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dc.contributor.authorSandøy, Ingvild Fossgard
dc.contributor.authorMudenda, Mweetwa
dc.contributor.authorZulu, Joseph
dc.contributor.authorMunsaka, Ecloss
dc.contributor.authorBlystad, Astrid
dc.contributor.authorMakasa, Mpundu
dc.contributor.authorMæstad, Ottar
dc.contributor.authorTungodden, Bertil
dc.contributor.authorJakobs, Choolwe
dc.contributor.authorKampata, Linda Milimo
dc.contributor.authorFylkesnes, Knut
dc.contributor.authorSvanemyr, Joar
dc.contributor.authorMoland, Karen Marie
dc.contributor.authorBanda, Richard
dc.contributor.authorMusonda, Patrick
dc.coverage.spatialZambianb_NO
dc.date.accessioned2018-06-14T11:03:51Z
dc.date.available2018-06-14T11:03:51Z
dc.date.created2016-12-22T12:31:06Z
dc.date.issued2016
dc.identifier.citationTrials. 2016, 17 (588), .nb_NO
dc.identifier.issn1745-6215
dc.identifier.urihttp://hdl.handle.net/11250/2501569
dc.description.abstractBackground: Adolescent pregnancies pose a risk to the young mothers and their babies. In Zambia, 35% of young girls in rural areas have given birth by the age of 18 years. Pregnancy rates are particularly high among out-of-school girls. Poverty, low enrolment in secondary school, myths and community norms all contribute to early childbearing. This protocol describes a trial aiming to measure the effect on early childbearing rates in a rural Zambian context of (1) economic support to girls and their families, and (2) combining economic support with a community intervention to enhance knowledge about sexual and reproductive health and supportive community norms. Methods/design: This cluster randomized controlled trial (CRCT) will have three arms. The clusters are rural schools with surrounding communities. Approximately 4900 girls in grade 7 in 2016 will be recruited from 157 schools in 12 districts. In one intervention arm, participating girls and their guardians will be offered cash transfers and payment of school fees. In the second intervention arm, there will be both economic support and a community intervention. The interventions will be implemented for approximately 2 years. The final survey will be 4.5 years after recruitment. The primary outcomes will be “incidence of births within 8 months of the end of the intervention period”, “incidence of births before girls’ 18th birthday” and “proportion of girls who sit for the grade 9 exam”. Final survey interviewers will be unaware of the intervention status of respondents. Analysis will be by intention-to-treat and adjusted for cluster design and confounders. Qualitative process evaluation will be conducted. Discussion: This is the first CRCT to measure the effect of combining economic support with a community intervention to prevent adolescent childbearing in a low- or middle-income country. We have designed a programme that will be sustainable and feasible to scale up. The findings will be relevant for programmes for adolescent reproductive health in Zambia and similar contexts.nb_NO
dc.language.isoengnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectAdolescent pregnancynb_NO
dc.subjectEarly marriagenb_NO
dc.subjectSchool enrolementnb_NO
dc.subjectEconomic supportnb_NO
dc.subjectCommunity dialoguenb_NO
dc.subjectCash transfernb_NO
dc.subjectSexual and reproductive healthnb_NO
dc.subjectSchool dropoutnb_NO
dc.subjectPovertynb_NO
dc.titleEffectiveness of a girls’ empowerment programme on early childbearing, marriage and school dropout among adolescent girls in rural Zambia: study protocol for a cluster randomized trialnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionsubmittedVersionnb_NO
dc.subject.nsiVDP::Social science: 200::Economics: 210nb_NO
dc.subject.nsiVDP::Social science: 200::Education: 280nb_NO
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806nb_NO
dc.source.pagenumber15nb_NO
dc.source.volume17nb_NO
dc.source.journalTrialsnb_NO
dc.source.issue588nb_NO
dc.identifier.doi10.1186/s13063-016-1682-9
dc.identifier.cristin1416792
cristin.unitcode191,30,0,0
cristin.unitnameInstitutt for samfunnsøkonomi
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal