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Reflections from a Data-to-Action Workshop based on the First-Ever Humanitarian Violence Against Children and Youth Survey
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Recap Report: Girls Deliver Pre-Conference on Adolescent Girls at the Women Deliver 2023 Conference
Get PDFThe Girls Deliver: Pre-Conference on Adolescent Girls was held on July 16, 2023 in Kigali Rwanda to kick off the Women Deliver 2023 Conference. Girls Deliver was led by the Population Council’s Girl Innovation, Research, and Learning Center (GIRL Center) and co-hosted by AFIDEP, Amplify Girls, Baobab Research Programme Consortium, Children’s Investment Fund Foundation, Coalition for Adolescent Girls, Exemplars in Global Health, FP2030, Girl Effect, Girls First Fund, Hilton Foundation, NDI, Plan International, PMNCH, Purposeful, Together for Girls, UNICEF, Women Deliver, and The World Bank Africa Gender Innovation Lab.
This recap report presents an overview of Girls Deliver, a summary of the discussions and key takeaways, as well as evidence-based resources that were developed to complement discussions at Girls Deliver
Advancing Social and Behavior Change Measurement for Family Planning—Slide deck
Get PDFSlide deck for Breakthrough RESEARCH Legacy and Learning Event Series #2, held on 28 February 2023
Expanding delivery of and access to evidence-based comprehensive HIV/SRH services among men who have sex with men (MSM) and transgender persons in Nigeria
Get PDFThe goals of this project were to: i) increase comprehensive HIV service delivery among MSM, transgender women, and their sexual partners, ii) build the capacity of a local NGO to function as a one-stop-shop for HIV and STI services, and iii) build evidence around the “hub and spokes” service delivery model, how to best reach transgender populations, and to pilot an intervention intended to promote mental health and reduce intersectional, internalized stigma experienced by sexual and gender minorities (both living with HIV and at risk of HIV acquisition). The project implemented a “hub and spokes” model of service provision of comprehensive HIV, sexual and reproductive health and support services to MSM and transgender women in Lagos. Key opinion leaders were essential in creating demand among their large social networks for services at the hub (a one-stop-shop facility) and public health facilities (spokes) that were trained to be a key-population friendly facility. Public health facilities can be capacitated to provide key population friendly services. The project also piloted a mental health promotion and stigma reduction intervention for MSM and transgender women, that addressed the mutiple stigmas experienced by sexual and gender minorities (i.e. intersectional stigma). The intervention determined that there is great need for and interest in such a stigma reduction intervention. The project also highlighted the need for more transgender-inclusive programming given the multiple levels of stigma that the community experiences. To reach more key populations, the hub and spokes model of service delivery should be expanded to other regions
Depression-mediating pathways from household adversity to antiretroviral therapy nonadherence among children and adolescents living with HIV in Zambia: A structural equation modeling approach
No full textBackground: In Zambia, half of children and adolescents living with HIV (CALWH) on antiretroviral therapy (ART) are virologically unsuppressed. Depressive symptoms are associated with ART nonadherence but have received insufficient attention as mediating factors in the relationship between HIV self-management and household-level adversities. We aimed to quantify theorized pathways from indicators of household adversity to ART adherence, partially mediated by depressive symptoms, among CALWH in 2 Zambian provinces. Setting: In July-September 2017, we enrolled 544 CALWH aged 5-17 years and their adult caregivers into a year-long prospective cohort study. Methods: At baseline, CALWH-caregiver dyads completed an interviewer-administered questionnaire, which included validated measures of recent (past 6 months) depressive symptomatology and self-reported past-month ART adherence (never versus sometimes or often missing medication doses). We used structural equation modeling with theta parameterization to identify statistically significant (P \u3c 0.05) pathways from household adversities (past-month food insecurity and caregiver self-reported health) to depression (modeled latently), ART adherence, and poor physical health in the past 2 weeks. Results: Most CALWH (mean age: 11 years, 59% female) exhibited depressive symptomatology (81%). In our structural equation model, food insecurity significantly predicted elevated depressive symptomatology (ß = 0.128), which was associated inversely with daily ART adherence (ß = -0.249) and positively with poor physical health (ß = 0.359). Neither food insecurity nor poor caregiver health was directly associated with ART nonadherence or poor physical health. Conclusions: Using structural equation modeling, we found that depressive symptomatology fully mediated the relationship between food insecurity, ART nonadherence, and poor health among CALWH
A structural and provider behavior change approach to enhancing respectful, integrative, responsive care for hospitalized young children (0–24 months) in Kenya
Get PDFThis brief describes a co-creation process and a resulting provider behavior change intervention approach that can be adapted to similar low- and middle-income hospital contexts. It offers policy and program managers details around each intervention component, linking to an accompanying provider orientation PowerPoint and other training materials/job aids. Finally, it recommends a few lessons to guide those interested in engaging in a similar co-creation and implementation approach
Cost-effectiveness analysis for integrated social and behavior change programming by the Resilience in the Sahel Enhanced II program in the Maradi and Zinder regions of Niger
Get PDFIn March 2020, Breakthrough RESEARCH began applying their Guidelines for Costing Social and Behavior Change Health Interventions to the Resilience in the Sahel (RISE) II program in Niger for a cost-effectiveness analysis that will run until 2022. The purpose of this document is to share the findings of the application of the guidelines and provide an example and guidance for social and behavior change researchers and implementers on how these guidelines can be applied to other case study applications