Effects of economic support, comprehensive sexuality education and community dialogue on sexual behaviour: Findings from a cluster-RCT among adolescent girls in rural Zambia

Hegdahl, Hanne K.; Musonda, Patrick; Svanemyr, Joar; Zulu, Joseph Mumba; Grønvik, Taran; Jacobs, Choolwe; Sandøy, Ingvild Fossgard

doi:10.1016/j.socscimed.2022.115125

Cited by 13 publications

(16 citation statements)

References 46 publications

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“…Study conducted in Zambia reported that intervention that comprised education and wealth components (financial support to families and girls, tuition, and material support) reduced incidence of marriage before the age of 18 by 14% when compared to the control arm with no intervention. This difference was not statistically significant (47).…”

Section: Programs/projects That Comprised Two Componentsmentioning

confidence: 70%

“…The study reported that incidence of marriage before the age of 18 was 21% lower among the arm exposed to combinations of intervention that comprised economic support for families and tuition and material support for girls, and sexual and reproductive health education when compared to the control arm with no intervention. This change was not statistically significant (47).…”

Section: Controlmentioning

confidence: 73%

“…Out of the studies that comprised four component intervention, three of them reported on marriage outcomes. These projects were conducted in Kenya (46), Ethiopia (45) and Zambia (47). Surprisingly, the effect of these comprehensive interventions comprising violence prevention, heath, education, and wealth components, was not significant when compared to single component intervention (violence prevention) alone.…”

Section: Effectiveness Of the Intervention On Child Marriagementioning

confidence: 99%

“…The five studies included under this category were conducted in Zambia (47,49), Uganda (34), Kenya (29) and Ethiopia (45). Some of these interventions focused on health/social and livelihood/wealth (34); some were focused on health/social and educational support (47); and others were focused in creating safe spaces and providing health vouchers (49). Some of these interventions were effective (34, 46) and some were not (47).…”

Section: Programs/projects That Comprised Two Componentsmentioning

confidence: 99%

“…Some of these interventions focused on health/social and livelihood/wealth (34); some were focused on health/social and educational support (47); and others were focused in creating safe spaces and providing health vouchers (49). Some of these interventions were effective (34, 46) and some were not (47). For instance, a four year follow up study conducted in Uganda reported a significant effect of empowerment and livelihood and life skills training and provision of reproductive health (RH) information (8 pp lower) compared to control communities that did not receive any of the interventions (34).…”

Section: Programs/projects That Comprised Two Componentsmentioning

confidence: 99%

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Effectiveness of interventions to reduce child marriage and teen pregnancy in sub-Saharan Africa: A systematic review of quantitative evidence

Feyissa

Tolu

Soboka

et al. 2023

Front. Reprod. Health

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IntroductionChild marriage and teen pregnancy have negative health, social and development consequences. Highest rates of child marriage occur in sub-Saharan Africa (SSA) and 40% of women in Western and Central Africa got married before the age of 18. This systematic review was aimed to fill a gap in evidence of effectiveness to reduce teen pregnancy and child marriage in SSA.MethodsWe considered studies conducted in sub-Saharan Africa that reported on the effect of interventions on child marriage and teen pregnancy among adolescent girls for inclusion. We searched major databses and grey literature sources.ResultsWe included 30 articles in this review. We categorized the interventions reported in the review into five general categories: (a) Interventions aimed to build educational assets, (b) Interventions aimed to build life skills and health assets, (c) Wealth building interventions, and (d) Community dialogue. Only few interventions were consistently effective across the studies included in the review. The provision of scholarship and systematically implemented community dialogues are consistently effective across settings.ConclusionProgram designers aiming to empower adolescent girls should address environmental factors, including financial barriers and community norms. Future researchers should consider designing rigorous effectiveness and cost effectiveness studies to ensure sustainability.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42022327397.

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Section: Programs/projects That Comprised Two Componentsmentioning

confidence: 70%

Section: Controlmentioning

confidence: 73%