Effects of nutrition counselling and unconditional cash transfer on child growth and family food security in internally displaced person camps in Somalia

ISRCTN ISRCTN12032821
DOI https://doi.org/10.1186/ISRCTN12032821
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number Nil known
Sponsor Save the Children International
Funders Global Affairs Canada, Federal Foreign Office (FFO) – Berlin
Submission date
09/02/2022
Registration date
25/03/2022
Last edited
25/03/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
In Somalia child malnutrition is common. Malnutrition is a lack of proper nutrition, caused by not having enough to eat, not eating enough of the right things, or being unable to use the food that one does eat.
Caregivers have little knowledge and practices on infant and child nutrition. Humanitarian and government institutions are trying interventions to reduce child malnutrition. This study aims to improve child malnutrition through providing nutrition counselling and cash to caregivers of young children.

Who can participate?
Caregivers with children aged six months up to five years who had mild or moderate malnutrition.

What does the study involve?
Participants were randomly allocated to receive nutrition counselling (NC) alone or in combination with unconditional cash transfer UCT (NC+UCT). These were compared with a control group that have not received neither of the interventions.
Participants received NC during one-to-two hour weekly NC sessions for 12 weeks. Each counselling session was attended by 20-22 caregivers. Eight trained community nutrition volunteers (CNVs) provided all of the sessions.

What are the possible benefits and risks of participating?
The benefits including improvement of child malnutrition and families food security. There are no known risks.

Where is the study run from?
Save the Children International, Somalia Country Office

When is the study starting and how long is it expected to run for?
November 2016 to February 2019

Who is funding the study?
Global Affairs Canada
Federal Foreign Office (FFO) – Berlin (Germany)

Who is the main contact?
Mohamed Khalid Ali, mki@du.se

Contact information

Mr Mohamed Kalid Ali
Principal investigator

Shariqa Road
Garowe
-
Somalia

ORCiD logoORCID ID 0000-0002-0119-5394
Phone +252 907791671
Email mki@du.se

Study information

Primary study designInterventional
Study designInterventional randomized controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffects of nutrition counselling and unconditional cash transfer on child growth and family food security in internally displaced person camps in Somalia – A quasi-experimental study
Study acronymNil known
Study objectivesUnconditional cash transfer coupled with nutrition counselling improves nutrition in children under-five
Ethics approval(s)Approved 27/01/2018, Research and Ethics Review Committee of the Federal Ministry of Health (Ministry of Health, Somalia; +252 612375800; hashi4@hotmail.com), ref: MoH & HS/DGO/0129
Health condition(s) or problem(s) studiedChild malnutrition
InterventionThe intervention consisted of nutrition counselling (NC) alone or in combination with unconditional cash transfer UCT (NC+UCT) on caregivers with under-five children. These were compared with a control group that have not received neither of the interventions. The NC sessions were based on the UNICEF/WHO IYCF guidelines. Participants received NC during one-to-two hour weekly NC sessions for 12 weeks. Each counselling session was attended by 20-22 caregivers. Eight trained community nutrition volunteers (CNVs) provided all of the sessions. The CNVs had undergone training provided by Save the Children and had previously conducted counselling sessions and nutrition assessments.
Intervention typeBehavioural
Primary outcome measure(s)

Wasting measured using WHZ at baseline and follow up (19 months)

Key secondary outcome measure(s)

1. WAZ (underweight) measured at baseline and follow up (19 months)
2. HAZ (stunting) measured at baseline and follow up (19 months)
3. Household food security indicators such as the household and child dietary diversity scores, household food consumption score, household hunger scale, minimum child dietary diversity score and household expenses measured at baseline and follow up (19 months)

Completion date28/02/2019

Eligibility

Participant type(s)
Age groupMixed
SexAll
Target sample size at registration1341
Total final enrolment255
Key inclusion criteriaCaregivers with children aged six months to five years who had mild or moderate malnutrition.
Key exclusion criteriaCaregivers having children with severe acute malnutrition (WHZ < -3) and apparent health problems were excluded and referred to the nearest health facility for further screening and treatment.
Date of first enrolment01/07/2017
Date of final enrolment30/07/2017

Locations

Countries of recruitment

  • Somalia

Study participating centre

Save the Children International, Somalia Country Office
Airport Road
Mogadishu
-
Somalia

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from the corresponding author Mr. Mohamed Kalid, mki@du.se. Consent was obtained from the patient, data will be anonymized

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

21/02/2022: Trial's existence confirmed by Research and Ethics Review Committee of the Federal Ministry of Health, Somalia