ArticleBMJ open2022
Fostering gender equality and reproductive and sexual health among adolescents: results from a quasi-experimental study in Northern Uganda.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Scoping review of social norms interventions to reduce violence and improve SRHR outcomes among adolescents and young people in sub-Saharan Africa.Frontiers in reproductive health · 2025Pooled it
- The effect of an educational campaign on contraception seeking in Northern Nigeria: an interrupted time series analysis using routine health information system data.Health policy and planning · 2026Article
- Enhancing sexual and reproductive health decision-making skills in underserved communities in Ghana: A quasi-experimental study.PLOS global public health · 2025Article
- Mapping the evidence on interventions that mitigate the health, educational, social and economic impacts of child marriage and address the needs of child brides: a systematic scoping review.Sexual and reproductive health matters · 2024Article
- Sexual and reproductive health information needs; an inquiry from the lens of in-school adolescents in Ebonyi State, Southeast Nigeria.BMC public health · 2024Article
- Do male and female heads of households have different beliefs about gender equity among young people in Nigeria?Frontiers in sociology · 2024Article
- Findings from a mixed-methods evaluation of a multi-level adolescent and youth reproductive and maternal health intervention in Karnali Province, Nepal.BMC women's health · 2023Article
- Assessment of knowledge, attitude, and practice of sexual health among students in a Chinese medical college: a cross-sectional study.Sexual medicine · 2023Article
- Early Educational Interventions to Prevent Gender-Based Violence: A Systematic Review.Healthcare (Basel, Switzerland) · 2023Review
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of the Gender Roles, Equality and Transformations (GREAT) intervention: a narrative-based, resource-light, life-stage tailored intervention package designed to promote gender-equitable attitudes and behaviours, and improve sexual and reproductive health (SRH) and gender-based violence (GBV) outcomes among adolescents and their communities.
designRepeated cross-sectional evaluation study, using propensity score matching combined with difference-in-difference estimation.
settingTwo postconflict communities in Lira and Amuru districts in Northern Uganda.
participantsMale and female unmarried adolescents (10-14 years, 15-19 years), married adolescents (15-19 years) and adults (over the age of 19 years) were selected using a stratified, two-stage cluster sample of primary and secondary schools and households (baseline: n=2464, endline: n=2449). PRIMARY OUTCOME MEASURES: Inequitable gender attitudes and behaviours; GBV; and SRH knowledge and behaviours.
resultsStatistically significant intervention effects were seen across all three outcomes-gender equity, GBV and SRH-among older and newly married adolescents and adults. Among older adolescents, intervention effects include shifts on: inequitable gender attitudes scale score: -4.2 points ((95% CI -7.1 to -1.4), p<0.05); Inequitable household roles scale score: -11.8 ((95% CI -15.6to -7.9), p<0.05); Inequitable attitudes towards GBV scale: -1.9 ((95% CI -5.0 to -0.2), p<0.05); per cent of boys who sexually assaulted a girl in past 3 months: -7.7 ((95% CI -13.1 to -2.3), p<0.05); inequitable SRH attitudes scale: -10.1 ((95% CI -12.9 to -7.3), p<0.05). Among married adolescents, intervention effects include shifts on: Inequitable household roles scale score: -6.5 ((95% CI -10.8 to -2.2), p<0.05); inequitable attitudes towards GBV scale: -4.7 ((95% CI -9.8 to -0.3), p<0.05); per cent who reacted violently to their partner: -15.7 ((95% CI -27.1 to -4.4), p<0.05); inequitable SRH attitudes scale: -12.9 ((95% CI -17.3 to -8.5), p<0.05).
conclusionThe GREAT intervention model demonstrates the promise of a resource-light, life-stage tailored programme that employs culturally appropriate, participatory and narrative-based techniques to advance gender equity and adolescent health. This type of programming contributes towards reductions in GBV and improved adolescent SRH outcomes.
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