Evaluation of an Intervention for Adolescent Girls in Karnataka

Study Overview
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Brief Summary
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This cluster Randomised Control Trial is evaluating an intervention to support adolescent girls from marginalised communities in northern Karnataka State, South India to complete secondary school, thereby reducing their vulnerability to HIV infection from early marriage and entry into sex work at young ages. The intervention will test innovations to address both supply and demand side barriers to girls' completion of secondary school, and will have long-term educational and livelihood benefits, in addition to reducing vulnerability to HIV. School-based constraints will be addressed by improving academic outcomes through teacher training and academic support to students; addressing gender-related and skill-based gaps among teachers; training of local female teachers; and increasing the content knowledge of secondary school teachers. Demand side barriers will be addressed by reducing economic pressures that households face to withdraw girls' from school; building appreciation and value of girls' education; building family and community accountability for school attendance; creating safe spaces for girls and strengthening their agency; and engaging boys in promoting and supporting girls' education. Primary stakeholders will include teachers and students, especially adolescent girls in the school (7th to 10 the standard) from marginalized communities. Secondary stakeholders will include school development and management committees (SDMCs), families, boys and the communities that are served by the schools. 80 village clusters (40 intervention; 40 control) were randomly selected from 125 village clusters in Bagalkote and Vijayapura districts. The intervention will be implemented with village communities and high schools in 40 village clusters in Bagalkote and Vijayapura districts. The intervention will be implemented in collaboration with the Department of State Educational Research and Training (DSERT), Karnataka; the Adolescent Education Cell, Government College of Teachers' Education (CTE), Jamkhandi; and the Institute for Advanced Studies in Education (IASE), Gulbarga.

Official Title
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Evaluation of an Intervention Supporting Adolescent Girls From Marginalized Communities to Complete Secondary Schooling

Conditions
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Secondary School Entry and Completion, Child Marriage

Intervention / Treatment
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* Behavioral: Multi-level, structural and norms-based intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescent girls in Standard 7 Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Village Clusters<br>Receive multi-level, structural and norms-based intervention | Behavioral: Multi-level, structural and norms-based intervention<br>* Receive multi-level, structural and norms-based intervention<br>|
| No Intervention: Control Village Clusters<br>No multi-level, structural and norms-based intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Completing Secondary School [Sit 10th Standard Exam] | This outcome will be assessed using data collected from all study participants at end-line, using the face-to-face questionnaire. | May-August 2016 (cohort one) and May-August 2017 (cohort two) | 
| Number of Participants Married [by Trial End Line] | This outcome will be assessed using data collected from all study participants at end-line, using the face-to-face questionnaire. | May-August 2016 (cohort one) and May-August 2017 (cohort two) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Entering Into 8th Standard [Start Secondary School] | Due to delays at the start of the cluster-Randomized Controlled Trial, the intervention had not started when cohort one girls were interviewed. This outcome will be assessed using data from cohort two girls only, using the face-to-face questionnaire. To reduce recall bias, we will use data collected at the first interview (baseline) to measure this outcome. | March-May 2014 | 
| Number of Participants Passing 10th Standard [Pass 10th Standard Exam] | This outcome will be assessed using data collected from all study participants at end-line, using the face-to-face questionnaire. | May-August 2016 (cohort one) and May-August 2017 (cohort two) | 
| Number of Participants Having Sexual Debut [by Trial End Line] | This outcome will be assessed using data collected from all study participants at end-line, using the self-completed questionnaire. | May-August 2016 (cohort one) and May-August 2017 (cohort two) | 
| Number of Participants Married and Co-habiting With Husband [by Trial End Line] | This outcome will be assessed using data collected from all study participants at end-line, using the face-to-face questionnaire. | May-August 2016 (cohort one) and May-August 2017 (cohort two) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescent girls, female sex work, age at marriage, retention in school, sexual debut, India, Karnataka