Community youth teams facilitating participatory adolescent groups, youth leadership activities and livelihood promotion to improve school attendance, dietary diversity and mental health among adolescent girls in rural eastern India: protocol for a cluster-randomised controlled trial

Autor: Sumitra Gagrai, Raj Kumar Gope, Audrey Prost, Komal Bhatia, Shibanand Rath, Andrew Copas, Nirmala Nair, Kelly Rose-Clarke, Subhashree Samal, Suchitra Rath, Prasanta Tripathy, Hemanta Pradhan
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Gerontology
Male
Rural Population
Medicine (miscellaneous)
Participatory Learning and Action
Study Protocol
0302 clinical medicine
Promotion (rank)
Peer-led
Surveys and Questionnaires
Global health
Medicine
Pharmacology (medical)
030212 general & internal medicine
Cluster randomised controlled trial
Child
Health Education
media_common
Randomized Controlled Trials as Topic
education.field_of_study
lcsh:R5-920
Schools
Youth leadership
030503 health policy & services
Participation
Resilience
Psychological
Livelihood
Treatment Outcome
Female
Mental health
Diet
Healthy
0305 other medical science
lcsh:Medicine (General)
Adolescent health
Adolescent
media_common.quotation_subject
Population
Adolescent Health
India
Health Promotion
Peer Group
Education
03 medical and health sciences
Young Adult
Livelihood promotion
Humans
education
Nutrition
business.industry
Community Participation
Leadership
business
Zdroj: Trials, Vol 21, Iss 1, Pp 1-14 (2020)
Trials
ISSN: 1745-6215
Popis: BackgroundImproving the health and development of adolescents aged 10–19 years is a global health priority. One in five adolescents globally live in India. TheRashtriya Kishor Swasthya Karyakram(RKSK), India’s national adolescent health strategy, recommends supporting community-based peer educators to conduct group meetings with boys and girls. Groups aim to give adolescents a space to discuss the social and health issues affecting them and build their capacity to become active community members and leaders. There have been no evaluations of the community component of RKSK to date. In this protocol, we describe the evaluation of the Jharkhand Initiative for Adolescent Health (JIAH), a community intervention aligned with RKSK and designed to improve school attendance, dietary diversity and mental health among adolescent girls aged 10–19 years in rural Jharkhand, eastern India.MethodsThe JIAH intervention is delivered by a community youth team consisting ofyuva saathis(friends of youth), youth leadership facilitators and livelihood promoters. Teams conduct (a) peer-led Participatory Learning and Action meetings with girls and boys, mobilising adolescents, parents, health workers, teachers and the wider community to make changes for adolescent health and development; (b) group-based youth leadership activities to build adolescents’ confidence and resilience; and (c) livelihood promotion with adolescents and their families to provide training and practical skills. We are evaluating the JIAH intervention through a parallel-group, two-arm, superiority, cluster-randomised controlled trial. The unit of randomisation is a geographic cluster of ~1000 people. A total of 38 clusters covering an estimated population of 40,676 have been randomised to control or intervention arms. Nineteen intervention clusters have adolescent groups, youth leadership activities and livelihood promotion. Nineteen control clusters receive livelihood promotion only. Study participants are adolescent girls aged 10–19 years, married or unmarried, in or out of school, living in the study area. Intervention activities are open to all adolescent boys and girls, regardless of their participation in surveys. We will collect data through baseline and endline surveys. Primary trial outcomes are school attendance, dietary diversity and internalising and externalising mental health problems. Secondary outcomes include access to school-related entitlements, emotional or physical violence, self-efficacy and resilience.Trial registrationISRCTN17206016. Registered on 27 June 2018.
Databáze: OpenAIRE
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