Adolescent Transition West Africa
- Conditions
- Adolescent Development
- Interventions
- Behavioral: ATWA
- Registration Number
- NCT05396664
- Lead Sponsor
- University of California, San Diego
- Brief Summary
This trial will serve as an outcome evaluation of 'Adolescent Transition in West Africa' (ATWA), a school-based program in Mali, Burkina Faso, and Niger for adolescents ages 10-19. The overall objectives of the project are as follows: Impact: Improved sexual and reproductive health and rights of 472,180 adolescents. Outcome 1: Improved sexual and reproductive health and rights and gender equality knowledge, intent, and behaviors among 472,180 adolescents. Outcome 2: 500 health facilities offer quality adolescent responsive SRH services that are used by adolescent girls and boys. To evaluate program impact, an external evaluation will be conducted. A pre/post cross-sectional evaluation design will be used across two evaluation years.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 10000
- Enrolled in primary or secondary school
- Participating in community group (Niger only)
- Aged 10 to 19
- Not enrolled in school (Mali and Burkina Faso)
- Younger than age 10
- Older than age 19
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention ATWA The ATWA LSE program will be implemented following a joint curricula development process with approval from the government in each of the three countries. The 'dose' of the intervention are once-weekly hour-long sessions for both in-school adolescents (session facilitated by teachers) and out-of-school adolescents (sessions facilitated by community leaders) over the course of the academic year (roughly 9 months), or roughly 30 sessions of exposure to the in-depth LSE curriculum.
- Primary Outcome Measures
Name Time Method Impact 2. Decrease in proportion of adolescents who have ever been pregnant or caused a pregnancy Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 The percent of adolescent females who have ever been pregnant + the percent of adolescent males who have ever caused a pregnancy
Impact 3. Increase in need for family planning satisfied with modern contraception Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Indicator definition 3A: Percentage of \[sexually active\] adolescents age 15-19 years currently married or in union who have their need for family planning satisfied with modern contraceptive methods Indicator definition 3B: Percentage of female adolescents (15-19) who are sexually active and who have their need for contraception satisfied with modern methods
Impact Indicator 1. Decrease in adolescent birth rate Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 The average number of births to female respondents ages 15-19
Impact 5. Decrease in proportion of adolescents married Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Indicator definition 5A: Percentage of women 10-19 years old living with spouse before age 18.
Indicator definition 5B: Percentage of women 10-19 years old living with spouse before age 15.Outcome 1.6. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents with correct knowledge about body changes during puberty, the menstrual cycle, fertility and conception, pregnancy risk and prevention, as assessed via a 9-item composite indicator
Output 1.2.1. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of girls and boys that can correctly answer a basic set of four yes/no questions about menstruation
Outcome 1.5. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Average number of modern contraceptive methods known among women 10-14 and 15-19 years old
Outcome 1.10. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of girls who report properly disposing of absorbent materials (sanitary napkins or menstrual cloth) (denominator = the total number of girls who use absorbent materials (sanitary napkins or menstrual cloth))
Impact 4. Increase in adolescent modern contraceptive prevalence rate Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 The percent of sexually active adolescents (15-19) who are currently using (or whose partner is using) a modern contraceptive method. "Currently" is defined as 'at last sex'
Outcome 1.1. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents who respond yes to planning to use modern contraception in the future, disaggregated by method
Outcome 1.2. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of sexually active adolescents reporting using a condom at last sex
Outcome 1.4. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents with significant increase from baseline to end-line in average score on a 6-item gender equitable attitude scale
Outcome 1.7. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents with correct knowledge about STI risk and prevention and treatment, assessed using a composite indicator of 4 questions on STI prevention and treatment
Outcome 1.3. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of sexually active unmarried adolescents who respond yes to having used a condom every time they had sex in the last 6 months
Outcome 1.8. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents with comprehensive knowledge of HIV prevention, assessed using a composite indicator of 6 questions on HIV prevention
Outcome 1.9. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of adolescents with knowledge of where to seek SRH services, including where to get tested for HIV, where to get condoms, and where to get contraceptives
Outcome 1.11. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of girls who report hygienically washing and drying reusable menstrual cloth (denominator = number of girls who washed and reused menstrual materials)
Output 1.2.2. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of girls that can answer a set of five questions correctly about how to hygienically manage menses
Output 1.2.3. Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023 Proportion of girls and boys that answer a question correctly regarding that menstruation is a normal biological function of the female body
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (3)
Save the Children, Burkina Faso
🇧🇫Ouagadougou, Burkina Faso
Save the Children, Mali
🇲🇱Bamako, Mali
Save the Children, Niger
🇳🇪Niamey, Niger