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REFANI Pakistan study - effect of differing modalities of cash transfers on reducing the risk of wasting in children in Pakistan

A cluster randomised controlled trial of the effectiveness and cost-effectiveness of cash transfer programmes on child nutrition status in Sindh, Pakistan

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN10761532
Enrollment
5680
Registered
2015-03-26
Start date
2015-04-15
Completion date
Unknown
Last updated
2023-05-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Low weight-for-height: Wasting or thinness indicates in most cases a recent and severe process of weight loss, which is often associated with acute starvation and/or severe disease. Nutritional, Metabolic, Endocrine Manutrition

Interventions

Intervention 1: Seasonal unconditional cash transfer (UCT), with a value of approximately 1500PRs (GBP 9), distributed monthly over 6 months. Intervention 2: Seasonal unconditional cash transfer (UCT

Sponsors

UK Department for International Development (DFID)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Households identified as poor and very poor (according to wealth index criteria) and with a child or children aged 6-48 months 2. Households with children born in the area during the study period

Exclusion criteria

Exclusion criteria: 1. Poor and very poor households with no eligible child 2. Households with children who moved to the area within 6 months before the intervention (and may not be typical of households in the village e.g. those migrating due to drought in their area) 3. Households who do not give consent 4. Children who are chronically ill (with prescribed medical treatment)

Design outcomes

Primary

MeasureTime frame
Prevalence of wasting (as measured by weight-for-height Z-score (WHZ) <-2 or the presence of bilateral pitting oedema) in children <5 years old, assessed at baseline and then monthly during the intervention period and then again at 1 year after baseline

Secondary

MeasureTime frame
1. Severe wasting (defined as WHZ 19 years old) (<16, <17<18.5kg/m2) 6. Morbidity in children (diarrhoea, malaria and respiratory illness). 7. Individual Diet Diversity Score (children and mothers) 1-7 will be assessed at baseline and then monthly during the intervention period and then again at 1 year after baseline. 8. Cost effectiveness of the different cash transfer modalities, assessed at the end of the intervention

Countries

Pakistan

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 15, 2026