

Trial Information
General Information
Title
Measuring the Effects of Child Care Subsidies on Household Economic Welfare in the Slums of Nairobi
RCT ID
AEARCTR-0000844
Initial registration date
September 15, 2015
Last updated
September 15, 2015 4:38 PM EDT
Location(s)
Region
Primary Investigator
Affiliation
McGill University
Other Primary Investigator(s)
PI Affiliation
McGill University
Additional Trial Information
Status
On going
Start date
2015-09-15
End date
2017-03-22
Secondary IDs
Abstract
This paper presents a pre-analysis plan for a randomized controlled experiment in which we provide mothers in an urban informal settlement of Nairobi, Kenya, access to subsidized and quality improved daycares. One thousand two hundred mothers are selected for our experiment in which one third receives free child care services for one year, a third receives free child care services in child care centers who will receive enhanced early child care and education training and materials and the remaining third will act as a control group. As half of mothers in this settlement, Korogocho, already utilize child care services, this intervention can have a measureable effect on the household allocation of resources and economic welfare. Our analysis will focus on the effects of this intervention on (a) changes in how the household allocates its income budget and changes in the household’s wealth position; (b) changes in how time is allocated within the household across child care, productive activities and human capital acquisition; and (c) on the mother’s occupational choice.
External Link(s)
Registration Citation
Citation
Clark, Shelley and Sonia Laszlo. 2015. "Measuring the Effects of Child Care Subsidies on Household Economic Welfare in the Slums of Nairobi." AEA RCT Registry. September 15. https://www.socialscienceregistry.org/trials/844/history/5287
Sponsors & Partners

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Experimental Details
Interventions
Intervention(s)
Interventions: This study will evaluate two interventions, 1) subsidized daycare and 2) subsidized daycare plus quality improvements, using two treatment arms and one comparison group.
Intervention 1: Subsidized Daycare
The costs of formal daycare can be prohibitively costly to mothers with low earning potential, such as women living in the informal settlement areas of Nairobi. Subsidizing daycare could lower this barrier to economic engagement and encourage mothers with young children to enter the labor force or work longer hours, thereby increasing their household’s total income. Such support may be particularly beneficial to disadvantaged women such as single mothers and recent immigrants who are expected to have the least social support in helping with their childcare. Women in this arm of our study will receive a full year of vouchers for free daycare services at selected local facilities. Participating daycares will also receive modest monthly cash transfers to compensate them for the additional monitoring and help them accommodate a possible increase in their number of enrolled pupils.
Intervention 2: Subsidized Daycare at Improve Daycare Facilities
Given the low quality of some daycare centers in the informal settlements, some mothers may be reluctant to place their children in daycares regardless of the costs. To test whether the availability of affordable and high-quality daycares increase women’s engagement with the workforce, we provide quality improvements to half of the daycares we are subsidizing. These quality improvements include the training of all childcare providers in each selected center using an adapted program used by the Aga Khan Foundation, which is based on UNICEF/WHO’s Care for Child Development (C4CD) model, an Early Childhood Development (ECD) intervention. The C4CD intervention provides information and recommendations for cognitive stimulation and social support to young children, through sensitive and responsive caregiver-child interactions. The C4CD package guides health workers, caregivers, counsellors, and parents to build stronger relationships with their children, solve problems in caring for their children, and learn how to be sensitive and respond to the needs of the children. Childcare providers will also receive training on nutrition, child security, toy development, hygiene, sanitation, adequate sleep, and record keeping. The training will be covered in 5 full-days (after 2 days of a needs assessment pre-visit by the master trainers). Refresher training would also be offered half way through the intervention period. Two District Centres for Early Childhood Education (DICECE) officers will also be assigned to Korogocho area to check in and reinforce the learnings with caregivers through daycare visits, and act as the go between our project and the county government. Daycares in the quality arm will also receive material supplies in the form of mattresses, potties, padlocks (to increase security), and materials to build portable hand washing stations, toys, and teaching tools
Intervention Start Date
2016-01-04
Intervention End Date
2016-10-20
Primary Outcomes
Primary Outcomes (end points)
(a) changes in how the household allocates its income budget and changes in the household’s wealth position;
(b) changes in how time is allocated within the household across child care, productive activities and human capital acquisition; and
(c) on the mother’s occupational choice.
Primary Outcomes (explanation)
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
The randomization process will proceed as follows. During the baseline survey, mothers will be asked whether they are currently sending their child (aged 1 to 3) to a daycare and, if so, to provide the name and location of the daycare. Daycares used by the mothers will then be compiled into a list. Based on our initial daycare inventory survey in Korogocho, we anticipate identifying approximately 45 daycares. Daycares on this list will be randomly assigned to one of the three arms of the study: a comparison arm, a voucher only arm, and a voucher plus quality improvement arm (voucher plus). Thus, we expect to have about 15 daycares in each arm, and we will create a separate list of daycares in each arm. Mothers, whose children are already enrolled in daycare, will be given vouchers for a full year of free services at their current daycare. Mothers, whose children are not currently in daycare, will be randomized into one of the three arms. If mothers are selected for either the voucher or voucher plus arm, they will be given a list of daycares in the arm for which they were selected and informed that they may select anyone of these daycares and be given a year of free services.
Experimental Design Details
Randomization Method
computer
Randomization Unit
For women who are already using daycare, the treatment is clustered at the daycare-level. For women not currently using daycare, randomization occurs at the individual level.
Was the treatment clustered?
Yes
Experiment Characteristics
Sample size: planned number of clusters
45 daycares
Sample size: planned number of observations
1,200 mothers
Sample size (or number of clusters) by treatment arms
15 daycares/400 mothers per treatment arm
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
Research Ethics Board, McGill University
IRB Approval Date
2015-01-29
IRB Approval Number
214-1214
IRB Name
African Medical and Research Foundation, in Kenya (AMREF)
IRB Approval Date
2015-02-23
IRB Approval Number
AMREF-ESRC159/2015
Analysis Plan

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Post-Trial
Post Trial Information
Study Withdrawal
Intervention
Is the intervention completed?
No
Is data collection complete?
Data Publication
Data Publication
Is public data available?
No
Program Files
Program Files
Reports and Papers
Preliminary Reports
Relevant Papers