The International Center for Child Health and Development, Brown School, Washington University in St. Louis, Missouri.
Division of Prevention Science, University of California, San Francisco, California.
J Adolesc Health. 2024 Feb;74(2):340-349. doi: 10.1016/j.jadohealth.2023.08.043. Epub 2023 Oct 8.
Attaining education among girls is still a challenge in sub-Saharan Africa. Even those who enroll in school need additional financial and social support to promote attendance, performance, and behavior. We investigated whether (1) adolescent girls receiving an economic empowerment intervention comprising Youth Development Accounts (YDA) or a combination intervention comprising (YDA + Multiple Family Group [YDA + MFG]), participants of the Suubi4Her study, will each display better grade repetition, attendance, and behavior in school compared to girls in the control group and (2) adolescent girls in the YDA + MFG group will have better outcomes than girls receiving the YDA-only intervention.
We used longitudinal data from 1,260 Ugandan adolescent girls from the Suubi4Her cluster randomized controlled trial. To account for repeated measures at the individual level over time and clustering at the school level, three-level mixed-effects models were fitted. For binary outcomes, we used multilevel logistic regression, while for continuous outcomes, we applied multilevel linear regression.
Overall, our findings highlight the positive impact of the Suubi4Her intervention on reducing general and sickness-related absenteeism among school-attending adolescent girls who received the YDA or YDA + MFG intervention but observed no significant group differences on their grade repetition and behavior in school.
Improving school attendance and reducing illness-related absences can translate to numerous beneficial outcomes for adolescent girls in the long-term and, hence, these interventions should be considered to improve educational outcomes among other adolescent girl populations in similar settings across sub-Saharan Africa.
在撒哈拉以南非洲,女孩接受教育仍然是一个挑战。即使那些入学的女孩也需要额外的经济和社会支持,以促进她们的出勤率、表现和行为。我们调查了(1)接受青年发展账户(YDA)经济赋权干预或包括 YDA+多个家庭小组(YDA+MFG)的组合干预的少女是否与对照组的女孩相比,在学校中的成绩重复、出勤率和行为表现会更好,以及(2)YDA+MFG 组的少女是否会比仅接受 YDA 干预的女孩有更好的结果。
我们使用了来自苏比 4 她(Suubi4Her)群组随机对照试验的 1260 名乌干达青春期女孩的纵向数据。为了考虑到个体在时间上的重复测量和学校层面的聚类,我们拟合了三层混合效应模型。对于二项结果,我们使用多层逻辑回归,而对于连续结果,我们应用多层线性回归。
总体而言,我们的研究结果强调了 Suubi4Her 干预对减少接受 YDA 或 YDA+MFG 干预的在校少女的一般和与疾病相关的旷课的积极影响,但在成绩重复和学校行为方面没有观察到显著的组间差异。
提高出勤率和减少与疾病相关的缺勤可以在长期内为青春期少女带来许多有益的结果,因此,应该考虑这些干预措施来改善撒哈拉以南非洲类似环境中其他青春期少女群体的教育成果。