Evaluation of "Biruh Tesfa" (Bright Future) program for vulnerable girls in Ethiopia
Evaluation of "Biruh Tesfa" (Bright Future) program for vulnerable girls in Ethiopia
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DOI：
10.1080/17450128.2012.736645
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发表时间：
2013-01-01
影响因子：
1.1
通讯作者：
Ambelu, Worku
中科院分区：
文献类型：
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作者：
Erulkar, Annabel;Ferede, Abebaw;Ambelu, Worku
与同龄男孩相比，撒哈拉以南非洲的青春期女孩受到艾滋病毒/艾滋病的影响不成比例。非洲大陆很少有项目试图解决最贫穷社区中最边缘化女孩的社会排斥问题，包括儿童家政工人和移民，以及她们易感染艾滋病毒的问题。此外，很少有干预措施得到了严格的评估。“光明未来”（Biruh Tesfa）项目面向埃塞俄比亚城市最贫困的少女，旨在为她们提供社会支持，提高她们预防艾滋病毒感染的技能。该项目采用了挨家挨户招募、由女性导师组建女孩小组以及艾滋病毒/艾滋病、生活技能和基本扫盲教育等多种方式。采用准实验研究设计，在实验区和控制区进行干预前和干预后调查，以衡量社会安全网、艾滋病知识和预防能力的变化。进行了描述性和多变量分析。在结束时，与对照组相比，干预组的女孩报告社会支持的可能性是对照组的两倍多（优势比(OR) = 2.0）。他们在艾滋病毒知识问题上得分高的可能性（OR = 1.9），知道在哪里获得自愿咨询和检测（OR = 2.0）和想要接受检测（OR = 1.9）的可能性（OR = 1.9）也是两倍。“Biruh Tesfa”是针对撒哈拉以南非洲弱势女孩的少数几个经过严格评估的支持项目之一。这些积极的变化表明，设计良好的项目可以覆盖并有效地支持最贫困地区最脆弱的女孩，如童工和城乡流动人口。
Adolescent girls in sub-Saharan Africa are disproportionately affected by HIV/AIDS compared to boys of the same age. Few programs on the continent have sought to address the social exclusion of most marginalized girls in the poorest communities, including child domestic workers and migrants, as well as their vulnerability to HIV. Moreover, few interventions have been rigorously evaluated. "Biruh Tesfa" (Bright Future) program is for poorest adolescent girls in urban Ethiopia and aims to build their social support and improve skills to prevent HIV infection. The project uses a combination of house-to-house recruitment, formation of girls' groups by female mentors, and education on HIV/AIDS, life skills, and basic literacy. A quasi-experimental research design involving pre- and post-intervention surveys in experimental and control areas was used to measure changes in social safety nets, HIV knowledge, and prevention capabilities. Descriptive and multivariate analyses were conducted. At endline, girls in the intervention sites were more than twice as likely to report social support (odds ratio (OR) = 2.0) compared to girls in the control site. They were also twice as likely (OR = 1.9) to score highly on HIV knowledge questions, to know where to obtain voluntary counseling and testing (OR = 2.0) and to want to be tested (OR = 1.9). "Biruh Tesfa" is one of a few rigorously evaluated support programs targeted at vulnerable girls in sub-Saharan Africa. The positive changes suggest that well-designed programs can reach and effectively support the most vulnerable girls in the poorest areas, such as child domestic workers and rural-urban migrants.