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Making Integration the Operative Concept in the Indian Integrated Child Development Services:
Last registered on March 13, 2018

Pre-Trial

Trial Information
General Information
Title
Making Integration the Operative Concept in the Indian Integrated Child Development Services:
RCT ID
AEARCTR-0000967
Initial registration date
November 30, 2015
Last updated
March 13, 2018 11:50 PM EDT
Location(s)
Primary Investigator
Affiliation
IFPRI
Other Primary Investigator(s)
PI Affiliation
World Bank
Additional Trial Information
Status
On going
Start date
2014-10-01
End date
2018-06-30
Secondary IDs
Abstract
The study will investigate the impact of an integrated service delivery approach for nutrition under the Indian Integrated Child Development Services (ICDS) program on the cognitive capacity of children prior to pre-school entry. This approach introduces an additional trained worker at the single point of ICDS service in the community, the Anganwadi Centre (AWC). The main task of this additional worker is to enhance parental care by including child stimulation along with a package of recommendations regarding health care and child feeding. Priority outcomes assessed include both nutritional status and cognitive development of children 24-48 months old. The study area comprises two purposively selected districts located in the state of Madhya Pradesh. These districts, Dhar and Singrauli, are predominantly rural with a high proportion of scheduled caste/scheduled tribe populations. Program impacts will be estimated through a randomized cluster trial, with randomization at the level of the village (the median village contains exactly one AWC). Randomization is stratified by district and administrative data suggests a balanced sample with respect to administrative measures of under-nutrition. A total of 50 villages will be initially offered the additional AWC worker, and 50 alternative villages will serve as the observational control. Data collection includes not only the priority child outcomes but also socio-demographic and economic information at the household level, as well as relevant characteristics of the AWC and the community. The exposure period is planned for two years after baseline data collection in order to ensure that improvements in cumulative outcomes measures will not be assessed too early.
External Link(s)
Registration Citation
Citation
Alderman, Harold and Jed Friedman. 2018. "Making Integration the Operative Concept in the Indian Integrated Child Development Services:." AEA RCT Registry. March 13. https://doi.org/10.1257/rct.967-2.0.
Former Citation
Alderman, Harold, Harold Alderman and Jed Friedman. 2018. "Making Integration the Operative Concept in the Indian Integrated Child Development Services:." AEA RCT Registry. March 13. http://www.socialscienceregistry.org/trials/967/history/26596.
Experimental Details
Interventions
Intervention(s)
This is a cluster randomized evaluation of day care centers attached to the Anganwadi centers of the current Integrated Child Development Services. Children 6-36 months will attend these centers daily.
Intervention Start Date
2015-12-01
Intervention End Date
2017-09-30
Primary Outcomes
Primary Outcomes (end points)
Cognitive development of the children as well as improvements in nutritional status.
Increased employment of the care givers.
Primary Outcomes (explanation)
cognitive development will be assessed by either the Bayleys or Denver instruments.
nutrition follows general anthropometric protocols
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
cluster randomized trial
100 clusters in the treatment and 100 in the control
3000 HH in the sample.
Experimental Design Details
Randomization Method
random draw of clusters after pairwise matching of clusters based on index of characteristics constructed using principal components
Randomization Unit
cluster
Was the treatment clustered?
Yes
Experiment Characteristics
Sample size: planned number of clusters
100 clusters in each arm
Sample size: planned number of observations
3000 HH
Sample size (or number of clusters) by treatment arms
100 per arm
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
To determine a sufficient sample size we assume a significance level of .05, a power of 0.8, a cluster size of 15 children under 3 and ICC of 0.15
IRB
INSTITUTIONAL REVIEW BOARDS (IRBs)
IRB Name
IFPRI IRB
IRB Approval Date
2014-09-22
IRB Approval Number
IRB #00007490
IRB Name
Oxford EthicalReview committee
IRB Approval Date
2014-08-08
IRB Approval Number
ERC-A0135
IRB Name
IRB Centre for Media Studies New Delhi
IRB Approval Date
2014-09-12
IRB Approval Number
IRB00006230
IRB Name
Oxford EthicalReview committee
IRB Approval Date
2014-08-08
IRB Approval Number
ERC-A0135
IRB Name
IRB Centre for Media Studies New Delhi
IRB Approval Date
2014-09-12
IRB Approval Number
IRB00006230
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, Papers & Other Materials
Relevant Paper(s)
REPORTS & OTHER MATERIALS