Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial
Maternal depression affects one in five women in Malawi. Integrated interventions simultaneously addressing multiple risks are a promising strategy to improve mental health. This study evaluated the impact of a nutrition-sensitive social behaviour change (SBC) interventions (agriculture and liveliho...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Preprint |
| Language: | Inglés |
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MedRxiv
2024
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/169272 |
| _version_ | 1855520993800355840 |
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| author | Bliznashka, Lilia Nwabuikwu, Odiche Ahun, Marilyn Roschnik, Natalie Phiri, Brenda Gondwe-Matekesa, Esnatt Kachinjika, Monice Mvula, Peter Munthali, Alister Maggio, Daniel Katundu, Mangani Maleta, Kenneth Gladstone, Melissa Gelli, Aulo MAZIKO trial team |
| author_browse | Ahun, Marilyn Bliznashka, Lilia Gelli, Aulo Gladstone, Melissa Gondwe-Matekesa, Esnatt Kachinjika, Monice Katundu, Mangani MAZIKO trial team Maggio, Daniel Maleta, Kenneth Munthali, Alister Mvula, Peter Nwabuikwu, Odiche Phiri, Brenda Roschnik, Natalie |
| author_facet | Bliznashka, Lilia Nwabuikwu, Odiche Ahun, Marilyn Roschnik, Natalie Phiri, Brenda Gondwe-Matekesa, Esnatt Kachinjika, Monice Mvula, Peter Munthali, Alister Maggio, Daniel Katundu, Mangani Maleta, Kenneth Gladstone, Melissa Gelli, Aulo MAZIKO trial team |
| author_sort | Bliznashka, Lilia |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Maternal depression affects one in five women in Malawi. Integrated interventions simultaneously addressing multiple risks are a promising strategy to improve mental health. This study evaluated the impact of a nutrition-sensitive social behaviour change (SBC) interventions (agriculture and livelihoods, male engagement, and Caring for the Caregiver) with or without cash transfers on maternal perinatal depression during the lean season in rural Malawi. A midline survey for a cluster-randomised controlled trial was conducted, where 156 clusters were randomly assigned to four arms (39 clusters/arm): (1) Standard of care (SoC), (2) SBC, (3) SBC+low cash (USD17 per month), and (4) SBC+high cash (USD43 per month). Pregnant women and mothers of children <2 years of age (n=2,682) were enrolled at baseline (May-June 2022). A subsample of 1,303 women were followed-up at midline (November-December 2023). Maternal perinatal depression was assessed using the Self-reporting Questionnaire (SRQ-20) with a score of ≥8 indicating symptoms consistent with depression. Intervention effects were estimated using linear mixed effects models. At midline, SBC+high cash reduced depression scores relative to SoC (mean difference (MD) -1.13 (95% CI -1.96, -0.31)) but had no impact on the proportion of women with depressive symptoms. SBC+low cash and SBC alone had no impact on depression scores or the proportion of women with depressive symptoms. Relative to SBC alone, adding cash to SBC reduced depressions scores and the proportion of women with depressive symptoms regardless of the size of the cash transfer. Cash transfers integrated with SBC can benefit maternal perinatal depression health in rural Malawi during the lean season. |
| format | Preprint |
| id | CGSpace169272 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | MedRxiv |
| publisherStr | MedRxiv |
| record_format | dspace |
| spelling | CGSpace1692722025-02-19T14:08:56Z Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial Bliznashka, Lilia Nwabuikwu, Odiche Ahun, Marilyn Roschnik, Natalie Phiri, Brenda Gondwe-Matekesa, Esnatt Kachinjika, Monice Mvula, Peter Munthali, Alister Maggio, Daniel Katundu, Mangani Maleta, Kenneth Gladstone, Melissa Gelli, Aulo MAZIKO trial team agriculture cash transfers mental health nutrition Maternal depression affects one in five women in Malawi. Integrated interventions simultaneously addressing multiple risks are a promising strategy to improve mental health. This study evaluated the impact of a nutrition-sensitive social behaviour change (SBC) interventions (agriculture and livelihoods, male engagement, and Caring for the Caregiver) with or without cash transfers on maternal perinatal depression during the lean season in rural Malawi. A midline survey for a cluster-randomised controlled trial was conducted, where 156 clusters were randomly assigned to four arms (39 clusters/arm): (1) Standard of care (SoC), (2) SBC, (3) SBC+low cash (USD17 per month), and (4) SBC+high cash (USD43 per month). Pregnant women and mothers of children <2 years of age (n=2,682) were enrolled at baseline (May-June 2022). A subsample of 1,303 women were followed-up at midline (November-December 2023). Maternal perinatal depression was assessed using the Self-reporting Questionnaire (SRQ-20) with a score of ≥8 indicating symptoms consistent with depression. Intervention effects were estimated using linear mixed effects models. At midline, SBC+high cash reduced depression scores relative to SoC (mean difference (MD) -1.13 (95% CI -1.96, -0.31)) but had no impact on the proportion of women with depressive symptoms. SBC+low cash and SBC alone had no impact on depression scores or the proportion of women with depressive symptoms. Relative to SBC alone, adding cash to SBC reduced depressions scores and the proportion of women with depressive symptoms regardless of the size of the cash transfer. Cash transfers integrated with SBC can benefit maternal perinatal depression health in rural Malawi during the lean season. 2024 2025-01-16T15:39:25Z 2025-01-16T15:39:25Z Preprint https://hdl.handle.net/10568/169272 en https://hdl.handle.net/10568/148967 https://hdl.handle.net/10568/140691 Open Access MedRxiv Bliznashka, Lilia; Nwabuikwu, Odiche; Ahun, Marilyn; Roschnik, Natalie; Phiri, Brenda; Gondwe-Matekesa, Esnatt; et al. 2024. Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial. Preprint available December 31, 2024. https://doi.org/10.1101/2024.12.31.24319814 |
| spellingShingle | agriculture cash transfers mental health nutrition Bliznashka, Lilia Nwabuikwu, Odiche Ahun, Marilyn Roschnik, Natalie Phiri, Brenda Gondwe-Matekesa, Esnatt Kachinjika, Monice Mvula, Peter Munthali, Alister Maggio, Daniel Katundu, Mangani Maleta, Kenneth Gladstone, Melissa Gelli, Aulo MAZIKO trial team Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title | Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title_full | Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title_fullStr | Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title_full_unstemmed | Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title_short | Effect of combining lower- and higher-value monthly cash transfers with nutrition-sensitive agriculture, male engagement, and psychosocial intervention on maternal depressive symptoms in rural Malawi: A secondary analysis of a cluster-randomised controlled trial |
| title_sort | effect of combining lower and higher value monthly cash transfers with nutrition sensitive agriculture male engagement and psychosocial intervention on maternal depressive symptoms in rural malawi a secondary analysis of a cluster randomised controlled trial |
| topic | agriculture cash transfers mental health nutrition |
| url | https://hdl.handle.net/10568/169272 |
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