{"doc_desc":{"title":"RWA_2017-2019_SMHVIT_v01_M","idno":"DDI_RWA_2017-2019_SMHVIT_v01_M_WB","producers":[{"name":"Development Data Group","abbreviation":"DECDG","affiliation":"World Bank","role":"Documentation of the study"}],"prod_date":"2023-12-07","version_statement":{"version":"Version 01 (2023-12-07)"}},"study_desc":{"title_statement":{"idno":"RWA_2017-2019_SMHVIT_v01_M","title":"Sugira Muryango Early Childhood Development Home Visiting Intervention Trial 2017-2019","sub_title":"Public Use File","alt_title":"SMHVIT 2017-2019"},"authoring_entity":[{"name":"Theresa S. Betancourt","affiliation":"Boston College School of Social Work, USA"}],"production_statement":{"producers":[{"name":"FXB Rwanda","affiliation":"","role":"Implementation of the program"},{"name":"Laterite","affiliation":"","role":"Data collection"},{"name":"Research Assistants and Post-Doctoral Fellows at Boston College","affiliation":"","role":"Preparation of the data files"}],"funding_agencies":[{"name":"The World Bank Early Learning Partnership","abbreviation":"","role":""},{"name":"The Strategic Impact Evaluation Fund and the Japan Trust","abbreviation":"","role":""},{"name":"USAID Rwanda","abbreviation":"","role":""},{"name":"The Network of European Foundations","abbreviation":"","role":""},{"name":"ELMA Philanthropies","abbreviation":"","role":""}]},"distribution_statement":{"contact":[{"name":"Dr. Theresa Betancourt, Salem Professor in Global Practice","affiliation":"Boston College","email":"rpcalab_ssw@bc.edu","uri":""},{"name":"Dr. Jordan Farrar, Associate Director for Research","affiliation":"Boston College","email":" rpcalab_ssw@bc.edu","uri":""},{"name":"Dr. Robert Brennan, Research Assistant","affiliation":"Research Program on Children and Adversity, Boston College","email":"rpcalab_ssw@bc.edu","uri":""},{"name":"The Strategic Impact Evaluation Fund","affiliation":"The World Bank","email":"siefimpact@worldbank.org","uri":""}],"depositor":[{"name":"Dr. Jordan Farrar, Associate Director for Research, Research Program on Children and Adversity, Boston College","abbreviation":"","affiliation":""}]},"series_statement":{"series_name":"Other Household Survey"},"version_statement":{"version":"Version 2.1: Edited, cleaned and anonymous dataset for public distribution.","version_date":"2020-01-20","version_notes":"For each unit of analysis (i.e., Household, Caregiver, Child) these files have been created by merging cleaned de-identified datasets (Version 1).  A total of 3 files are provided. These files have been de-identified according to Common Rules standards (https:\/\/kb.wisc.edu\/sbsedirbs\/page.php?id=76643). Files can be merged using subject id, timepoint, and household id.  Overview of datasets  - Caregiver dataset,  Child dataset and Household dataset"},"study_info":{"abstract":"This study is a stratified cluster-randomised trial (CRT) designed to test Sugira Muryango\u2019s effects on promoting early childhood development (ECD) and preventing violence among families receiving the VUP social protection. The data collection for the study took place between January 2018 and September 2019. The trial was conducted within the Nyanza, Ngoma, and Rubavu districts with existing VUP programmes, selected to minimize the overlap with ECD interventions by government or nongovernmental organizations. All families in this study were eligible for one of two versions of the VUP programme: classic public works (cPW), which provides cash for (typically hard) manual labour; or the newer expanded public works (ePW), which provides cash for (typically lighter) labour and also provides access to livestock. Sugira Muryango, a 12-module coaching-based parenting intervention for vulnerable families (Ubudehe 1, the most extreme level of poverty) with children aged 6-36 months in Rwanda. Sugira Muryango is designed to: 1) Increase positive parent-child interactions with both male and female caregivers; 2) Reduce intimate partner violence and harsh discipline in the home; 3) Strengthen families through conflict resolution and shared decision making; 4) Improve caregiver mental health through emotion regulation and problem solving\/executive function skill building; and, 5) Improve child health via care-seeking, hygiene and improved dietary diversity.","coll_dates":[{"start":"2018-04-01","end":"2018-05-30","cycle":"Baseline and post-intervention assessments"},{"start":"2018-08-01","end":"2018-09-30","cycle":"Midline (immediately post-intervention) evaluations"},{"start":"2019-08-01","end":"2019-09-30","cycle":"Endline (12-month post intervention) evaluations"}],"nation":[{"name":"Rwanda","abbreviation":"RWA"}],"geog_coverage":"Selected families in the districts of Rubavu, Nyanza and Ngoma.","analysis_unit":"Data is collected at 3 levels of observation: the child, the caregiver, and the household.\nEach level of analysis has its own data file. \nHousehold_id and timepoint can be used to merge files.","data_kind":"Clinical data [cli]"},"method":{"data_collection":{"data_collectors":[{"name":"Laterite","abbreviation":"","affiliation":""}],"sampling_procedure":"Study sample size includes the following: 1.049 families in total participated in the program. This resulted in 1,498 caregivers and 1,084 children enrolled in the study.\n\nFamilies\u2019 participation in the VUP and selection into cPW and ePW is determined by governmental policies and was not under the control of the research team. Lists of families participating in the VUP program were obtained from government staff in each district.\n\nNonoverlapping, geographically defined clusters were created comprising at least 30 families participating in the cPW program or ten families participating in the ePW program, with some clusters containing both \u226530 cPW and \u226510 ePW households. Clusters were formed from one or more contiguous villages such that one CBV could provide services to all participating families in the cluster. Villages within the same cluster were selected to be as close to each other and as far apart from other clusters as possible. Due to the relative scarcity of the ePW families, 100% of clusters containing at least 10 ePW families were sampled for participation in the study. Clusters which contained cPW families (including combined clusters containing ePW families) were randomly sampled for inclusion into our study until we reached our target sample size of \u22651,040 households. Randomization was performed by Laterite and occurred at the cluster level within strata defined by public works type (ePW only, combined ePW\/cPW, and cPW only) and geographic sector. Within strata, clusters were assigned random numbers and placed on a ranked list. The first half of clusters on the randomly ranked list were assigned to treatment. In case of an uneven number of clusters per strata, a lottery was used to round the number assigned to treatment up or down. After assignment of the cluster, households were contacted by the data collection contractor and invited to participate in the study. Clusters were retained if at least five families in the cPW strata or at least one family in the ePW strata enrolled and had at least one child aged 6\u201336 months. We retained 48 ePW-only clusters, 38 ePW\/cPW clusters, and 112 cPW-only clusters.\n\nNeither the families nor the enumerators who conducted the assessments knew about a family\u2019s assignment to treatment versus control before they had completed the baseline assessment. All caregivers gave written informed consent for themselves and their eligible children ages 6\u201336 months.","coll_mode":["Computer Assisted Personal Interview [capi]"],"research_instrument":"Excel spreadsheets with detailed information about the surveys is provided (for each timepoint) as supplemental materials.\n\nThe interviews with caregivers used structured questionnaires based on validated and piloted measures. Caregivers reported on themselves and the primary caregiver (the person who self-identified as knowing the child best, usually the biological mother) also reported on the child. The primary caregiver also reported on the household.\n\nQuestionnaire measures:\n\nCaregivers report on the Child:\nQuestions for the caregiver regarding\n   Child feeding practices,\n   Child health\n   Care seeking for child illness\n   Child discipline [from MICS]\n   Child development - Ages and Stages Questionnaire (ASQ)-3\n\nCaregiver Report on Self:\nCompleted by each primary caregiver in the study household. [If the primary caregiver had an intimate partner, the Caregiver Report on Self was completed by the intimate partner as well. Intimate partner surveys were not considered mandatory for household completion, but every attempt was made to complete this survey with both partners when applicable.]\n   Family unity\n   Shared decision making \n   Early childhood development knowledge [Knowledge and Attitudes: KAP]\n   Caregiver mental health [depression, anxiety [HSCL] and PTSD [PCL-C]\n   Caregiver alcohol use [AUDIT]\n   Daily hardships\n   Intimate partner violence [from DHS]\n\nCaregiver Report on Household:\nCompleted by the primary caregiver in each study household or by his or her intimate partner and includes modules regarding the:\n   Family composition\n   Household assets\n   Social protection\n   Social protection program participation - VUP\n   Access to financial institutions,health care \n   Food security and meal frequencies\n   Water and sanitation\n\nObservational child measures:\n   Home Observation for Measurement of the Environment (HOME);\n   Observation of Mother Child Interaction (OMCI.)\n   Malawi Development Assessment Tool (MDAT): This observation-based assessment was completed by each eligible child in the study household.\n   Child anthropometric measurements: Measurements of weight, height or length depending on age, and mid-upper arm circumference (MUAC) were taken for each eligible child in the study household.","coll_situation":"Direct child assessments, caregiver questionnaires and home observations were conducted in Kinyarwanda.\n\nEnumerator training for baseline data collection occurred from January 29, 2018 to February 9, 2018. Training for surveys completed at the household included an overview of the study\u2019s objectives and methodology, sampling and replacement strategies, research ethics, the field team\u2019s responsibilities, adverse event reporting and the risk of harm protocol, and a thorough review of the survey instruments. A separate training occurred for those enumerators overseeing the MDAT and collection of Anthropometrics. After the training, an additional day of piloting all measures occurred in the field. A three-day refresher training occurred from April 18 to April 20, 2018. Prior to collection of midline data, a refresher training was held between August 1 and August 8, 2018. As there were no major changes to household survey questions, no pilot was done in advance of midline data collection. A three-day refresher training was also held for the MDAT enumerators and a midline pilot of the MDAT occurred to test for interrater reliability. In preparation for endline data collection, a refresher training was held from August 5th to 9th, 2019.\n\nAll questionnaires were tested in pilot intervention research and followed a forward- and back-translation protocol from English to Kinyarwanda (Betancourt et al. 2018).\n\nData were entered on Android tablets by independent local research assistants blind to intervention status.\n\nReferences:\nBetancourt, T. S., Franchett, E., Kirk, C. M., Brennan, R. T., Rawlings, L., Wilson, B., ... & Ukundineza, C. (2018). Integrating social protection and early childhood development: open trial of a family home-visiting intervention, Sugira Muryango. Early Child Development and Care, 1-17.","weight":"Not relevant","method_notes":"Study data were collected using SurveyCTO, a secure mobile data collection platform that can be used offline. The SurveyCTO mobile application, referred to as SurveyCTO Collect, allowed study enumerators to collect participant data using a password protected mobile phone or tablet, which was then uploaded to the secure SurveyCTO server. SurveyCTO has a built-in data monitoring and visualization tool that allowed Field Coordinators and Field Supervisors, who were based in the field during data collection, to monitor the uploading of study data as well as any inconsistencies in the data. Data were regularly uploaded from tablets to the password protected SurveyCTO cloud-based server. Whenever form data was transmitted via a 3G or other internet network, it was encrypted in transit.\n\nSupplemental materials include surveys used at each time point as well as detailed field reports."},"analysis_info":{"response_rate":"Household Attrition\n\nBetween each wave of data collection, some households moved, declined to participate, or were otherwise not able to be surveyed. During field preparation, 1,062 households were drawn but only 1,054 were eligible to be surveyed at baseline. Five households moved or could not be found so the original baseline household sample was composed of 1,049 households.\n\nAt midline, 5 households moved or did not consent to participate, which represents a 0.5% attrition rate with respect to baseline data collection. At endline 8 households moved, could not be located, or did not consent to participate at endline. This represents an attrition rate of 1.2% with respect to baseline data collection and an attrition rate of 0.76% with respect to midline data collection.\n\nCaregiver Attrition\nA simple attrition calculation was performed by looking at counts of the \u201crelationship to child\u201d category after filtering out \u201cnew caregivers\u201d that were enrolled after the intervention began.\n\nA total of 1498 caregivers were surveyed at baseline (63.68% Mothers, 29.57% Fathers, 6.74% other, e.g., aunt, grandparent, etc.). At midline 1462 caregivers were surveyed, which represents an attrition rate of 2.4% considering only caregivers enrolled at baseline. At endline, 1353 caregivers enrolled at baseline answered the survey. This represents an attrition rate of 9.61% with respect to baseline and 7.38% with respect to midline.\n\n***Note: If a simple count of observation per timepoints is requested in the caregiver dataset, the number of caregivers increases from baseline to endline data collection given the inclusion of new caregivers. There are also some changes in the caregiver type (e.g. some additional caregivers became new endline primary caregivers), so attrition estimates should be interpreted with caution because they depend on several \"methodological decisions\".\n\nChild Attrition\n1084 children were assessed at baseline, 1078 at midline, and 1062 at endline. This yields an attrition rate of 0.55% at midline. At endline the attrition rate is 2.02% with respect to baseline and 1.48% with respect to midline."}},"data_access":{"dataset_use":{"conf_dec":[{"txt":"The data provided in this dataset are all de-identified. However, users must adhere to the conditions outlined in the Licensed category put forth by the World Bank.","required":"","form_no":"","uri":""}],"contact":[{"name":"Dr. Theresa Betancourt, Salem Professor in Global Practice","affiliation":"Boston College","email":"","uri":""},{"name":"Dr. Jordan Farrar, Associate Director for Research","affiliation":"Boston College","email":"","uri":""},{"name":"Dr. Robert Brennan, Research Assistant","affiliation":"Research Program on Children and Adversity, Boston College","email":"","uri":""},{"name":"The Strategic Impact Evaluation Fund","affiliation":"The World Bank","email":"","uri":""}],"cit_req":"Use of the dataset must be acknowledged using a citation which would include: \n - the Identification of the Primary Investigator\n - the title of the survey (including country, acronym and year of implementation)\n - the survey reference number\n - the source and date of download\n\n Example:\n Theresa S. Betancourt  (Boston College School of Social Work, USA). Rwanda - Sugira Muryango Early Childhood Development Home Visiting Intervention Trial 2017-2019, Public Use File (SMHVIT 2017-2019). Ref: RWA_2017-2019_SMHVIT_v01_M. Downloaded from [uri] on [date].","conditions":"This data is accessible under the Licensed category of access and use and requires that all parties and users adhere to the conditions stated therein.","disclaimer":"The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses."}}},"schematype":"survey","tags":[{"tag":"DOI"}]}