Impact Evaluation of Türkiye's Adolescent Girls' and Boys' Empowerment Programme for Elimination of Child Marriage
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- UNICEF
- 入组人数
- 820
- 试验地点
- 1
- 主要终点
- Proportion of girls married or cohabiting
研究概览
简要总结
Low income, refugee, displaced and disaster affected populations face a variety of protection risks, including higher risk of child, early and forced marriage and unions (CEFMU). This is the case in Türkiye, where low income, refugee populations and those affected by the 2023 earthquake in Southern and Central Türkiye face elevated risk of child marriage. As part of the UNICEF Türkiye Country Office (TCO) commitment to implement comprehensive interventions that aim to contribute to a change in social norms and attitudes towards gender equality, the CO and partners have developed the "Adolescent Girls' and Boys' Empowerment for Elimination of Child Marriage" program (hereafter "the program"). The program is an 8-week group-based empowerment and life skills training for adolescent girls aged 12 - 18 years old, a 4-session adolescent boys awareness training, and a one-time awareness raising seminar for caregivers. The current trial has the overall objective of evaluating the short-term causal impact of the program with respect to CEFMU and related outcomes for adolescent girls. The trial design is an individual randomized control trial, allocating 820 households with adolescent girls to either treatment or control on a 1:1 basis. The primary data collection includes a pre- and post-intervention caregiver and adolescent face-to-face survey, as well as a one-time qualitative data collection. The trial results will inform the future operation and scale-up of the program, as well as contribute to the broader evidence base on what works to increase the empowerment of adolescent girls and reduce CEFMU.
详细描述
Low income, refugee, displaced and disaster affected populations face a variety of protection risks, including higher risk of child, early and forced marriage and unions (CEFMU). This is the case in Türkiye, where low income, refugee populations and those affected by the 2023 earthquake in Southern and Central Türkiye face elevated risk of child marriage. As part of the UNICEF Türkiye Country Office (TCO) commitment to implement comprehensive interventions that aim to contribute to a change in social norms and attitudes towards gender equality, the CO and partners have developed the "Adolescent Girls' and Boys' Empowerment for Elimination of Child Marriage" program (hereafter "the program"). The program is an 8-week group-based empowerment and life skills training for adolescent girls aged 12 - 18 years old, a 4-session adolescent boys awareness training and a one-time awareness raising seminar for caregivers. The current trial has the overall objective of evaluating the short-term causal impact of the program with respect to CEFMU and related outcomes for adolescent girls. The trial seeks to answer the following evaluation questions:
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- Does the program improve participant adolescent girls' agency, self-confidence, and gender-equitable attitudes (including for CEFMU), and to what extent?
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- Does the program improve the household enabling environment, including gender-equitable attitudes (including CEFMU), social support, protective behaviors against CEFMU, and use of social services among participating caregivers and in the broader community, and to what extent?
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- Does the program reduce CEFMU for adolescent girls, and to what extent?
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- Through which pathways (or combination of pathways) do potential impacts occur?
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- Was the program implemented in a manner to maximize potential impacts? and
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- What is the return-on-investment (cost-benefit calculation) for the program? The trial design is an individual randomized control trial, allocating 820 households with adolescent girls to either treatment or control on a 1:1 basis. The primary data collection includes a pre- and post-intervention caregiver and adolescent face-to-face survey, as well as a one-time qualitative data collection. The trial results will inform the future operation and scale-up of the program, as well as contribute to the broader evidence base on what works to increase the empowerment of adolescent girls and reduce CEFMU.
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
- Double (Participant, Outcomes Assessor)
盲法说明
Participants will be masked at baseline only, as there is no placebo treatment, thus participants will know their status by follow-up.
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •(primary study participant, however note that primary female caregivers and siblings will be invited to participate in the study pending inclusion of primary study participant):
- •Adolescent girls aged 12 - 17 years
- •Unmarried girls
- •Have never previously been exposed to the intervention
- •Live in a family or household with at least one adult caregiver
- •Live in a family who are social service clients of the implementing partner
- •Live in a family who are risk-assessed as 'low' or 'medium' on the family risk assessment tool
- •Live in a family which is planning on staying in the catchment area of the intervention in the subsequent 6-months
排除标准
- •Adolescent girls younger than 12 or older than 17 years
- •Girls who are married or cohabiting
- •Previously been exposed to the intervention
- •Are in institutionalized or non-family-based care
- •Live in a family who are not social service clients of the implementing partner
- •Live in a family who are risk-assessed as 'high' or 'highest' on the family risk assessment tool
- •Live in a family which is planning on moving outside the catchment area of the intervention in the subsequent 6-months
研究组 & 干预措施
Adolescent Girls' and Boys' Empowerment Program
Adolescent Girls' and Boys' Empowerment Program for Elimination of Child Marriage
干预措施: Adolescent Girls' and Boys' Empowerment Program (Behavioral)
Control
Business as usual (delayed intervention, post-trial - if funding allows)
结局指标
主要结局
Proportion of girls married or cohabiting
时间窗: Baseline and 8-weeks post-intervention
Marriage or cohabitation status measured among adolescent girls
Score on new general self-efficacy scale (short form, higher is better)
时间窗: Baseline and 8-weeks post-intervention
Eight-item scale asking about internal efficacy, with response options on a five-point scale, ranging from 1 = strongly disagree, to 5 = strongly agree (score ranges from 8 - 40). Widely used scale for individual ability to achieve goals across a range of different situations, despite difficulties. Interpreted as a sub-component of the construct of adolescent girls' agency.
Score on decision-making scale (higher is better)
时间窗: Baseline and 8-weeks post-intervention
Ten-item scale asking about freedom to make choices across domains, with response options on a four-point scale, ranging from 1 = not at all, to 4 = a large extent (score ranges from 10 - 40). Adapted from the program version of the women's empowerment in agriculture index (pro-WEAI) to include adolescent-specific questions, previously piloted in Ethiopia among male and female youth. Interpreted as a sub-component of the construct of adolescent girls' agency.
Score on voice scale (higher is better)
时间窗: Baseline and 8-weeks post-intervention
Eight-item scale asking about girls' ability to share feelings and speak up in different scenarios, with response options on a four-point scale, ranging from 1 = never, to 4 = all of the time (score ranges from 8 - 32). Voice scale is adapted from Global Early Adolescent Survey and interpreted as a sub-component of the construct of adolescent girls' agency.
Score on child marriage attitudes scale (higher is better)
时间窗: Baseline and 8-weeks post-intervention
Thirteen-item scale developed and piloted in Türkiye by the author team to measure child marriage attitudes, with response options on a four-point scale, ranging from 1 = strongly disagree to 4 = strongly agree. The scale is measured among adolescent girls and boys, as well as their caregivers (score ranges from 13 - 52).
次要结局
- Scale of perceived social support (higher is better).(Baseline and 8-weeks post-intervention)
- The Balanced Cohesion subscale of the Family Adaptability and Cohesion Evaluation Scale (higher is better)(Baseline and 8-weeks post-intervention)
- The Revised Family Communication Pattern Instrument Conversation Orientation Sub-scale (higher is better)(Baseline and 8-weeks post-intervention)
- Score on willingness to intervene and speak out for girls' scale (higher is better)(Baseline and 8-weeks post-intervention)
- Linkages to services scale (higher is better)(8-weeks post-intervention)