The Adolescent Girls Initiative-Kenya (AGI-K): study protocol.
The Adolescent Girls Initiative-Kenya (AGI-K): study protocol.
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DOI：
10.1186/s12889-016-2888-1
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发表时间：
2016-03-01
影响因子：
4.5
通讯作者：
Maluccio JA
中科院分区：
文献类型：
--
作者：
Austrian K;Muthengi E;Mumah J;Soler-Hampejsek E;Kabiru CW;Abuya B;Maluccio JA
肯尼亚和其他地方的许多少女面临相当大的风险和脆弱性，影响她们的福祉并阻碍安全、健康和富有成效地过渡到成年早期。青春期早期提供了一个关键的机会窗口，可以在女孩面临许多挑战时进行干预，但要在这些挑战导致可能不可逆转的有害结果之前进行干预。肯尼亚少女倡议 (AGI-K) 建立在这些见解的基础上，旨在解决少女面临的这些风险。 AGI-K 的长期目标是通过改善青春期女孩的福祉来推迟她们的生育时间。 AGI-K 由不同单部门干预措施（暴力预防、教育、健康和财富创造）的嵌套组合组成。它将为肯尼亚两个边缘地区的 6000 多名 11 至 14 岁女孩提供干预措施：1) 内罗毕的基贝拉和 2) 肯尼亚东北部的瓦吉尔县。该计划将结合女孩、家庭和社区层面的干预措施。暴力预防干预措施将利用社区对话和规划，重点提高女孩在社区的价值。教育干预措施包括根据入学率和出勤率向家庭提供现金转移。健康干预是在两年内每周一次在小组环境中进行的与文化相关、适合年龄的性健康和生殖健康教育。最后，财富创造干预措施提供储蓄和金融教育以及初创储蓄。将使用一项随机试验来比较四种不同干预措施的影响，以评估青春期早期的干预是否以及如何改善四年后女孩的生活。该项目将使用项目开始前（2015 年基线）、2 年干预结束时（2017 年结束）和干预后 2 年（2019 年后续行动）时进行的行为调查数据进行评估。还将收集监测数据来跟踪计划的出勤和参与情况。初步分析将基于意向治疗。定性研究，包括 2016 年和 2018 年对受益人和主要成人利益相关者的半结构化访谈，将补充和补充定量调查结果。此外，还将评估干预措施的成本效益。 AGI-K 将为政策制定者、捐助者和其他利益相关者提供关键证据，说明如何最有效地结合跨部门边缘化少女的干预措施，以及哪些干预措施最具成本效益。 ISRCTN77455458，2015 年 12 月 24 日 本文的在线版本 (doi:10.1186/s12889-016-2888-1) 包含补充材料，可供授权用户使用。
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. ISRCTN77455458, December 24, 2015 The online version of this article (doi:10.1186/s12889-016-2888-1) contains supplementary material, which is available to authorized users.