Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Community-embedded Reproductive Health Care for Adolescents in Latin America (CERCA).
Brief Summary: Adolescents in Latin America are at major risk for unwanted pregnancies leading to unsafe abortions and maternal health risks. Mostly, adolescent health programmes tend to focus on unidirectional interventions aiming at a single determinant of adolescents´ sexual and reproductive health. However, evidence exists that a complex health problem should be addressed by an equally nuanced and multipronged response. Knowledge is lacking on how to develop a comprehensive approach to promote adolescents' sexual health.

The CERCA study will conduct an implementation based on the hypothesis that a comprehensive strategy of community-embedded interventions helps to improve the sexual health of adolescents. We will test this hypothesis and describe the development, implementation and testing of interventions in three Latin American cities: Cochabamba (Bolivia), Cuenca (Ecuador) and Managua (Nicaragua).

The research methodology has been designed based on the methodological frameworks of action research, community based participatory research and intervention mapping.

The interventions are complex addressing different target groups (adolescents, parents, authorities and health providers) and focussing on various behaviours that are related to communication about sexuality, information seeking, access to health care and safe sexual intercourse.

For the evaluation of effectiveness a randomised and non-randomised controlled study was developed for respectively Managua and the two other cities. Furthermore a process evaluation is conducted.

This research will result in a framework that will contribute to the planning of interventions that are effective and responsive to adolescents' sexual health needs.


Options:
A: Arm Label: Technology supported supervision; Type: EXPERIMENTAL; Interventions: Other: Technology supported supervision, Other: Integrated community case management | Arm Label: Community supported supervision; Type: EXPERIMENTAL; Interventions: Behavioral: Community supported supervision, Other: Integrated community case management | Arm Label: Control arm; Type: ACTIVE_COMPARATOR; Interventions: Other: Integrated community case management | Intervention Type: OTHER; Name: Technology supported supervision; Assigned to Arm(s): Technology supported supervision | Intervention Type: BEHAVIORAL; Name: Community supported supervision; Assigned to Arm(s): Community supported supervision | Intervention Type: OTHER; Name: Integrated community case management; Assigned to Arm(s): Community supported supervision, Control arm, Technology supported supervision
B: Arm Label: Intervention CBOs; Type: EXPERIMENTAL; Interventions: Other: Co-developed IT intervention | Arm Label: Control CBOs; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Co-developed IT intervention; Assigned to Arm(s): Intervention CBOs
C: Arm Label: Community-eùbedded reproductive health interventions; Type: EXPERIMENTAL; Interventions: Behavioral: Theory of planned behaviour (TPB) and social cognitive theory (SCT). | Arm Label: Community members without intervention; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Theory of planned behaviour (TPB) and social cognitive theory (SCT).; Assigned to Arm(s): Community-eùbedded reproductive health interventions
D: Arm Label: 1; Type: EXPERIMENTAL; Interventions: Behavioral: Practice Facilitation | Arm Label: 2; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Practice Facilitation; Assigned to Arm(s): 1

Answer: C