Shonjibon cash and counselling: a community-based cluster randomised controlled trial to measure the effectiveness of un
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Shonjibon cash and counselling: a community-based cluster randomised controlled trial to measure the effectiveness of unconditional cash transfers and mobile behaviour change communications to reduce child undernutrition in rural Bangladesh Tanvir M. Huda1* , Ashraful Alam1 , Tazeen Tahsina2 , Mohammad Mehedi Hasan2 , Afrin Iqbal2 , Jasmin Khan2 , Gulshan Ara2 , Nazia Binte Ali2 , Saad Ullah Al Amin2 , Elizabeth K. Kirkwood1 , Tracey-Lea Laba3 , Nicholas Goodwin1 , Sumithra Muthayya4,5 , Munirul Islam2 , Kingsley Emwinyore Agho6 , John Hoddinott7 , Shams El Arifeen2 and Michael J. Dibley1
Abstract Background: Undernutrition is strongly associated with poverty - levels of undernutrition are higher in poor countries than in better-off countries. Social protection especially cash transfer is increasingly recognized as an important strategy to accelerate progress in improving maternal and child nutrition. A critical method to improve nutrition knowledge and influence feeding practices is through behaviour change communication intervention. The Shonjibon Cash and Counselling study aims to assess the effectiveness of unconditional cash transfers combined with a mobile application on nutrition counselling and direct counselling through mobile phone in reducing the prevalence of stunting in children at 18 months. Method: The study is a longitudinal cluster randomised controlled trial, with two parallel groups, and cluster assignment by groups of villages. The cohort of mother-child dyads will be followed-up over the intervention period of approximately 24 months, starting from recruitment to 18 months of the child’s age. The study will take place in north-central Bangladesh. The primary trial outcome will be the percentage of stunted children at 18 m as measured in follow up assessments starting from birth. The secondary trial outcomes will include differences between treatment arms in (1) Mean birthweight, percentage with low birthweight and small for gestational age (Continued on next page)
* Correspondence: [email protected] 1 Sydney School of Public Health, The University of Sydney, Sydney, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visi
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