Kusuma 2017a.
Study characteristics | ||
Methods |
Study design: cRCT Study grouping: parallel group How were missing data handled? No missing data reported Randomisation ratio: 1:1 Recruitment method: NR Sample size justification and outcome used: NR Sampling method: First, within each province, the 20% richest districts were excluded for both programmes (based on school transition rates, malnutrition and poverty). Districts who participated in the Kecamatan Development Project (a governmental poverty programme that developed infrastructure and capacity) were eligible for Generasi, from which 20 were selected and stratified by province. In NTT, East Java, and West Java selection was random, in Gorontalo and North Sulawesi all eligible districts were selected. Within the selected districts, subdistricts were not eligible if they had participated in the UPP or where < 30% of the villages (desa) and urban precincts (kelurahan) were considered as rural by the national statistics office. The final screening yielded 300 PNPM Generasi eligible subdistricts. The remaining districts were considered for PKH. The subdistricts that were deemed as 'supply‐side ready' were then randomly assigned to the PKH treatment and control groups. Study aim or objective: Kusuma 2016: to provide evidence on the effects of HH cash transfers (PKH) and community cash transfers (Generasi) on determinants of maternal mortality. Kusuma 2017: to provide evidence on the impact of HH cash transfers (PKH) and community cash transfers (Generasi) on children's food consumption. Study period: from June–August 2007 to October–January 2010 Unit of allocation or exposure: subdistricts |
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Participants |
Baseline characteristics Intervention: NR Control
Overall: NR Inclusion criteria: very poor HHs (UCT database) with pregnant/lactating women, children aged 0–15 years in supply‐ready urban subdistricts (based on existing health and education facilities). Exclusion criteria: NR Pretreatment: for PKH there were more girls in the intervention group (P < 0.05). However, the study authors did not report any other differences for a number of maternal, HH and subdistrict characteristics at baseline between the intervention and control groups within each programme. Attrition per relevant group: the PKH children sample can be considered without attrition because it was 1394 at follow‐up out of 1395 at baseline. Description of subgroups measured and reported: NR Total number completed and analysed per relevant group: 1394 children, 1376 HHs in total. Total number enrolled per relevant group: Kusuma 2017 used subsets of data from HHs that participated in PKH and Generasi and reported on food consumption for children aged 24–36 months: 1395 HHs at baseline. Total number randomised per relevant group: 360 subdistricts (Intervention group: 180 subdistricts; control group: 180 subdistricts) |
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Interventions |
Intervention characteristics
Control characteristics: no intervention |
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Outcomes | Anthropometry: underweight (WAZ < –2SD); severe underweight (WAZ < –3SD); wasting (WHZ < –2SD); severe wasting (WHZ < –3SD); stunting (HAZ < –2SD); severe stunting (HAZ < –3SD) | |
Identification |
Sponsorship source: research fellowship from the Harvard Kennedy School Indonesia Program. Country: Indonesia Setting: urban very poor HHs (PKH) and rural very poor HHs (Generasi) in West Java, East Java, North Sulawesi, Gorontalo, and East Nusa Tenggara provinces Author's name: Dian Kusuma Email: dkusuma@mail.harvard.edu Declarations of interest: none declared. Study or programme name and acronym: Program Keluarga Harapan (PKH) and Generasi. Type of record: journal articles |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (Selection bias) | Unclear risk | Random sequence generation method NR. |
Allocation concealment (Selection bias) | Unclear risk | Allocation concealment methods NR |
Baseline characteristics similar (Selection bias) | Low risk | No important differences between groups reported at baseline. |
Baseline outcome measurements similar (Selection bias) | Unclear risk | Although food consumption was similar at baseline, growth outcomes at baseline were NR |
Blinding of participants and personnel (Performance bias) | Low risk | Blinding of participants and personnel was not possible but unlikely to influence intervention received. |
Blinding of outcome assessment (Detection bias) | Low risk | Unclear whether outcome assessors were blinded but key outcomes were objective and unlikely to be influenced by lack of blinding. |
Protection against contamination (Performance bias) | Low risk | Allocation was at subdistrict level, which minimised the risk of spillovers. |
Incomplete outcome data (Attrition bias) | Low risk | No attrition was reported. |
Selective outcome reporting (Reporting bias) | Unclear risk | Protocol N/A. |
Other bias | Unclear risk | Misclassification of exposure: low risk. Measurement bias: unclear risk. Incorrect analysis: low risk. analyses adjust for clustering. Recruitment bias: low risk. HHs randomly selected after subdistrict randomisation. |