A Quasi-Experimental Study to Assess the Impact of Four Adolescent Sexual Health Interventions in Sub-Saharan Africa

2002 ◽  
Vol 28 (2) ◽  
pp. 67 ◽  
Author(s):  
Sohail Agha
PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249662
Author(s):  
Samuel Muhula ◽  
Anthony Mveyange ◽  
Samuel Oji Oti ◽  
Martha Bande ◽  
Hellen Kayiaa ◽  
...  

Introduction In Kenya, Female Genital Mutilation/Cutting (FGM/C) is highly prevalent in specific communities such as the Maasai and Somali. With the intention of curtailing FMG/C prevalence in Maasai community, Amref Health Africa, designed and implemented a novel intervention—community-led alternative rite of passage (CLARP) in Kajiado County in Kenya since 2009. The study: a) determined the impact of the CLARP model on FGM/C, child early and forced marriages (CEFM), teenage pregnancies (TP) and years of schooling among girls and b) explored the attitude, perception and practices of community stakeholders towards FGM/C. Methods We utilised a mixed methods approach. A difference-in-difference approach was used to quantify the average impact of the model with Kajiado as the intervention County and Mandera, Marsabit and Wajir as control counties. The approach relied on secondary data analysis of the Kenya Demographic and Health Survey (KDHS) 2003, 2008–2009 and 2014. A qualitative approach involving focus group discussions, in-depth interviews and key informant interviews were conducted with various respondents and community stakeholders to document experiences, attitude and practices towards FGM/C. Results The CLARP has contributed to: 1) decline in FGM/C prevalence, CEFM rates and TP rates among girls by 24.2% (p<0.10), 4.9% (p<0.01) and 6.3% (p<0.01) respectively. 2) increase in girls schooling years by 2.5 years (p<0.05). Perceived CLARP benefits to girls included: reduction in teenage marriages and childbirth; increased school retention and completion; teenage pregnancies reduction and decline in FGM/C prevalence. Community stakeholders in Kajiado believe that CLARP has been embraced in the community because of its impacts in the lives of its beneficiaries and their families. Conclusion This study demonstrated that CLARP has been positively received by the Maasai community and has played a significant role in attenuating FGM/C, CEFM and TP in Kajiado, while contributing to increasing girls’ schooling years. CLARP is replicable as it is currently being implemented in Tanzania. We recommend scaling it up for adoption by stakeholders implementing in other counties that practice FGM/C as a rite of passage in Kenya and across other sub Saharan Africa countries.


2019 ◽  
Vol 20 ◽  
pp. 54-59 ◽  
Author(s):  
Tina Lavender ◽  
Grace Omoni ◽  
Rose Laisser ◽  
Linda McGowan ◽  
Sabina Wakasiaka ◽  
...  

2002 ◽  
Vol 28 (1) ◽  
pp. 64-88 ◽  
Author(s):  
Sylvia F. Kaaya ◽  
Wanjirû Mukoma ◽  
Alan J. Flisher ◽  
Knut‐lnge Klepp

2017 ◽  
Vol 61 (8) ◽  
pp. 932-959 ◽  
Author(s):  
Rachel Beatty Riedl

This article proposes four different types of research designs to highlight the conceptual, theoretical, and methodological value of an interactive sub-national cross-national approach: as a two-level interaction, as a hierarchical model, as a set of controls, and as quasi-experimental. These possibilities demonstrate the unique advantages of theorizing and empirically analyzing sub-national variation in its relation to the national superstructure. Using the example of the multi-level identities and institutions associated with religious organizations across sub-Saharan Africa, I demonstrate that the impact of religious leaders on their affiliated followers’ political orientations vary according to the interactive position of each group in their local and national context.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043544
Author(s):  
Sara Rizvi Jafree ◽  
Rubeena Zakar ◽  
Humna Ahsan ◽  
Mudasir Mustafa ◽  
Florian Fischer

ObjectiveThe purpose of this study is to assess the impact of microfinance health interventions (health insurance and health-awareness programmes) on health-related outcomes among female informal workers in Pakistan.DesignWe conducted a retrospective, quasi-experimental study among a total of 442 female borrowers from seven microfinance providers (MFPs) across four provinces of Pakistan in 2018. A standardised tool was used for data collection. Probit regression was used to identify the probability of female borrowers gaining improvements in health outcomes based on their sociodemographic characteristics. Propensity score matching (PSM) was used to assess the overall impact of health interventions.Primary outcome measuresFour health-related outcomes reported by the women were used: perception of good health overall, ability to visit a general practitioner, ability to purchase prescribed medicine and intake of multivitamins.ResultsWe found that women receiving health interventions had a greater probability of better health outcomes when they were from Punjab province, borrowing in groups and attending monthly meetings at MFPs. Even with a small loan amount, all four health-related outcomes were significantly associated with receiving health insurance and health-awareness programmes. PSM results show a greater likelihood of overall perceived good health (nearest neighbour matching (NNM) =17.4%; kernel matching (KM) =11.8%) when health insurance is provided and a significant improvement in the ability to purchase prescribed medicine when a health-awareness programme is provided (NNM=10.1%; KM=11.7%).ConclusionHealth and social policies are vital to secure health and well-being among poor women working in the informal sector. Targeting improved equity across female population groups for health interventions will in the long run improve poor women’s health, income-earning abilities and capacity expansion for small businesses.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Mercy W. Kamau ◽  
Fredrick Bagamba ◽  
Claris Riungu ◽  
John Mukundi ◽  
Robert Toel

Background: Demonstration plots are widely used in the seed industry to create awareness and promote improved seed among smallholder farmers in sub-Saharan Africa. However, the magnitude of effects on farmers’ adoption behaviour is less known.Objectives: This study assessed the impact of demonstration plots and field days on farmers’ awareness, knowledge and use of the improved maize variety that was being promoted. The study also assessed the impact on maize yields and production.Method: A promotion campaign was mounted by a local seed company in eastern and western Uganda, where demonstration plots were established and field days were held for two seasons. These were aimed at augmenting effects of radio messages that were aired over the same period. We used quasi-experimental approaches to determine changes in farmers’ adoption behaviour towards a new maize variety, and the subsequent effects on productivity. Farm household data were collected at the baseline and midline from a sample of 2050 households.Results: The findings showed no effect on the proportion of farmers planting the promoted variety, the acreage or proportion of land planted with the promoted variety. This was not surprising as farmers’ awareness and knowledge about the variety remained very low.Conclusion: The early result shows that demonstration plots were not effective, suggesting that more effective approaches should be explored. It may also be the case that the assessment was too early in the adoption cycle, in which case results after two more seasons of promotion will provide a better estimate of the effect.


2020 ◽  
Vol 2020 (10-3) ◽  
pp. 238-246
Author(s):  
Olga Dzhenchakova

The article considers the impact of the colonial past of some countries in sub-Saharan Africa and its effect on their development during the post-colonial period. The negative consequences of the geopolitical legacy of colonialism are shown on the example of three countries: Nigeria, the Democratic Republic of the Congo and the Republic of Angola, expressed in the emergence of conflicts in these countries based on ethno-cultural, religious and socio-economic contradictions. At the same time, the focus is made on the economic factor and the consequences of the consumer policy of the former metropolises pursuing their mercantile interests were mixed.


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