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临床试验/NCT02415933
NCT02415933已完成不适用

Evaluating Child Protective Effects of Economic Strengthening and Child Rights Interventions Among Ultra-poor Families in Burkina Faso

University of Chicago1 个研究点 分布在 1 个国家目标入组 720 人开始时间: 2014年10月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
720
试验地点
1
主要终点
Change in Exposure to Child Abuse

研究概览

简要总结

This study tests the effects of family-based economic empowerment intervention, alone and in combination with child rights sensitization component, on child protective outcomes among ultra-poor families in Nord Region, Burkina Faso.

详细描述

This study evaluates a combined economic empowerment and child rights intervention to prevent violence against children and exploitation of children in ultra-poor communities in Burkina Faso. This evaluation study takes place in the Nord Region of Burkina Faso which is located in the Sahel Desert on the border to Mali. The Nord Region is characterized by extreme poverty and an ongoing food and nutrition crisis due to cyclical droughts. Extreme poverty heightens risks of violence and exploitation of children, particularly girls, who may end up in the worst forms of child labor as defined by the UN (e.g., slavery, debt bondage, forced or hazardous work in gold mines, cotton fields, or plantations in the Ivory Coast or in the South of Burkina Faso, involving physical deprivation and violence). About 1.25 million (or 37.8%) of children ages 5-14 in Burkina Faso are working to augment the incomes of their families, or because their families are too poor to support them. Adolescent girls being sent away to work as maids, facing risks of sexual exploitation and abuse. Boys being sent to religious schools madrassas, where they are made to do unpaid and/or hazardous work including begging in the street, and are subject to physical abuse.

The study employs a 3-arm cluster (group) randomized control trial design with baseline and one-year follow-up and includes 360 households (120 households per arm). Each selected household includes a female primary caregiver with a child between the ages of 10-15 who is also able to participate in the evaluation study. The study evaluates the efficacy of an economic empowerment program (Trickle Up) and a combination economic empowerment and child rights sensitization program (Trickle Up Plus) to prevent child separation and potential subsequent exposure to exploitation, abuse, and hazardous working conditions among children. Randomization occurred at the village level to assign households to three study arms: Trickle Up, Trickle Up Plus or the wait-list condition which serves as the control arm. Participants were recruited from 12 impoverished comparable villages that were selected based on socio-economic status (poverty ranking and food insecurity), geography, population size, and distance from urban center. Within these communities, families living in ultra-poverty were identified using a Participatory Wealth Ranking (PWR) exercise.

The evaluation study is implemented in partnership with the Trickle Up organization, Women's Refugee Council (WRC), and Aide aux Enfants et aux Families Démunies (ADEFAD).

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
Single (Outcomes Assessor)

入排标准

年龄范围
10 Years 至 15 Years(Child)
性别
All
接受健康志愿者
是

入选标准

  • •Households that meet the following eligibility criteria will be invited to participate in the study:
  • •Household meets locally defined poverty criteria (classified as an ultrapoor household);
  • •Mother or female caregiver of at least one child between the ages of 10 and
  • •Child is between the ages of 10 and
  • •Male head of household provides permission for his wife and child to participate in the study;
  • •Eligible child and female caregiver/parent can commit to study participation.

排除标准

  • •Household doesn't meet locally defined poverty criteria (classified as an ultrapoor household);
  • •Mother or female caregiver doesn't have at least one child between the ages of 10 and
  • •Child is not between the ages of 10 and
  • •Male head of household does not provide permission for his wife and child to participate in the study;
  • •Eligible child or mother/female caregiver cannot commit to study participation.
  • •Participants are also excluded from participation in the study if the child or the parent is assessed to have a cognitive impairment that would interfere with their ability to provide informed consent and participate in the study.

研究组 & 干预措施

Trickle Up

Experimental

Economic empowerment

干预措施: Trickle Up (Behavioral)

Trickle Up Plus

Experimental

Economic empowerment + child rights sensitization

干预措施: Trickle Up Plus (Behavioral)

Wait-list

No Intervention

Women in villages assigned to the control arm do not receive any intervention during the study period, but are placed on a wait-list to receive the intervention upon completion of the evaluation phase.

结局指标

主要结局

Change in Exposure to Child Abuse

时间窗: Baseline, 12 months, 24 months

Exposure to physical and emotional violence is measured using the International Society for the Prevention of Child Abuse and Neglect Screening Tool (Child Abuse Screening Tool, Children's Version / ICASTCH).

Change in Child Protection

时间窗: Baseline, 12 months, 24 months

Questions assess children's labor-related family separation, early and forced marriage, involvement in child labor and exposure to the Worst Forms of Child Labor (e.g. slavery, debt bondage, serfdom, transactional sex, forced or hazardous work). Questions adapted from International Labour Organization (ILO)'s Statistical Information and Monitoring Programme on Child Labour (SIMPOC) Survey.

次要结局

  • Change in Child Mental Health(Baseline, 12 months, 24 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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