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. 2019 Dec 12:10:100527.
doi: 10.1016/j.ssmph.2019.100527. eCollection 2020 Apr.

Girl Empower - A gender transformative mentoring and cash transfer intervention to promote adolescent wellbeing: Impact findings from a cluster-randomized controlled trial in Liberia

Berk Özler  1 , Kelly Hallman  2 , Marie-France Guimond  3 , Elizabeth A Kelvin  4 , Marian Rogers  3 , Esther Karnley  3
Affiliations

Girl Empower - A gender transformative mentoring and cash transfer intervention to promote adolescent wellbeing: Impact findings from a cluster-randomized controlled trial in Liberia

Berk Özler et al. SSM Popul Health. .

Abstract

Background: We evaluated Girl Empower - an intervention that aimed to equip adolescent girls with the skills to make healthy, strategic life choices and to stay safe from sexual abuse using a cluster-randomized controlled trial with three arms: control, Girl Empower (GE), and GE+.

Methods: GE delivered a life skills curriculum to girls aged 13-14 in Liberia, facilitated by local female mentors. In the GE + variation, a cash incentive payment was offered to caregivers for girls' participation in the program. We evaluated the impact of the program on seven pre-specified domains using standardized indices: sexual violence, schooling, sexual and reproductive health (SRH), psychosocial wellbeing, gender attitudes, life skills, and protective factors.

Findings: Participation rates in the program were high in both GE and GE+, with the average participant attending 28 out of 32 sessions. At 24 months, the standardized effects of both GE and GE+, compared to control, on sexual violence, schooling, psychosocial wellbeing, and protective factors were small (β, ≤ 0.11 standard deviations [SD]) and not statistically significant at the 95% level of confidence. However, we found positive standardized effects on Gender Attitudes (GE: β, 0.206 SD, p<0.05; GE+: β, 0.228 SD, p<0.05), Life Skills (GE: β, 0.224 SD, p<0.05; GE+: β, 0.289 SD, p<0.01), and SRH (GE: β, 0.244 SD, p<0.01; GE+: β, 0.372 SD, p<0.01; F-test for GE = GE+: p = 0.075).

Interpretation: Girl Empower led to sustained improvements in several important domains, including SRH, but did not reduce sexual violence among the target population.

Keywords: Adolescent welfare; Cash transfers; Mentoring programs; Sexual violence.

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Conflict of interest statement

None of the authors have any conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Study flow diagram.
Fig. 2
Fig. 2
Summary of ITT effects in GE and GE+ in comparison with the control group
See this image and copyright information in PMC

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