Adolescent Transition West Africa: An Outcome Evaluation of a Gender and Sexual and Reproductive Health and Rights Intervention in Mali, Burkina Faso, and Niger
试验速览
- 阶段
- 不适用
- 入组人数
- 10,000
- 试验地点
- 3
- 主要终点
- Impact 2. Decrease in proportion of adolescents who have ever been pregnant or caused a pregnancy
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Enrolled in primary or secondary school
- •Participating in community group (Niger only)
- •Aged 10 to 19
排除标准
- •Not enrolled in school (Mali and Burkina Faso)
- •Younger than age 10
- •Older than age 19
结局指标
主要结局
Impact 2. Decrease in proportion of adolescents who have ever been pregnant or caused a pregnancy
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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.
时间窗: 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
次要结局
未报告次要终点
研究者
Jay G. Silverman, PhD
Professor
University of California, San Diego