Community based interventions for strengthening adolescent sexual reproductive health and rights: how can they be integrated and sustained? A realist evaluation protocol from Zambia

Reproductive Health
Joseph ZuluAnna-Karin Hurtig

Abstract

Research that explores how community-based interventions for strengthening adolescent sexual reproductive health and rights (SRHR) can be integrated and sustained in community health systems, is, to the best of our knowledge, very scarce, if not absent. It is important to document mechanisms that shape integration process in order to improve health systems' responsiveness towards adolescents' SRHR. This realist evaluation protocol will contribute to this knowledge in Zambia where there is increased attention towards promoting maternal, neonatal and child health as a means of addressing the current high early pregnancy and marriage rates. The protocol will ascertain: why, how, and under what conditions the integration of SRHR interventions into Zambian community health systems will optimise (or not) acceptability and adoption of SRHR services. This study is embedded within a randomized controlled trial - "Research Initiative to Support the Empowerment of Girls (RISE)"- which aims to reduce adolescent girl pregnancies and marriages through a package of interventions including economic support to families, payment of school fees to keep girls in school, pocket money for girls, as well as youth club and community meetings on reprod...Continue Reading

References

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Apr 2, 2016·Health Systems and Reform·Helen Schneider, Uta Lehmann

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Citations

Sep 29, 2019·International Journal for Equity in Health·Joseph Mumba ZuluKaren Marie Moland
Apr 8, 2021·Health & Social Care in the Community·Nataly WoollettLiesel Ebersohn

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Methods Mentioned

BETA
contraception

Software Mentioned

RISE

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