Addressing adolescent girls' vulnerability to HIV/AIDS: Lessons from the Meri Life Meri Choice project

Abstract

Chapter 2 Profile of adolescent girls and their families Chapter 3 Meri Life Meri Choice project Chapter 4 Effect of the intervention on protective assets of adolescent girls and their unmarried brothers and husbands Chapter 5 Effect of the intervention on sexual risk-taking and health-seeking behaviours and practices of adolescent girls and their unmarried brothers and husbands Chapter 6 Effect of the intervention on adolescent girls' access to a supportive and safe environment Chapter 7 Effect of the intervention on awareness and practices of mothers and fathers of adolescent girls Chapter 8 Changes in attitudes and practices among adolescent girls and their family members: self-assessments Chapter 9 Summary and recommendations Annex 1: Detailed description of the selection of intervention and comparison arms and sample size calculation Annex 2: Calculation of household wealth index Annex 3: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands, by treatment arms, baseline survey Annex 4: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands, baseline and endline surveys Annex 5: Items included in the summary measures related to agency and gender role attitudes and their baseline values Annex 6: Items included in the summary measure related to awareness of sexual and reproductive matters and their baseline values iv Annex 7: Items included in the summary measure related to financial literacy and their baseline values Annex 8: Items included in the summary measure related to parental awareness of sexual and reproductive matters and their baseline values Annex 9: Items included in the summary measure related to gender role attitudes of parents and their baseline values Annex 10: Selected background characteristics of unmarried and married adolescent girls and their unmarried brothers and husbands by their participation in the MLMC activities, endline survey References:

Adolescent health: Priorities and opportunities for Rashtriya Kishor Swasthya Karyakram (RKSK) in Uttar Pradesh

“…Evidence from NGO-led programmes that combine sexuality and life-skills education have shown promise in raising awareness of sexual and reproductive matters and helping to adopt protective behaviours. 1,2 ASHAs must also improve provision of contraception to married girls to address the high unmet need documented in this group.…”

Executive Summary: Understanding the lives of adolescents and young adults (UDAYA) in Uttar Pradesh, India (2015–16)

“…An increasing number of intervention models to build agency and promote egalitarian gender role attitudes among adolescents have been tested in India (Acharya et al, 2009;Achyut et al, 2011;Das et al, 2012;Jejeebhoy et al, 2017a;Mehra et al, 2016;Verma et al, 2006). As noted in a recent synthesis of promising interventions (Jejeebhoy, 2017), these models could be reviewed and replicated or scaled-up as appropriate.…”

“…Peers have also been identified as acceptable sources of information, and while there is a debate about the effectiveness of peer educators in other settings, there is some evidence from India that suggests that young people may indeed be a reliable source of information for their peers (Pandey et al, 2016;Mehra et al, 2016;Jejeebhoy et al, 2017a). The Rashtriya Kishor Swasthya Karyakram has also advocated for a peer educator approach to inform and counsel youth, and its programmes offer a unique opportunity through which to inform and empower adolescents about sexual and reproductive matters as well as many other health-related matters that may place adolescents at risk.…”

“…While evaluations of government-initiated family life or sexuality education programmes are limited, evidence from NGO-led programmes that combine sexuality education and life skills education have shown promise not only in raising awareness of sexual and reproductive matters among adolescents, but also in helping them to adopt protective behaviours (Pandey et al, 2016;Mehra et al, 2016). Investments are also required to adapt, re-evaluate, and upscale these promising models.…”

Adolescent health: Priorities and opportunities for Rashtriya Kishor Swasthya Karyakram

“…Evidence from NGOled programmes that combine sexuality and life skills education have shown promise in raising awareness of sexual and reproductive matters and helping to adopt protective behaviours. 1,2 ASHAs must also improve provision of contraception to married girls to address the high unmet need documented in this group.…”