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Impact Evaluation of Türkiye's Adolescent Girls' and Boys' Empowerment Programme for Elimination of Child Marriage

U

United Nations Children's Fund (UNICEF)

Status

Not yet enrolling

Conditions

Marriage
Marriage Age

Treatments

Behavioral: Adolescent Girls' and Boys' Empowerment Program

Study type

Interventional

Funder types

Other

Identifiers

NCT06947018
HML2855

Details and patient eligibility

About

Low income, refugee, displaced and disaster affected populations face a variety of protection risks, including higher risk of child, early and forced marriage and unions (CEFMU). This is the case in Türkiye, where low income, refugee populations and those affected by the 2023 earthquake in Southern and Central Türkiye face elevated risk of child marriage. As part of the UNICEF Türkiye Country Office (TCO) commitment to implement comprehensive interventions that aim to contribute to a change in social norms and attitudes towards gender equality, the CO and partners have developed the "Adolescent Girls' and Boys' Empowerment for Elimination of Child Marriage" program (hereafter "the program"). The program is an 8-week group-based empowerment and life skills training for adolescent girls aged 12 - 18 years old, a 4-session adolescent boys awareness training, and a one-time awareness raising seminar for caregivers. The current trial has the overall objective of evaluating the short-term causal impact of the program with respect to CEFMU and related outcomes for adolescent girls. The trial design is an individual randomized control trial, allocating 820 households with adolescent girls to either treatment or control on a 1:1 basis. The primary data collection includes a pre- and post-intervention caregiver and adolescent face-to-face survey, as well as a one-time qualitative data collection. The trial results will inform the future operation and scale-up of the program, as well as contribute to the broader evidence base on what works to increase the empowerment of adolescent girls and reduce CEFMU.

Full description

Low income, refugee, displaced and disaster affected populations face a variety of protection risks, including higher risk of child, early and forced marriage and unions (CEFMU). This is the case in Türkiye, where low income, refugee populations and those affected by the 2023 earthquake in Southern and Central Türkiye face elevated risk of child marriage. As part of the UNICEF Türkiye Country Office (TCO) commitment to implement comprehensive interventions that aim to contribute to a change in social norms and attitudes towards gender equality, the CO and partners have developed the "Adolescent Girls' and Boys' Empowerment for Elimination of Child Marriage" program (hereafter "the program"). The program is an 8-week group-based empowerment and life skills training for adolescent girls aged 12 - 18 years old, a 4-session adolescent boys awareness training and a one-time awareness raising seminar for caregivers. The current trial has the overall objective of evaluating the short-term causal impact of the program with respect to CEFMU and related outcomes for adolescent girls. The trial seeks to answer the following evaluation questions:

    1. Does the program improve participant adolescent girls' agency, self-confidence, and gender-equitable attitudes (including for CEFMU), and to what extent?
    1. Does the program improve the household enabling environment, including gender-equitable attitudes (including CEFMU), social support, protective behaviors against CEFMU, and use of social services among participating caregivers and in the broader community, and to what extent?
    1. Does the program reduce CEFMU for adolescent girls, and to what extent?
    1. Through which pathways (or combination of pathways) do potential impacts occur?
    1. Was the program implemented in a manner to maximize potential impacts? and
    1. What is the return-on-investment (cost-benefit calculation) for the program? The trial design is an individual randomized control trial, allocating 820 households with adolescent girls to either treatment or control on a 1:1 basis. The primary data collection includes a pre- and post-intervention caregiver and adolescent face-to-face survey, as well as a one-time qualitative data collection. The trial results will inform the future operation and scale-up of the program, as well as contribute to the broader evidence base on what works to increase the empowerment of adolescent girls and reduce CEFMU.

Enrollment

820 estimated patients

Sex

Female

Ages

12 to 17 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria (primary study participant, however note that primary female caregivers and siblings will be invited to participate in the study pending inclusion of primary study participant):

  • Adolescent girls aged 12 - 17 years
  • Unmarried girls
  • Have never previously been exposed to the intervention
  • Live in a family or household with at least one adult caregiver
  • Live in a family who are social service clients of the implementing partner
  • Live in a family who are risk-assessed as 'low' or 'medium' on the family risk assessment tool
  • Live in a family which is planning on staying in the catchment area of the intervention in the subsequent 6-months

Exclusion criteria:

  • Adolescent girls younger than 12 or older than 17 years
  • Girls who are married or cohabiting
  • Previously been exposed to the intervention
  • Are in institutionalized or non-family-based care
  • Live in a family who are not social service clients of the implementing partner
  • Live in a family who are risk-assessed as 'high' or 'highest' on the family risk assessment tool
  • Live in a family which is planning on moving outside the catchment area of the intervention in the subsequent 6-months

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

820 participants in 2 patient groups

Adolescent Girls' and Boys' Empowerment Program
Experimental group
Description:
Adolescent Girls' and Boys' Empowerment Program for Elimination of Child Marriage
Treatment:
Behavioral: Adolescent Girls' and Boys' Empowerment Program
Control
No Intervention group
Description:
Business as usual (delayed intervention, post-trial - if funding allows)

Trial contacts and locations

1

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Central trial contact

Yasemin Kisbu, Ph.D.; Amber Peterman, Ph.D.

Data sourced from clinicaltrials.gov

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