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Delaying Pregnancy Among Youth (ELA)

Health & Psychology Tanzania

Despite decades of public health interventions and research, sub-Saharan African countries continue to experience the highest rates of teenage pregnancy, early marriage, HIV, and other sexually transmitted infections (STIs) in the world. In Tanzania, less than 10 percent of adolescents report using modern contraceptive methods even though 60 percent of girls have had sex before the age of 18. In 2008, BRAC started the Empowerment and Livelihoods for Adolescents (ELA) program, which provides a safe space and life skills training for vulnerable girls aged 12-24 years old. The randomized evaluation is being implemented in partnership with BRAC Tanzania, leveraging their network of adolescent girls’ ELA clubs. The evaluation is divided into two components: (1) a group-randomized component to test the relative importance of various supply- and demand-side factors that affect adolescent sexual and reproductive health (SRH) outcomes; and (2) an individual-randomized component to test the effectiveness of a goal-setting intervention in affecting SRH outcomes. Researchers follow each girl for two years. Primary outcomes include girls’ stated goals and whether their goals are achieved; school attendance and dropout rates; HIV and STI prevalence, attitudes towards and use of contraceptives; age of first pregnancy; and changes in time preferences. Results forthcoming.

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Marcella Alsan Cited at Event on Diversity in Medicine | Stanford Medicine


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