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1.
Reprod Health ; 20(1): 166, 2023 Nov 09.
Article in English | MEDLINE | ID: mdl-37946289

ABSTRACT

INTRODUCTION: Girls' and women's health as well as social and economic wellbeing are often negatively impacted by early childbearing. In many parts of Africa, adolescent girls who get pregnant often drop out of school, resulting in widening gender inequalities in schooling and economic participation. Few interventions have focused on education and economic empowerment of adolescent mothers in the region. We aim to conduct a pilot randomized controlled trial in Blantyre (Malawi) and Ouagadougou (Burkina Faso) to examine the acceptability and feasibility of three interventions in improving educational and health outcomes among adolescent mothers and to estimate the effect and cost-effectiveness of the three interventions in facilitating (re)entry into school or vocational training. We will also test the effect of the interventions on their sexual and reproductive health (SRH) and mental health. INTERVENTIONS: The three interventions we will assess are: a cash transfer conditioned on (re)enrolment into school or vocational training, subsidized childcare, and life skills training offered through adolescent mothers' clubs. The life skills training will cover nurturing childcare, SRH, mental health, and financial literacy. Community health workers will facilitate the clubs. Each intervention will be implemented for 12 months. METHODS: We will conduct a baseline survey among adolescent mothers aged 10-19 years (N = 270, per site) enrolled following a household listing in select enumeration areas in each site. Adolescent mothers will be interviewed using a structured survey adapted from a previous survey on the lived experiences of pregnant and parenting adolescents in the two sites. Following the baseline survey, adolescent mothers will be individually randomly assigned to one of three study arms: arm one (adolescent mothers' clubs only); arm two (adolescent mothers' clubs + subsidized childcare), and arm three (adolescent mothers' clubs + subsidized childcare + cash transfer). At endline, we will re-administer the structured survey and assess the average treatment effect across the three groups following intent-to-treat (ITT) analysis, comparing school or vocational training attendance during the intervention period. We will also compare baseline and endline measures of SRH and mental health outcomes. Between the baseline and endline survey, we will conduct a process evaluation to examine the acceptability and feasibility of the interventions and to track the implementation of the interventions. DISCUSSION: Our research will generate evidence that provides insights on interventions that can enable adolescent mothers to continue their education, as well as improve their SRH and mental health. We aim to maximize the translation of the evidence into policy and action through sustained engagement from inception with key stakeholders and decision makers and strategic communication of research findings. Trial registration number AEARCTR-0009115, May 15, 2022.


Subject(s)
Adolescent Mothers , Child Care , Pregnancy , Adolescent , Child , Female , Humans , Burkina Faso , Malawi , Reproductive Health , Pilot Projects , Mothers , Outcome Assessment, Health Care , Randomized Controlled Trials as Topic
2.
Sci Afr ; 20: e01658, 2023 Jul.
Article in English | MEDLINE | ID: mdl-37035634

ABSTRACT

The COVID-19 pandemic disrupted livelihoods on different fronts and at varying degrees globally. The global education sector was one of the key sectors that bore the heaviest brunt, particularly in the teaching and learning delivery modes. For instance, digital educational technologies became vital methods for teaching and learning. In response, a number of initiatives were adopted by countries to lend insight into how to cope with the emergent challenges, as well as how to alleviate the challenges brought about by the pandemic for post-COVID-19 recovery and growth. In this paper, we explore the contribution of industry and academia to post-COVID-19 recovery and growth, with a special focus on education technologies (ICT)'s adoption and promotion of entrepreneurial efforts in Africa. To attain the paper's objective, we used a scoping review approach to obtain crucial literature from credible and relevant databases to demonstrate and deliver succinct, stronger, clear, and clarified findings on the areas of focus. Additionally, we visited websites of certain international organizations that supported sub-Saharan Africa (SSA) countries in response to the COVID-19 pandemic, specifically focusing on responses targeting the education sector. The findings highlighted in this paper reveal that both academia and industry have a significant contribution to building back better efforts for a post-COVID-19 recovery and growth. Such efforts operate within the realms of adoption and adaptation of technology in the education sector, and increased emphasis on involvement in entrepreneurship practices. The paper also offers salient recommendations on how to better improve academia and industry's involvement in post-COVID-19 recovery and growth efforts.

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