Data for “Sustainable Programme Incorporating Nutrition & Games: a multi-country-randomised controlled trial” – SPRING Impact Assessment Pakistan data codebook

Permanent identifier

https://doi.org/10.17037/DATA.00003124

Description

Anonymised datasets from two cluster-randomised controlled trials of child growth and development in India and Pakistan. The datasets cover outcomes for 12,674 and 12,383 infants;  and 12,467 and 13,139 mothers (India and Pakistan respectively) at baseline and endline evaluations. Mothers gave informed consent to participate in a pragmatic, cluster-randomised trial in 24 health sub centre catchment areas in Rewari District, Haryana, India 2015-2017 and 20 union councils (clusters) in Rawalpindi District, Punjab, Pakistan 2014-2016. The datasets contains variables on intervention allocation and cluster code, socio-demographic information, feeding, growth, development, adherence outcomes, parent-child behaviours and details of the environment and social structures of the households.

SPRING Impact Assessment Pakistan data codebook

This data dictionary contains a record of the full list of variables in the STATA database "SPRING_ImpactAssessment_Pakistan.dta"

variable name definition/question/statement values label comments
masked_womanid unique ID for each woman (random, anonymised) integer 1-4814    
masked_childid unique ID for each child (random, anonymised) integer 1-5048    
spring spring intervention arm 0 control  
1 intervention  
sector randomisation unit (geographical area) integer 1-20    
datebirth_ym year and month of birth of child string YYYY.MM (Y-year, M-month)  
datedeath_ym year and month of death of child string YYYY.MM (Y-year, M-month)  
demogdate_ym year and month of date of visit at which demogrpahy data collected string YYYY.MM (Y-year, M-month)  
demography is = to 1 if child has full demography data 1/. yes/no  
mage_deliv mothers age in years at delivery integer    
noeduc mother no education 1/0 no education/some education  
dem_mother_educ mother number of years of education integer    
agehome age of child in months at time of 12 month assessment number (5dp)    
agebayley age of child in months at time of 18 month assessment number (5dp)    
sex gender of child 1/0 male/female  
num_born2 child is a twin/triplet 1/0 multiple birth/single birth  
facility is = 1 if child delivered in a facility 1/0 yes/no  
quintile wealth quintile (households ranked by wealthindex value) integer 1-5 1-poorest 5-least poor  
bottom2q is = 1 if child is in the poorest two quintiles (1 or 2) 1/0 yes/no  
wealthindex socio-economic status index number (7dp)   data reduction techniques  were used to create an index based on information about house construction, ownership of household items, land, animals and transport means, and water and sanitation infrastructure. Using principal components analysis, a coefficient is was assigned to each variable included in the asset index by means of an iterative model based on its importance in relation to the other variables. The sum of the coefficients for each household was then used to calculate the overall SES index
bclus_noeduc cluster average proportion mothers no education at baseline number (6dp)    
bclus_facdeliv cluster average proportion mothers delivered in facility at baseline number (6dp)    
bclus_stunt cluster average proportion children stunted at baseline number (6dp)    
home_inout eligible children assessed for HOME/Feeding at 12m of age 1/0/. assessed/not assessed/not eligible  
bay_inout eligible children assessed for BSID/Anthropometry at 18m of age 1/0/. assessed/not assessed/not eligible  
phq_inout eligible mothers assessed for PHQ9 at 12m  1/0/. assessed/not assessed/not eligible  
homeimpact status of mother-child dyad for 12m assessment 1 one or more 12m assessment done  
2 child died  
3 mum died  
4 child given away - ineligible  
5 moved out  
6 divorced/separated  
7 child has congenital malformations - ineligible  
8 mother ill at assessment  
9 child illat assessment  
10 refused/withdrawn  
11 assessment not done  
12 child unsettled  
13 child was non-index twin  
14 born after sample size met  
bayimpact status of mother-child dyad for 18m assessment 1 one or more 18m assessment done  
integer 2-14 as homeimpact  
phqimpact status of mother-child dyad for PHQ9 1 phq9 done  
integer 2-14 as homeimpact  
delivisit_ym year and month of date of visit at which delivery/post-birth outcomes collected (see comments for variables in question) string YYYY.MM (Y-year, M-month)  
noprelac no prelacteals given? 1/0 no prelacteals/prelacteals given data collected on surveillance (longitudinal follow-up) form. Added here for reference. Data also found in SPRING_ImpactFeedingfoll_Pakistan
bf1hr child breastfed within 1 hour of birth? 1/0 yes/no
exclbf child exclusively breastfed in the last 24hours (birth visit)? 1/0 yes/no
rec_mealfreq_b child recieved recommended number of meals for their age + breastfeeding status (birth visit)? 1/0 yes/no
mealtot_b total number of semisolid and solid meals yesterday (birth visit) integer  
bfany_b child breastfed in the last 24hours (birth visit)? 1/0 yes/no
complimentary6m child received solids/semisolids in last 24hrs (asked to children at 6m of age)? 1/0 yes/no
has0_5FEED child has full data in the delivery-6m feeding data sample 1/0 yes/no
has6_24FEED child has full data in the 6m-24m feeding data sample 1/0 yes/no
         
ass12date_ym year and month of date of visit at which 12m assessment (any) conducted string YYYY.MM (Y-year, M-month)  
ass18date_ym year and month of date of visit at which 18m assessment (any) conducted string YYYY.MM (Y-year, M-month)  
final12anthro child has complete anthropometry data at 12months? 1/. yes/no  
final18anthro child has complete anthropometry data at 18months? 1/. yes/no  
home_haz06 height for age z-score at 12m number (2dp)    
home_waz06 weight for age z-score at 12m number (2dp)    
home_whz06 weight for height z-score at 12m number (2dp)    
stunted18 child is <2 z-scores below average height-for-age at 18m 1/0 yes/no  
underweight18 child is <2 z-scores below average weight-for-age at 18m 1/0 yes/no  
wasted18 child is <2 z-scores below average weight-for-height at 18m 1/0 yes/no  
any_ciaf18 child is either stunted, underweight or wasted at 18m 1/0 yes/no  
underwaste18 child is wasted + underweight at 18m 1/0 yes/no  
understunt18 child is stunted + underweight at 18m 1/0 yes/no  
nourish18 child is neither stunted nor underweight nor wasted at 18m 1/0 yes/no  
all_ciaf18 child is stunted + underweight+ wasted at 18m 1/0 yes/no  
bay_haz06 height for age z-score at 18m number (2dp)    
bay_waz06 weight for age z-score at 18m number (2dp)    
bay_whz06 weight for height z-score at 18m number (2dp)    
diff_haz change in height for age z-score 12-18months number (2dp)    
diff_waz  change in weight for age z-score 12-18months number (2dp)    
diff_whz change in weihgt for height z-score 12-18months number (2dp)    
home12m child is in final HOME analysis sample 1/0 yes/no  
home total HOME score integer   Assessed when child was 12  months of age
responsive total score for HOME section on responsivity integer  
acceptance total score for HOME section on acceptance of child's behaviour integer  
organise total score for HOME section on organisation of environment integer  
learning total score for HOME section on learnig materials integer  
involve total score for HOME section on parental involvement integer  
variety total score for HOME section on variety integer  
home_conscious Did caregiver consciously encourage developmental advancement? 1/0/9 yes/no/HOME not done
home_praise Did caregiver spontaneously praise child? 1/0/9 yes/no/HOME not done
home_vocalize Did caregiver spontaneously vocalize to child at least twice during HOME visit? 1/0/9 yes/no/HOME not done
home_respond Did caregiver spontaneously respond to child’s vocalisations during HOME visit? 1/0/9 yes/no/HOME not done
  Did caregiver talk to child whilst doing housework? 1/0/9 yes/no/HOME not done
bsid18m child is in final 18m BSID II analysis sample 1/0 yes/no  
grossmotor raw score for gross motor assessment integer   Assessed when child was 18  months of age
finemotor raw score for fine motor assessment integer    
cogbayley raw score for cognitive assessment integer    
receptive raw score for receptive language assessment integer    
expressive raw score for expressive language assessment integer    
motor_comp final composite score for psychomotor development integer    
cog_comp final composite score for cognitive development integer    
lang_comp final composite score for language development integer    
gm_scale scaled score for gross motor assessment integer    
fm_scale scaled score for fine motor assessment integer    
cog_scale scaled score for cognitive assessment integer    
rl_scale scaled score for receptive language assessment integer    
el_scale scaled score for expressive language assessment integer    
delaym child is >1SD below the average psychomotor composite score? 1/0 yes/no  
delayl child is >1SD below the average language composite score? 1/0 yes/no  
delayc child is >1SD below the average cogntive composite score? 1/0 yes/no  
sdelaym child is >2SD below the average psychomotor composite score? 1/0 yes/no  
sdelayl child is >2SD below the average language composite score? 1/0 yes/no  
sdelayc child is >2SD below the average cogntive composite score? 1/0 yes/no  
gm_ratio gross motor developmental age ratio number (5dp)    
fm_ratio fine motor developmental age ratio number (5dp)    
co_ratio cognitive developmental age ratio number (5dp)    
rl_ratio receptive language developmental age ratio number (5dp)    
el_ratio expressive language developmental age ratio number (5dp)    
gm_delay gross motor developmental delay in months number (6dp)    
fm_delay fine motor developmental delay in months number (6dp)    
co_delay cognitive developmental delay in months number (6dp)    
rl_delay receptive language developmental delay in months number (6dp)    
el_delay expressive language developmental delay in months number (6dp)    
dev_gm_age developmental age of child for gross motor skills integer    
dev_fm_age developmental age of child for fine motor skills integer    
dev_cog_age developmental age of child for cognitive skills integer    
dev_rl_age developmental age of child for receptive language skills integer    
dev_el_age developmental age of child for expressive language skills integer    
feed12m child is in final 12m feeding analysis sample 1/0 yes/no  
missfeed child has missing 12month feeding data? 1/0 yes/no  
enrich Mother specifically enriches child's food with oil or butter? 1/0 yes/no  
food4grp child receiving 4 or more food groups yesterday 1/0 yes/no  
rec_mealfreq child receiving recommended number of meals 1/0 yes/no  
who_3recommend child following WHO criteria for minimum acceptable diet 1/0 yes/no  
mealtot total number of semisolid and solid meals yesterday integer   for children not breastfed, this additionally includes the number of milk feeds (formula/yoghurt, etc)
anyenrich Mother enriches child's food with any food item? 1/0 yes/no  
bfany child breastfed in the last 24hours? 1/0 yes/no  
breast_ever child ever breastfed since birth? 1/0 yes/no  
breast_times number of times child was breastfed integer    
other_breast did child take breastmilk another way (other woman, from a bottle, etc) 1/0 yes/no  
other_foods what other foods did the child receive in the last 24 hours?      
food_grains was the child given grains in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_pumpkin was the child given pumpkin, squash, carrot or other yellow vegetable  in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_roots was the child given potates or other roots in the last 24hrs 1/2/8/9 yes/no/don't know/not eligible  
food_darkgreen was the child given spinach, radish leaves or other green vegetables in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_mangoes was the child given mangoes, papaya, peaches, loquat, apricot, persimmon or oranges in the last 24 hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_otherfruits was the child given any other fruits or vegetables in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_organs was the child given organ meat (gizzard, tripe, etc) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_meat was the child given any meat in the last 24hrs (beef, chicken etc)? 1/2/8/9 yes/no/don't know/not eligible  
food_eggs was the child given eggs in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_fish was the child given any seafood (fish/crustaceans) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_beans was the child given any pulses (beans, lentils peas) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_cheese was the child given any dairy products in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_oil was the child given any oils or fats in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_chocolate was the child given any sweets or chocolates in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
food_spices was the child given any condiments (pepper, chilles herbs, etc) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
anysolids was the child given any solid or semisolid food in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
timessolids how many times was the child given solid/semisolid food in the last 24hrs? integer    
quantityeaten how much of the above foods did the child eat in the last 24hrs? 1 1 bowl  
2 3/4 bowl  
3 1/2 bowl  
4 1/4 bowl  
5 >1 bowl  
6 <1/4 bowl  
9 not eligible  
formulamilk was the child given formula milk in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
formulamilk_times how many times was the child given formla milk in the last 24hrs? integer    
milk was the child given other milk (powdered, or fresh animal milk) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
milk_times how many times was the child given other milk in the last 24hrs? integer    
juices was the child given fruit juice or squash in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
yogurt was the child given yoghurt in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
yogurt_times how many times was the child given yoghurt in the last 24hrs? integer    
water_based was the child given any water-based drinks (herbal tea, gripe water, etc) in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
sodas was the child given soda/fizzy drinks in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
other_liquids was the child given anything else to drink in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
drinknipple was the child given anything to drink from a bottle with a nipple in the last 24hrs? 1/2/8/9 yes/no/don't know/not eligible  
heard_enhance have you heard of things you cando to enhance nutritional value of child's food? 1/2/8/9 yes/no/don't know/not eligible  
ever_enhance have you ever enhanced the nutritional value of child's food 1/2/8/9 yes/no/don't know/not eligible  
freq_enhance how often do you enhance the nutritional value of the child's food? 1/2/3/9 monthly/weekly/daily/not eligible  
kurkure did the child have crisps/Kurkure/s;anty in the last 7 days? 1/2/8/9 yes/no/don't know/not eligible  
sweets did the child have any sweets/chocolate in the last 7 days? 1/2/8/9 yes/no/don't know/not eligible  
fizzy did the child have any fizzy drinks in the last 7 days? 1/2/8/9 yes/no/don't know/not eligible  
finalphq child-mother dyad is in final PHQ9 analysis sample 1/0 yes/no  
totphq9 total PHQ9 score integer    
mod2sev_dep mother has moderate to severe depression? 1/0 yes/no  
suicide mother had thoughts that she would be better off dead, or of hurting herself in some way at least  several days in last 2 weeks 1/0 yes/no  
depress mother reaches or passes threshold for depression? 1/0 yes/no  
sevmodsev_dep mother has moderately severe or severe depression? 1/0 yes/no  
sevdepress mother has severe depression? 1/0 yes/no  
difficult mother has at least some difficulty in doing work, take care of things at home, or getting along with other people? 1/0 yes/no  
vdifficult mother finds it very or extremely difficult to do work, take care of things at home, or get along with other people? 1/0 yes/no  
phq_fatigue Feeling tired or having little energy? 0 not at all All PHQ9 questions refer to the past 2 weeks. PHQ9 survey conducted at 12 months post-delivery
1 several days  
2 more than half the days  
3 nearly every day  
9 not eligible/form not completed  
phq_appetite Poor appetite or overeating? 0/1/2/3/9 as phq_fatigue  
phq_sleep Trouble falling or staying asleep or sleeping too much? 0/1/2/3/9 as phq_fatigue  
phq_movement Moving or speaking so slowly that people could have noticed? Or being so restless that you move around a lot more than usual? 0/1/2/3/9 as phq_fatigue  
phq_conc Trouble concentrating on things, such as reading the newspaper or watching the television?  0/1/2/3/9 as phq_fatigue  
phq_pleasure Little interest or pleasure in doing activities you enjoyed previously? 0/1/2/3/9 as phq_fatigue  
phq_down Feeling depressed, hopeless or low in mood? 0/1/2/3/9 as phq_fatigue  
phq_self Feeling bad about yourself – or that you are a failure or have let yourself or your family down? 0/1/2/3/9 as phq_fatigue  
phq_hurt Thoughts that you would be better off dead, or of hurting yourself in some way? 0/1/2/3/9 as phq_fatigue  
phq_diff Considering the problems you have told me about, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? 1 not at all  
2 somewhat difficult  
3 very difficult  
4 extremely dfficult  
9 not applicable/not eligible/form not completed  
finalsoc child-mother dyad is in final Dukes' analysis sample 1/. yes/no or not eligible  
dukesupp Dukes overall support score (%) number (5dp)    
supp_duke_fam Dukes family support score (%) number (5dp)    
supp_duke_nonf Dukes non-family support score (%) number (5dp)    
dukestr Dukes overall stress score (%) number (5dp)    
str_duke_fam Dukes family stress score (%) number (5dp)    
str_duke_nonf Dukes non-family stress score (%) number (5dp)    
sp1b how suportive is your husband nowadays? 0/1/2 not at all/some/a lot All support questions are asked only if woman indicates she has the relative or friend in question. Dukes' survey conducted at 18m post delivery
sp2b how suportive are your children nowadays? 0/1/2 not at all/some/a lot  
sp3b how suportive are your parents or grandparents nowadays? 0/1/2 not at all/some/a lot  
sp4b how suportive are your brothers or sisters nowadays? 0/1/2 not at all/some/a lot  
sp5b how suportive are your other blood relatives (e.g., uncle, aunty, cousin) nowadays? 0/1/2 not at all/some/a lot  
sp6b how suportive are your relatives by marriage (e.g., parents-in-law, sister or brother-in-law) nowadays? 0/1/2 not at all/some/a lot  
sp7b how suportive are your neighbours nowadays? 0/1/2 not at all/some/a lot  
sp8b_new how supportive are the government or non-government workers who visit nowadays? 0/1/2 not at all/some/a lot  
sp9b how supportive are the welfare/religious groups you are part of nowadays? 0/1/2 not at all/some/a lot  
sp10b how supportive are your other friends nowadays? 0/1/2 not at all/some/a lot  
sp11a_new do you have a particular person who you trust and can go to with personal difficulties? 2/0 yes/no  
sp12b is this person a family member or not?  1/2 family member/non family member  
st1b how stressed do you feel by your husband nowadays? 0/1/2 not at all/some/a lot All stress questions are asked only if woman indicates she has the relative or friend in question. Dukes' survey conducted at 18m post delivery
st2b how stressed do you feel by your children nowadays? 0/1/2 not at all/some/a lot  
st3b how stressed do you feel by your parents or grandparents nowadays? 0/1/2 not at all/some/a lot  
st4b how stressed do you feel by your brothers or sisters? 0/1/2 not at all/some/a lot  
st5b how stressed do you feel by other blood relatives (e.g., uncle, aunty, cousin)  nowadays? 0/1/2 not at all/some/a lot  
st6b how stressed do you feel by your relatives by marriage (e.g., parents-in-law, sister or brother-in-law) nowadays? 0/1/2 not at all/some/a lot  
st7b how stressed do you feel by your neighbours nowadays? 0/1/2 not at all/some/a lot  
st8b_new how stressed do you feel by the government or non-government workers who visit nowadays? 0/1/2 not at all/some/a lot  
st9b how stressed do you feel by the welfare/religious groups you are part of nowadays? 0/1/2 not at all/some/a lot  
st10b how stressed do you feel by your other friends nowadays? 0/1/2 not at all/some/a lot  
st11a_new do you have a particular person who causes the most stress for you? 2/0 yes/no  
st12b is this person a family member or not?  1/2 family member/non family member  
matknow18m child-mother dyad is in final maternal knowledge analysis sample 1/0 yes/no or not eligible  
knowledge mother overall knowledge score number (5dp)    
know_bf mother knowledge score for subsection on breasteeding (%) number (5dp)    
know_cfeed mother knowledge score for subsection on complementary feeding (%) number (5dp)    
know_stim mother knowledge score for subsection on child stimulation (%) number (5dp)    
mk1 Breast-feeding in the first hour after birth helps make the newborn stronger against diseases 1/0 yes/no or don't know  
mk2 Feeding colostrum to the newborn makes him healthy. 1/0 yes/no or don't know  
mk3 If a good quality pre lacteal is selected, it makes the child healthier and stronger. 1/0 no/yes or don't know  
mk4 During breast-feeding, it is important not to make eye-contact with the child so that s/he is not distracted from feeding 1/0 no/yes or don't know  
mk5 Playing with a 4-month-old child with a rattle improves his sense of hearing. 1/0 yes/no or don't know  
mk6 Exclusive breast-feeding for the first six months of life doesn’t fulfill all the nutritional needs of a growing child 1/0 yes/no or don't know  
mk7 While doing house chores like cooking, washing and cleaning, it is important to continue to chat and play with your child, even though you are busy 1/0 yes/no or don't know  
mk8 Any dietary additions to breast-milk during a child’s first six months can cause damage to his kidneys and stomach 1/0 yes/no or don't know  
mk9 Soft/mushy food should be introduced to a child at the age of 6 months 1/0 yes/no or don't know  
mk10 New foods should be introduced to a 6- month-old child one-at-a-time( for example: rice, porridge, meat, fruits, vegetables) 1/0 yes/no or don't know  
mk11 Breast feeding is only required for child in the first year. 1/0 no/yes or don't know  
mk12 The best way to get a child to behave is to praise him when he does something good. 1/0 yes/no or don't know  
mk13 Chatting with your child and singing lullabies, kalma, naat (poems and songs) etc will help him to learn 1/0 yes/no or don't know  
mk14 A crawling child should be scolded when he puts something in his mouth 1/0 no/yes or don't know  
mk15 Too much love and attention will spoil a young child 1/0 no/yes or don't know  
mk16 There is no need to give toys to children less than 1 year old 1/0 no/yes or don't know  
mk17 If a 14-month-old child wants a snack other than meal time, give him toffee, chips or fizzy/juice drinks 1/0 no/yes or don't know  
mk18 When teaching a 14 months old child- it is better to discipline him for his mistakes. 1/0 no/yes or don't know  
mk19 As soon as an 18-month-old child begins to eat 3 proper meals with elders, his breastfeeding should be stopped 1/0 no/yes or don't know  
mk20 A 7-month old who spits out his food is not yet ready to start feeding. 1/0 no/yes or don't know  
mk21 Meal times should focus on feeding, games and chatting are distracting. 1/0 no/yes or don't know  
mk22 An 8-month old who is fed the same thing each day, will get used to the taste and eat better. 1/0 yes/no or don't know  
mk23 Children older than 6 months need a variety of food to stay healthy. 1/0 yes/no or don't know  
mat_agencycap child is in final maternal agency and capability analysis 1/0 yes/no or not eligible  
n_agency score: extent to which the mother's actions are determined by her own intrinsic motivation as opposed to external pressure by others number 0-1 (7dp)   The maternal agency score is calculated based on i10 items repeated over three domains of life: work, household chores and health care seeking. In each domain, 4 items reflect internal motivation, while 6 reflect external motivation. To calculate the maternal agency score, a weighted sum is taken over all 10 items. Items reflecting internal motivation are weighted +1, and items reflecting external motivation are weighted - 2/3. After obtaining scores on each domain separately, the domain-specific scores are summed to obtain an overall agency score, with a minimum value of -12 and a maximum value of 12. To aid comparison, the  raw score is normalised to a scale of 0-1
n_capabilities score: extent to which a mother is able to achieve important and valued ‘functionings’ number 0-1 (7dp)   5 items relating respectively to security, love, independence, achievement and enjoyment are rated on a 4-point Likert scale and coded from 1 (least amount of security, love, etc.) to 4 (maximal amount of security, love, etc.). The score is calculated using published factor weights.  To ease the comparison the raw scores is normalised to a scale of 0-1