The Adolescent Girls Initiative-Kenya (AGI-K): study protocol
Identifieur interne : 000D68 ( Main/Exploration ); précédent : 000D67; suivant : 000D69The Adolescent Girls Initiative-Kenya (AGI-K): study protocol
Auteurs : Karen Austrian [Kenya] ; Eunice Muthengi [Kenya] ; Joyce Mumah [Kenya] ; Erica Soler-Hampejsek [États-Unis] ; Caroline W. Kabiru [Kenya] ; Benta Abuya [Kenya] ; John A. Maluccio [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
Many adolescent girls in Kenya and elsewhere face considerable risks and vulnerabilities that affect their well-being and hinder a safe, healthy, and productive transition into early adulthood. Early adolescence provides a critical window of opportunity to intervene at a time when girls are experiencing many challenges, but before those challenges have resulted in deleterious outcomes that may be irreversible. The Adolescent Girls Initiative-Kenya (AGI-K) is built on these insights and designed to address these risks for young adolescent girls. The long-term goal of AGI-K is to delay childbearing for adolescent girls by improving their well-being.
AGI-K comprises nested combinations of different single-sector interventions (violence prevention, education, health, and wealth creation). It will deliver interventions to over 6000 girls between the ages of 11 and 14 years in two marginalized areas of Kenya: 1) Kibera in Nairobi and 2) Wajir County in Northeastern Kenya. The program will use a combination of girl-, household- and community-level interventions. The violence prevention intervention will use community conversations and planning focused on enhancing the value of girls in the community. The educational intervention includes a cash transfer to the household conditioned on school enrollment and attendance. The health intervention is culturally relevant, age-appropriate sexual and reproductive health education delivered in a group setting once a week over the course of 2 years. Lastly, the wealth creation intervention provides savings and financial education, as well as start-up savings.
A randomized trial will be used to compare the impact of four different packages of interventions, in order to assess if and how intervening in early adolescence improves girls’ lives after four years. The project will be evaluated using data from behavioural surveys conducted before the start of the program (baseline in 2015), at the end of the 2-year intervention (endline in 2017), and 2 years post-intervention (follow-up in 2019). Monitoring data will also be collected to track program attendance and participation. Primary analyses will be on an intent-to-treat basis. Qualitative research including semi-structured interviews of beneficiaries and key adult stakeholders in 2016 and 2018 will supplement and complement the quantitative survey results. In addition, the cost-effectiveness of the interventions will be assessed.
AGI-K will provide critical evidence for policy-makers, donors and other stakeholders on the most effective ways to combine interventions for marginalized adolescent girls across sectors, and which packages of interventions are most cost-effective.
The online version of this article (doi:10.1186/s12889-016-2888-1) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12889-016-2888-1
PubMed: 26931572
PubMed Central: 4774031
Affiliations:
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Box 10787-00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, P.O. Box 10787-00100, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Abuya, Benta" sort="Abuya, Benta" uniqKey="Abuya B" first="Benta" last="Abuya">Benta Abuya</name><affiliation wicri:level="1"><nlm:aff id="Aff2">African Population and Health Research Center, P.O. Box 10787-00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, P.O. Box 10787-00100, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Maluccio, John A" sort="Maluccio, John A" uniqKey="Maluccio J" first="John A." last="Maluccio">John A. 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Box 17643-00500, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Population Council, P.O. Box 17643-00500, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Muthengi, Eunice" sort="Muthengi, Eunice" uniqKey="Muthengi E" first="Eunice" last="Muthengi">Eunice Muthengi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Population Council, P.O. Box 17643-00500, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>Population Council, P.O. Box 17643-00500, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Mumah, Joyce" sort="Mumah, Joyce" uniqKey="Mumah J" first="Joyce" last="Mumah">Joyce Mumah</name><affiliation wicri:level="1"><nlm:aff id="Aff2">African Population and Health Research Center, P.O. Box 10787-00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, P.O. Box 10787-00100, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Soler Hampejsek, Erica" sort="Soler Hampejsek, Erica" uniqKey="Soler Hampejsek E" first="Erica" last="Soler-Hampejsek">Erica Soler-Hampejsek</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Population Council, One Dag Hammarskjold Plaza, New York, NY 10017 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Population Council, One Dag Hammarskjold Plaza, New York</wicri:cityArea></affiliation></author><author><name sortKey="Kabiru, Caroline W" sort="Kabiru, Caroline W" uniqKey="Kabiru C" first="Caroline W." last="Kabiru">Caroline W. Kabiru</name><affiliation wicri:level="1"><nlm:aff id="Aff2">African Population and Health Research Center, P.O. Box 10787-00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, P.O. Box 10787-00100, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Abuya, Benta" sort="Abuya, Benta" uniqKey="Abuya B" first="Benta" last="Abuya">Benta Abuya</name><affiliation wicri:level="1"><nlm:aff id="Aff2">African Population and Health Research Center, P.O. Box 10787-00100, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>African Population and Health Research Center, P.O. Box 10787-00100, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Maluccio, John A" sort="Maluccio, John A" uniqKey="Maluccio J" first="John A." last="Maluccio">John A. Maluccio</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Middlebury College, 14 Old Chapel Rd, Middlebury, VT 05753 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Vermont</region></placeName><wicri:cityArea>Middlebury College, 14 Old Chapel Rd, Middlebury</wicri:cityArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Many adolescent girls in Kenya and elsewhere face considerable risks and vulnerabilities that affect their well-being and hinder a safe, healthy, and productive transition into early adulthood. Early adolescence provides a critical window of opportunity to intervene at a time when girls are experiencing many challenges, but before those challenges have resulted in deleterious outcomes that may be irreversible. The Adolescent Girls Initiative-Kenya (AGI-K) is built on these insights and designed to address these risks for young adolescent girls. The long-term goal of AGI-K is to delay childbearing for adolescent girls by improving their well-being.</p></sec><sec><title>Intervention</title><p>AGI-K comprises nested combinations of different single-sector interventions (violence prevention, education, health, and wealth creation). It will deliver interventions to over 6000 girls between the ages of 11 and 14 years in two marginalized areas of Kenya: 1) Kibera in Nairobi and 2) Wajir County in Northeastern Kenya. The program will use a combination of girl-, household- and community-level interventions. The violence prevention intervention will use community conversations and planning focused on enhancing the value of girls in the community. The educational intervention includes a cash transfer to the household conditioned on school enrollment and attendance. The health intervention is culturally relevant, age-appropriate sexual and reproductive health education delivered in a group setting once a week over the course of 2 years. Lastly, the wealth creation intervention provides savings and financial education, as well as start-up savings.</p></sec><sec><title>Methods/Design</title><p>A randomized trial will be used to compare the impact of four different packages of interventions, in order to assess if and how intervening in early adolescence improves girls’ lives after four years. The project will be evaluated using data from behavioural surveys conducted before the start of the program (baseline in 2015), at the end of the 2-year intervention (endline in 2017), and 2 years post-intervention (follow-up in 2019). Monitoring data will also be collected to track program attendance and participation. Primary analyses will be on an intent-to-treat basis. Qualitative research including semi-structured interviews of beneficiaries and key adult stakeholders in 2016 and 2018 will supplement and complement the quantitative survey results. In addition, the cost-effectiveness of the interventions will be assessed.</p></sec><sec><title>Discussion</title><p>AGI-K will provide critical evidence for policy-makers, donors and other stakeholders on the most effective ways to combine interventions for marginalized adolescent girls across sectors, and which packages of interventions are most cost-effective.</p></sec><sec><title>Trial registration</title><p><ext-link ext-link-type="uri" xlink:href="http://www.isrctn.com/ISRCTN77455458">ISRCTN77455458</ext-link>, December 24, 2015</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12889-016-2888-1) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Burt, Mr" uniqKey="Burt M">MR Burt</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Rasul</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Diamond, I" uniqKey="Diamond I">I Diamond</name></author><author><name sortKey="Newby, M" uniqKey="Newby M">M Newby</name></author><author><name sortKey="Varle, S" uniqKey="Varle S">S Varle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osili, Uo" uniqKey="Osili U">UO Osili</name></author><author><name sortKey="Long, Bt" uniqKey="Long B">BT Long</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ozier, O" uniqKey="Ozier O">O Ozier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keats, A" uniqKey="Keats A">A Keats</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Raven, Jc" uniqKey="Raven J">JC Raven</name></author><author><name sortKey="Court, Jh" uniqKey="Court J">JH Court</name></author><author><name sortKey="Raven, J" uniqKey="Raven J">J Raven</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mcqueston, K" uniqKey="Mcqueston K">K McQueston</name></author><author><name sortKey="Silverman, R" uniqKey="Silverman R">R Silverman</name></author><author><name sortKey="Glassman, A" uniqKey="Glassman A">A Glassman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>États-Unis</li></country><region><li>Vermont</li><li>État de New York</li></region></list><tree><country name="Kenya"><noRegion><name sortKey="Austrian, Karen" sort="Austrian, Karen" uniqKey="Austrian K" first="Karen" last="Austrian">Karen Austrian</name></noRegion><name sortKey="Abuya, Benta" sort="Abuya, Benta" uniqKey="Abuya B" first="Benta" last="Abuya">Benta Abuya</name><name sortKey="Kabiru, Caroline W" sort="Kabiru, Caroline W" uniqKey="Kabiru C" first="Caroline W." last="Kabiru">Caroline W. Kabiru</name><name sortKey="Mumah, Joyce" sort="Mumah, Joyce" uniqKey="Mumah J" first="Joyce" last="Mumah">Joyce Mumah</name><name sortKey="Muthengi, Eunice" sort="Muthengi, Eunice" uniqKey="Muthengi E" first="Eunice" last="Muthengi">Eunice Muthengi</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Soler Hampejsek, Erica" sort="Soler Hampejsek, Erica" uniqKey="Soler Hampejsek E" first="Erica" last="Soler-Hampejsek">Erica Soler-Hampejsek</name></region><name sortKey="Maluccio, John A" sort="Maluccio, John A" uniqKey="Maluccio J" first="John A." last="Maluccio">John A. Maluccio</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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