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

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cg.authorship.typesCGIAR and developing country instituteen
cg.authorship.typesConsultanten
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationMcGill Universityen
cg.contributor.affiliationSave the Childrenen
cg.contributor.affiliationGive Directly Malawien
cg.contributor.affiliationPalm Consulting Ltden
cg.contributor.affiliationRutgers Universityen
cg.contributor.affiliationKamuzu University of Health Sciencesen
cg.contributor.affiliationUniversity of Liverpoolen
cg.coverage.countryMalawi
cg.coverage.iso3166-alpha2MW
cg.coverage.regionAfrica
cg.coverage.regionEastern Africa
cg.creator.identifierLilia Bliznashka: 0000-0003-2084-1141en
cg.creator.identifierAulo Gelli: 0000-0003-4977-2549en
cg.creator.identifierOdiche Nwabuikwu: 0009-0004-6093-6828en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1101/2024.12.31.24319814en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Uniten
cg.identifier.projectIFPRI - Poverty, Gender, and Inclusion Uniten
cg.identifier.publicationRankNot rankeden
cg.reviewStatusInternal Reviewen
cg.subject.impactAreaGender equality, youth and social inclusion
cg.subject.impactAreaNutrition, health and food security
cg.subject.impactAreaPoverty reduction, livelihoods and jobs
dc.contributor.authorBliznashka, Liliaen
dc.contributor.authorNwabuikwu, Odicheen
dc.contributor.authorAhun, Marilynen
dc.contributor.authorRoschnik, Natalieen
dc.contributor.authorPhiri, Brendaen
dc.contributor.authorGondwe-Matekesa, Esnatten
dc.contributor.authorKachinjika, Moniceen
dc.contributor.authorMvula, Peteren
dc.contributor.authorMunthali, Alisteren
dc.contributor.authorMaggio, Danielen
dc.contributor.authorKatundu, Manganien
dc.contributor.authorMaleta, Kennethen
dc.contributor.authorGladstone, Melissaen
dc.contributor.authorGelli, Auloen
dc.contributor.authorMAZIKO trial teamen
dc.date.accessioned2025-01-16T15:39:25Zen
dc.date.available2025-01-16T15:39:25Zen
dc.identifier.urihttps://hdl.handle.net/10568/169272
dc.titleEffect 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 trialen
dcterms.abstractMaternal 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.en
dcterms.accessRightsOpen Access
dcterms.audienceScientistsen
dcterms.available2024-12-31en
dcterms.bibliographicCitationBliznashka, 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/10.1101/2024.12.31.24319814en
dcterms.extent36 p.en
dcterms.issued2024en
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherMedRxiven
dcterms.relationhttps://hdl.handle.net/10568/148967en
dcterms.relationhttps://hdl.handle.net/10568/140691en
dcterms.subjectagricultureen
dcterms.subjectcash transfersen
dcterms.subjectmental healthen
dcterms.subjectnutritionen
dcterms.typePreprint

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