Community-embedded Reproductive Health Care for Adolescents in Latin America (CERCA).
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9,625
- 试验地点
- 4
- 主要终点
- Self-reported use of modern contraceptives at 18 months of interventions.
研究概览
简要总结
Adolescents in Latin America are at major risk for unwanted pregnancies leading to unsafe abortions and maternal health risks. Mostly, adolescent health programmes tend to focus on unidirectional interventions aiming at a single determinant of adolescents´ sexual and reproductive health. However, evidence exists that a complex health problem should be addressed by an equally nuanced and multipronged response. Knowledge is lacking on how to develop a comprehensive approach to promote adolescents' sexual health.
The CERCA study will conduct an implementation based on the hypothesis that a comprehensive strategy of community-embedded interventions helps to improve the sexual health of adolescents. We will test this hypothesis and describe the development, implementation and testing of interventions in three Latin American cities: Cochabamba (Bolivia), Cuenca (Ecuador) and Managua (Nicaragua).
The research methodology has been designed based on the methodological frameworks of action research, community based participatory research and intervention mapping.
The interventions are complex addressing different target groups (adolescents, parents, authorities and health providers) and focussing on various behaviours that are related to communication about sexuality, information seeking, access to health care and safe sexual intercourse.
For the evaluation of effectiveness a randomised and non-randomised controlled study was developed for respectively Managua and the two other cities. Furthermore a process evaluation is conducted.
This research will result in a framework that will contribute to the planning of interventions that are effective and responsive to adolescents' sexual health needs.
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
- 13 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nicaragua - adolescents aged 13-18 living in the 33 town districts of Managua with a population number that varies between 1400 and 4500 inhabitants and with more than 50 % poor people.
- •Bolivia and Ecuador: Students from conveniently selected secondary schools in Cochabamba (Bolivia) and Cuenca (Ecuador).
排除标准
- 未提供
结局指标
主要结局
Self-reported use of modern contraceptives at 18 months of interventions.
时间窗: At 18 months of intervention
Self-reported exposure to intervention activities and registered participation at intervention activities.
次要结局
- Self-reported ease to communicate about sexuality with parents, partner, friends.(At 18 months of intervention)
- Self-reported information seeking behaviour.(At 18 months of intervention)
- Self-reported pregnancy.(At 18 months of intervention)
- Self-reported access health services for sexual and reproductive health.(At 18 months of intervention)