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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05396664
Other study ID # 111111
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date December 1, 2021
Est. completion date December 1, 2023

Study information

Verified date May 2022
Source University of California, San Diego
Contact Kathryn M Barker, ScD
Phone 919-360-3951
Email k1barker@health.ucsd.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This trial will serve as an outcome evaluation of 'Adolescent Transition in West Africa' (ATWA), a school-based program in Mali, Burkina Faso, and Niger for adolescents ages 10-19. The overall objectives of the project are as follows: Impact: Improved sexual and reproductive health and rights of 472,180 adolescents. Outcome 1: Improved sexual and reproductive health and rights and gender equality knowledge, intent, and behaviors among 472,180 adolescents. Outcome 2: 500 health facilities offer quality adolescent responsive SRH services that are used by adolescent girls and boys. To evaluate program impact, an external evaluation will be conducted. A pre/post cross-sectional evaluation design will be used across two evaluation years.


Recruitment information / eligibility

Status Recruiting
Enrollment 10000
Est. completion date December 1, 2023
Est. primary completion date June 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 10 Years to 19 Years
Eligibility Inclusion Criteria: - Enrolled in primary or secondary school - Participating in community group (Niger only) - Aged 10 to 19 Exclusion Criteria: - Not enrolled in school (Mali and Burkina Faso) - Younger than age 10 - Older than age 19

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
ATWA
The Adolescent Transition in West Africa (ATWA) program is an in-school (Niger, Mali, Burkina Faso) and out-of-school (Niger and Mali) educational intervention implemented by local staff members at Save the Children, local community members, and teachers. ATWA provides internationally-recognized life skills education (LSE) to adolescents ages 10-19 years, and seeks to improve adolescents' knowledge and behaviors regarding sexual and reproductive health and rights. Outcome indicators to assess knowledge, behavior and attitudes of adolescents will vary by adolescent demographics as well as by country context, as based on the final set of curriculum deemed appropriate by the respective Ministries of Education (MOE).

Locations

Country Name City State
Burkina Faso Save the Children, Burkina Faso Ouagadougou
Mali Save the Children, Mali Bamako
Niger Save the Children, Niger Niamey

Sponsors (3)

Lead Sponsor Collaborator
University of California, San Diego GRADE Africa, Save the Children Netherlands

Countries where clinical trial is conducted

Burkina Faso,  Mali,  Niger, 

Outcome

Type Measure Description Time frame Safety issue
Primary Impact Indicator 1. Decrease in adolescent birth rate The average number of births to female respondents ages 15-19 Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Impact 2. Decrease in proportion of adolescents who have ever been pregnant or caused a pregnancy The percent of adolescent females who have ever been pregnant + the percent of adolescent males who have ever caused a pregnancy Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Impact 3. Increase in need for family planning satisfied with modern contraception Indicator definition 3A: Percentage of [sexually active] adolescents age 15-19 years currently married or in union who have their need for family planning satisfied with modern contraceptive methods Indicator definition 3B: Percentage of female adolescents (15-19) who are sexually active and who have their need for contraception satisfied with modern methods Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Impact 4. Increase in adolescent modern contraceptive prevalence rate The percent of sexually active adolescents (15-19) who are currently using (or whose partner is using) a modern contraceptive method. "Currently" is defined as 'at last sex' Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Impact 5. Decrease in proportion of adolescents married Indicator definition 5A: Percentage of women 10-19 years old living with spouse before age 18.
Indicator definition 5B: Percentage of women 10-19 years old living with spouse before age 15.
Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.1. Proportion of adolescents who respond yes to planning to use modern contraception in the future, disaggregated by method Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.2. Proportion of sexually active adolescents reporting using a condom at last sex Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.3. Proportion of sexually active unmarried adolescents who respond yes to having used a condom every time they had sex in the last 6 months Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.4. Proportion of adolescents with significant increase from baseline to end-line in average score on a 6-item gender equitable attitude scale Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.5. Average number of modern contraceptive methods known among women 10-14 and 15-19 years old Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.6. Proportion of adolescents with correct knowledge about body changes during puberty, the menstrual cycle, fertility and conception, pregnancy risk and prevention, as assessed via a 9-item composite indicator Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.7. Proportion of adolescents with correct knowledge about STI risk and prevention and treatment, assessed using a composite indicator of 4 questions on STI prevention and treatment Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.8. Proportion of adolescents with comprehensive knowledge of HIV prevention, assessed using a composite indicator of 6 questions on HIV prevention Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.9. Proportion of adolescents with knowledge of where to seek SRH services, including where to get tested for HIV, where to get condoms, and where to get contraceptives Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.10. Proportion of girls who report properly disposing of absorbent materials (sanitary napkins or menstrual cloth) (denominator = the total number of girls who use absorbent materials (sanitary napkins or menstrual cloth)) Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Outcome 1.11. Proportion of girls who report hygienically washing and drying reusable menstrual cloth (denominator = number of girls who washed and reused menstrual materials) Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Output 1.2.1. Proportion of girls and boys that can correctly answer a basic set of four yes/no questions about menstruation Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Output 1.2.2. Proportion of girls that can answer a set of five questions correctly about how to hygienically manage menses Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
Primary Output 1.2.3. Proportion of girls and boys that answer a question correctly regarding that menstruation is a normal biological function of the female body Year 1 Evaluation: September 2021 - May 2022; Year 2 Evaluation: September 2022 - May 2023
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