Youth voices from an informal settlement of Nairobi, Kenya: Engaging adolescent perspectives on violence to inform prevention

Mphamba, Dumisile; Solomon, Faatimah Rifaat; Nyairo, Gavin; Kim, Candice Jeehae; Krishnamoorthi, Mahima; Edem, Blessing; Amuyunzu-Nyamongo, Mary; Kang, Jennifer L.; Baiocchi, Michael; Sarnquist, Clea

doi:10.1080/17441692.2022.2076895

Cited by 1 publication

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“…The sole exception was mandated reporting of violence against children, which is complicated in a setting where such mandates do not exist and reporting may endanger children further. Participant feedback on the intervention is not described here but was collected via previously published qualitative interviews (Mphamba et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Sexual Assault Among Young Adolescents in Informal Settlements in Nairobi, Kenya: Findings from the IMPower and SOS Cluster-Randomized Controlled Trial

Sarnquist,

Friedberg,

Rosenman

et al. 2023

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Sexual assault is a global threat to adolescent health, but empowerment self-defense (ESD) interventions have shown promise for prevention. This study evaluated the joint implementation of a girls’ ESD program and a concurrent boys’ program, implemented via a cluster-randomized controlled trial in informal settlements of Nairobi, Kenya, from January 2016 to October 2018. Schools were randomized to the 12-h intervention or 2-h standard of care. Students were randomly sampled to complete surveys at baseline and again at 24 months post-intervention. A total of 3263 girls, ages 10–14, who completed both baseline and follow-up surveys were analyzed; weights were adjusted for dropout. At follow-up, 5.9% (n = 194/3263) of girls reported having been raped in the prior 12 months. Odds of reporting rape were not significantly different in the intervention versus SOC group (OR: 1.21; 95% CI (0.40, 5.21), p = 0.63). Secondary outcomes, social self-efficacy (OR: 1.08; 95% CI (0.95, 1.22), p = 0.22), emotional self-efficacy (OR 1.07; 95% CI (0.89, 1.29), p = 0.49), and academic self-efficacy (OR: 0.90; 95% CI (0.82, 1.00), p = 0.06) were not significantly different. Exploratory analyses of boys’ victimization and perpetration are reported. This study improved on previous ESD studies in this setting with longitudinal follow-up of individuals and independent data collection. This study did not show an effect of the intervention on self-reported rape; findings should be interpreted cautiously due to limitations. Sexual assault rates are high in this young population, underscoring a dire need to implement and rigorously test sexual assault prevention interventions in this setting. The trial was registered with Clinical Trials.gov # NCT02771132. Version 3.1 registered on May 2017, first participant enrolled January 2017.

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Section: Methodsmentioning

confidence: 99%