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Rojiroti microfinance and child nutrition: a cluster randomised trial.

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Ojha, Shalini, Szatkowski, Lisa, Sinha, Ranjeet, Yaron, Gil, Fogarty, Andrew, Allen, Stephen ORCID: https://orcid.org/0000-0001-6675-249X, Choudhary, Sunil and Smyth, Alan Robert (2020) 'Rojiroti microfinance and child nutrition: a cluster randomised trial.'. Archives of Disease in Childhood, Vol 105, Issue 3, pp. 229-235.

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Abstract

OBJECTIVE

To determine whether Rojiroti microfinance, for poor Indian women, improves child nutrition.

DESIGN

Cluster randomised trial.

SETTING

Tolas (village communities) in Bihar State.

PARTICIPANTS

Women and children under 5 years.

INTERVENTIONS

With Rojiroti microfinance, women form self-help groups and save their money to provide loans to group members. After 6 months, they receive larger external loans. Tolas were randomised to receive Rojiroti immediately or after 18 months.

OUTCOME MEASURES

The primary analysis compared the mean weight for height Z score (WHZ) of children under 5 years in the intervention versus control tolas who attended for weight and height measurement 18 months after randomisation. Secondary outcomes were weight for age Z score (WAZ), height for age Z score, mid-upper arm circumference (MUAC), wasting, underweight and stunting.

RESULTS

We randomised 28 tolas to each arm and collected data from 2469 children (1560 mothers) at baseline and 2064 children (1326 mothers) at follow-up. WHZ was calculated for 1718 children at baseline and 1377 (674 intervention and 703 control) at follow-up. At 18 months, mean WHZ was significantly higher for intervention (-1.02) versus controls (-1.37; regression coefficient adjusted for clustering β0.38, 95% CI 0.16 to 0.61, p=0.001). Significantly fewer children were wasted in the intervention group (122, 18%) versus control (200, 29%; OR=0.46, 95% CI 0.28 to 0.74, p=0.002). Mean WAZ was better in the intervention group (-2.13 vs -2.37; β0.27, 95% CI 0.11 to 0.43, p=0.001) as was MUAC (13.6 cm vs 13.4 cm; β0.22, 95% CI 0.03 to 0.40, p=0.02). In an analysis adjusting for baseline nutritional measures (259 intervention children and 300 control), only WAZ and % underweight showed significant differences in favour of the intervention.

CONCLUSION

In marginalised communities in rural India, child nutrition was better in those who received Rojiroti microfinance, compared with controls.

TRIAL REGISTRATION NUMBER

NCT01845545.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 320 Child Welfare. Child Health Services.
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WS Pediatrics > WS 100 General works
WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 115 Nutritional requirements. Nutrition disorders
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1136/archdischild-2018-316471
Depositing User: Julie Franco
Date Deposited: 26 Nov 2019 16:43
Last Modified: 21 Feb 2020 15:57
URI: https://archive.lstmed.ac.uk/id/eprint/13172

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