Evaluation of “Biruh Tesfa” (Bright Future) program for vulnerable girls in Ethiopia

Erulkar, Annabel; Ferede, Abebaw; Girma, Woldemariam; Ambelu, Worku

doi:10.1080/17450128.2012.736645

Cited by 26 publications

(49 citation statements)

References 9 publications

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“…age 17.549 women; pre-test, post-test; 6-month follow-up; no randomisation* Use condom with primary partner: post 38% vs pre 67% ( p = 0.35)*Currently sexually active: post 22% vs pre 18% ( p = 0.79)* Power in sexual relationship: post 50% vs pre 11% ( p = 0.79)* Power in non-sexual relationship: post 38% vs pre 5% ( p = 0.04) Bandiera et al [60]Life skills training; vocational training; microfinanceUgandaAdolescent girls; av. age 164800 adolescent girls; 100 communities randomly assigned to intervention or control; 2-year follow-up* Improved condom use ( p < 0.05)* 76% reduction in unwilling sex ( p < 0.01)Erulkar and Chong [61]Modified microfinance; mentoring; life skillsKenyaGirls out-of-school 16–22326 matched pairs; interviews as exited programme – mixed follow-up time* Condom use at last sex: at endline TRY = 52.1% vs control = 44.3% (N.S)* Able to refuse sex to spouse/partner: at endline TRY = 80.3% vs control = 71.6% ( p < 0.05) Souverein et al [62]Comprehensive sex worker community mobilisation, including STI prevention and treatment, crisis support and microfinanceIndiaFemale sex workers17,092; using entry and exit from systems, 2005–2010; descriptive study* Significant reduction in STIs ( p < 0.001)*Increase in condom use ( p < 0.001) Odek et al [63]Existing peer education intervention on HIV; microfinanceKenyaFemale sex workers; av. age: 41.09227 women; 2-year follow-up; pre-test, post-test; no randomisation* Reduction in number of sexual partners in past week ( p < 0.001)* Reduction in number of casual partners ( p = 0.098)* Reduction in number of regular partners ( p < 0.001)* No impact on condom use with casual partners ( p = 0.727)* Increase in condom use with regular partners ( p = 0.031) Witte et al [64]34-session HIV sexual risk reduction intervention; microfinance; vocational trainingMongoliaFemale sex workers; av.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies were undertaken in SSA, three in Asia and one in Latin America. Study design varied: six were RCTs [54–57,60,64], four were quasi-experimental [59,61–63,76] and one was cross-sectional [58]. The additional gender transformative components varied widely.…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, the first generation of interventions with adolescent girls and young women showed many of the challenges, with flat or underwhelming outcomes [59,61]. Yet as lessons have been learnt and interventions have been modified, programmes with adolescent girls are increasingly showing positive outcomes [67,68].…”

Section: Discussionmentioning

confidence: 99%

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A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

113

112

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Background: Intimate partner violence (IPV) and HIV are co-occurring global epidemics, with similar root causes of gender and economic inequalities. Economic interventions have become a central approach to preventing IPV and HIV.Objective/Methods: We undertook a comprehensive scoping review of published evaluations of economic interventions that sought to prevent IPV and/or HIV risk behaviours.Results: Forty-five separate analyses of interventions met our criteria. Broadly, unconditional cash transfer interventions showed either flat or positive outcomes; economic strengthening interventions had mixed outcomes, with some negative, flat and positive results reported; interventions combining economic strengthening and gender transformative interventions tended to have positive outcomes.Conclusions: The review highlighted a number of gaps. Specifically, there were limited studies evaluating the impact of economic interventions on female sex workers, young women, and men. In addition, there were missed opportunities, with many evaluations only reporting either IPV- or HIV-related outcomes, rather than both, despite overlaps.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Gibbs

Jacobson²,

Wilson³

2017

Global Health Action

113

112

View full text Add to dashboard Cite

show abstract

“…12,13 Age range varied in that some programs included both younger and older adolescents (e.g. ages 10-19 in Ethiopian Biruh Tesfa and Berhane Hewan) 9,14 while others targeted a narrower age-range (e.g., high-school students in Prime Time, USA). 15 Many programs were developed for specific populations: adolescents at high risk for delinquency (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…PATHS, USA), 16 early pregnancy (e.g., Prime Time), 15 or out-of-school migrant girls (e.g., Biruh Tesfa, Ethiopia). 14 Adolescents growing up in poverty were also frequently targeted. 17-19 Most programs were delivered to both males and females, but some (n=3) focused only on girls, specifically in rural, poor areas.…”

Section: Resultsmentioning

confidence: 99%

Comprehensive Adolescent Health Programs That Include Sexual and Reproductive Health Services: A Systematic Review

et al. 2014

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Objectives To describe the characteristics and evidence of comprehensive adolescent health (CAH) programs encompassing sexual and reproductive and other health services, educational and social support. Methods Systematic review of peer-reviewed and grey literature on CAH programs (1998-2013). Only programs with experimental, quasi-experimental or pre-post evaluations were included. Two independent reviewers screened 36,119 records and extracted articles using predefined criteria. Data was synthesised into descriptive characteristics; quality was assessed by evidence level (rigorous, strong, modest). Results Data was extracted on 46 programs (181 studies) of which 19 programs were defined as comprehensive; 9 were excluded due to insufficient evaluations. Ten CAH programs met all inclusion criteria. Most were US based; others were implemented in Egypt, Ethiopia and Mexico. Few programs (N=3) displayed rigorous evidence, 5 had strong and 2 had modest evidence. All programs with rigorous/strong evidence directly or indirectly influenced adolescent sexual and reproductive health. Common elements of these programs included: long-term commitment to adolescents, interpersonal connections, community mobilization, and skill-building elements. Conclusion The long term impact of many CAH programs cannot be proven due to insufficient evaluations. Evaluation approaches that take into account the complex operating conditions of many programs are needed to better understand mechanisms behind program effects.

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Financial education for HIV‐vulnerable youth, orphans, and vulnerable children: A systematic review of outcome evidence

Lee¹,

Stücklin²,

Rodríguez

et al. 2020

Campbell Systematic Reviews

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Problem According to Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization, HIV is the leading cause of youth mortality in Africa, and the second cause of death among young people worldwide. Global commitments to reverse the HIV epidemic will only be achieved if strategies prioritize children and youth. Relevant evidence reviews found mixed evidence that HIV prevention may be addressed through economic strengthening activities such as financial education for youth. There was some evidence related to the potential for plural interventions that include both financial and sexual, reproductive health education. However, there is limited quality evidence that focused on HIV vulnerable youth in low‐ and middle‐income countries (LMICs). Aims This systematic review assessed the scope and strength of evidence for financial education and plural interventions aimed at reducing HIV vulnerability for youth, orphans and vulnerable children (OVC) in LMICs. Methods Standard methodological procedures expected of systematic reviews were used. Six scientific and 24 grey literature sites were searched for relevant studies in English, French, Spanish and Arabic published between 1990 and 2016. Experimental and quasi‐experimental research methods were considered where data was gathered at baseline and at least 6 months after the end of the intervention. Mixed‐methods studies were considered provided they demonstrated validity in terms of randomization, appropriate sampling and controls, and minimization of bias errors and attrition. Evidence was then analysed and mapped to show types of financial and plural interventions by outcome type, direction and strength of evidence through qualitative assessments by the team. In addition, meta‐analysis of odds ratios was conducted to validate the strength of evidence. This analysis illustrated the relative effect or weight of interventions on HIV‐related outcomes based on confidence levels and sample sizes. Results Of 5,216 records, 16 moderate to higher quality studies representing 10 interventions were identified, mostly focusing on HIV‐vulnerable girls in Sub‐Saharan Africa. More than half of the interventions were plural and included access to finance and counselling or supports to improve confidence, negotiating ability and social conditions. Most studies used an experimental design. Only 11 of the 16 studies had comparable enough measures to be validated with meta‐analysis of odds ratios. Findings The strongest evidence showed plural education interventions with self‐efficacy supports, with and without savings to have positive effects on HIV‐related outcomes. These outcomes included improved knowledge, attitudes and reduced sexual risk‐taking behaviour. Evidence also showed improved self‐efficacy from plural interventions, the changes in confidence, negotiating ability and social conditions that enable people to act on knowledge. Self‐efficacy seems important as both a set of conditions to support reduced vulnerabilities and a way to measure them i...

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Evaluation of “Biruh Tesfa” (Bright Future) program for vulnerable girls in Ethiopia

Cited by 26 publications

References 9 publications

A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

A global comprehensive review of economic interventions to prevent intimate partner violence and HIV risk behaviours

Comprehensive Adolescent Health Programs That Include Sexual and Reproductive Health Services: A Systematic Review

Financial education for HIV‐vulnerable youth, orphans, and vulnerable children: A systematic review of outcome evidence

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