Please select the eligibility criteria that correspond to the clinical trial below.
Title: Strengthening the Evidence Base on Effective scHool Based intErventions for pRomoting Adolescent Health (SEHER)
Brief Summary: SEHER- Strengthening Evidence base on scHool-based intErventions for pRomoting adolescent health, seeks to develop and evaluate a school based adolescent health promotion intervention delivered by two different delivery agents viz. teacher-as-SEHER Mitra (TSM) and lay school counsellor called as SEHER Mitra (SM) in government-run secondary schools in Bihar, India. SEHER will implement a three armed clustered randomised trial (CRT) to evaluate the effectiveness and cost-effectiveness of these two models compared with the Tarang-Adolescence Education Programme (usual care) implemented by the State Government of Bihar. The hypothesis is that both interventions, compared to the control arm, will lead to a greater impact on school climate (school connectedness and relationship with teachers and fellow students). In addition, the interventions will increase the knowledge, attitude and awareness, and promoting healthy behaviours in youth on reproductive and sexual health outcomes, mental health and substance use, and gender related attitudes and violence. It is hypothesized that the addition of more resource intensive component (the SM arm) will be associated with the best outcomes.


Options:
A: Inclusion Criteria:

Inclusion criteria for the clusters:

* Secondary and higher secondary schools
* Implementation of Tarang-Adolescence Education Programme
* 100 or more students enrolled in Grade IX
* 5 or more teachers employed in the school Inclusion criteria for participants: All the students (boys and girls) studying in standard IX in all randomly assigned 75 schools in the academic year of April 2015 to March 2016.

Exclusion Criteria:

Exclusion criteria for the clusters:

* Upgraded schools (Grade I-XII)
* Tarang-Adolescence Education Programme not being implemented
* Less than 100 students enrolled in Grade IX
* 4 or less teachers employed in the school Exclusion criteria for participants: None
B: Inclusion Criteria:

* PLH: age 18 or over, being a resident of one of the 24 selected villages, who is currently HIV sero-positive parent of a child between 6-18 years in his/her family, and who provide informed consent.
* Family members: 18 years and older, being a resident of one of the 24 selected villages, who is aware of PLH's HIV status, who has consent from participating PLH to be invited to join the study, and who provides informed consent. If there are two PLHs in a household, they both will be recruited as PLH participants.
* Children: aged 6-18 years, being a resident of one of the 24 selected villages, who lives in a HIV-affected family in which at least one or both parents is HIV-positive, and who provides parent/guardian permission, child/youth assent forms or informed consent if aged 18.

Exclusion Criteria:

Those who cannot give informed consent (e.g., intoxicated) Those who have a permanent disability (e.g., deaf, serious mental illness, mental retardation).

Anyone who does not meet the inclusion criteria.
C: Inclusion Criteria:

* 1 age 18 to 25 years
* 2 junior students majoring in clinical medicine
* 3 no mental diseases previously

Exclusion Criteria:

* Did not meet inclusion criteria
D: Inclusion Criteria:

* In the 2nd or 3rd trimester of pregnancy
* Aged 18 years and over
* Intending to reside in the selected areas of the intervention delivery for the entire duration of the study (mothers intending to be away for more than 2 months during or after the period of child birth will be excluded).

Exclusion criteria:

* Mothers requiring immediate inpatient care for any reason (medical or psychiatric)
* Mothers who do not speak any of the following languages: Konkani, Hindi, English, Marathi
* Mothers whose expected date of delivery is within 3 weeks of their screening date
* Previously screened using the PHQ-9 within the last month
* Mothers with difficulty hearing/speaking which makes the assessment difficult

Answer: A