GAGE Act With Her-Ethiopia Evaluation

NCT ID: NCT03890237

Last Updated: 2025-04-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

4500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2026-11-30

Brief Summary

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This study evaluates the impact of Act With Her Ethiopia (AWH-E), a gender transformative multi-level program that aims to improve the lives of young adolescent boys and girls.

Detailed Description

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Unequal gender norms and power dynamics are often driven and reinforced by adolescent girls' male peers, families, communities, and the broader institutional structures that surround them. Without change in gender attitudes and norms at each of these levels, improved outcomes for key transitions are much less likely to be sustained. Efforts to nurture change must also acknowledge that adolescents' opportunities and capabilities are shaped by complex, intersectional forces including ethnicity, caste, religion, and disability, among others. This multi-arm randomized control trial aims to improve the evidence base on effective approaches to improve multi-sectoral outcomes for girls across the following domains from the Gender and Adolescence: Global Evidence (GAGE) framework: education and learning; health, nutrition and sexual and reproductive health; bodily integrity; psychosocial well-being; voice and agency; and economic empowerment.

Specifically, the trial has four goals:

1. To evaluate the impact of Act With Her in Ethiopia (AWH-E) - a gender-transformative multi-level program - on young adolescent girls' and boys' capabilities (11-13) in the short- and long-run across the six GAGE capability domains using a multi-arm cluster randomized control trial across two regions (Amhara and Oromia).
2. To compare the impact of AWH-E to a more basic gender-synchronized program (AWH-E without community engagement and systems strengthening), a standalone girls' group program (Her Spaces), and the gender-transformative program with economic support (AWH-E + Asset Transfers) on young adolescent capability achievements and transitions in the short- and longer- terms across two regions (Amhara and Oromia).
3. To evaluate the impact of AWH-E on young adolescent capability achievements and transitions in the short- and long- term in pastoralist contexts (Afar).
4. To use mixed-methods research to understand the mechanisms driving the impact, and in particular what works, for whom, and why.

Conditions

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Adolescent Behavior Gender

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The impact evaluation study is a cluster-randomized controlled trial among 175 communities with five study arms: control (no intervention), AWH-E, Her Spaces, AWH- E + asset transfer, and AWH-E without community engagement and systems strengthening.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study participants will not be masked to their assignment, but will not know the full set of treatment and comparison groups, or what those other groups receive. Given cluster level randomization, contamination will be minimized. Enumerators who collect the survey data that forms the basis of the evaluation will not be explicitly told the treatment status of a given Kebele, however, given the community level nature of the intervention it may be possible for them to ascertain whether it is a treatment or control Kebele. Statistical analyses will be done by the investigators who will not be masked to the treatment status of the participants

Study Groups

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Control

Business as usual, no intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Her Spaces

Starts in year 1; intervention package with 11-13 year old girls for 10 months; standard parental and community engagement. All programming ends after 10 months.

Group Type EXPERIMENTAL

Her Spaces

Intervention Type BEHAVIORAL

Her Spaces will comprise a set of activities leveraging the Her Spaces curriculum and program model which includes curriculum-based sessions for 11-13 year old girls, with 40 sessions delivered weekly over the course of 10 months

Act With Her

Starts in year 1; core intervention package with 10-13 year old girls and boys for 10 months; 6 dedicated sessions with parents; and community-level system strengthening up to 24 months.

Group Type EXPERIMENTAL

Act With Her

Intervention Type BEHAVIORAL

Act With Her was designed to facilitate adolescent transitions to adulthood via improvements across the six GAGE domains (education, bodily integrity, health, psychosocial well-being, voice and agency, and economic empowerment). Project activities fall into three main categories: curriculum-based programming with adolescent girls and boys, community transformation, and systems strengthening. Act With Her will work with 10-13 year old girls and boys for 10 months and implement community-level and high-level system strengthening work up to 24 months (in rural and pastoralist areas).

Act With Her + Asset Transfer

Starts in year 1; core intervention package with 10-13 year old girls and boys for 10 months; asset transfer for girls over 10 months; 6 dedicated sessions with parents; and community-level system strengthening up to 24 months.

Group Type EXPERIMENTAL

Act With Her + Asset Transfer

Intervention Type BEHAVIORAL

This arm will implement the Act With Her program described above, using program curricula with 10-13-year-old girls and boys over 10 months and conducting community-level systems strengthening up to 24 months. Additionally, the girls participating in this arm will receive one of three asset transfer options. The packages will be of equal value (115 USD) - one will include school supplies, one will include hygiene supplies, and will be a combination of both. Each adolescent girl will choose which package she would like to receive and will receive components of the package at 3 timepoints over the course of the first 10 months of the project.

Act With Her (simple)

Starts in year 1; core intervention package with 10-13 year old girls and boys for 10 months; 6 dedicated sessions with parents; does not include community-level systems strengthening. All programming ends after 10 months.

Group Type EXPERIMENTAL

Act With Her (simple)

Intervention Type BEHAVIORAL

This arm will implement the Act With Her curricula described above with 10-13 year old girls and boys over 10 months. The adolescent groups will follow the same model (near-peer, same-sex mentors, 40 weekly meetings for girls, 18 meetings for boys, 4 of which are joint sessions for boys and girls, 6 sessions for parents), but will not include community-level systems strengthening activities

Interventions

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Her Spaces

Her Spaces will comprise a set of activities leveraging the Her Spaces curriculum and program model which includes curriculum-based sessions for 11-13 year old girls, with 40 sessions delivered weekly over the course of 10 months

Intervention Type BEHAVIORAL

Act With Her

Act With Her was designed to facilitate adolescent transitions to adulthood via improvements across the six GAGE domains (education, bodily integrity, health, psychosocial well-being, voice and agency, and economic empowerment). Project activities fall into three main categories: curriculum-based programming with adolescent girls and boys, community transformation, and systems strengthening. Act With Her will work with 10-13 year old girls and boys for 10 months and implement community-level and high-level system strengthening work up to 24 months (in rural and pastoralist areas).

Intervention Type BEHAVIORAL

Act With Her + Asset Transfer

This arm will implement the Act With Her program described above, using program curricula with 10-13-year-old girls and boys over 10 months and conducting community-level systems strengthening up to 24 months. Additionally, the girls participating in this arm will receive one of three asset transfer options. The packages will be of equal value (115 USD) - one will include school supplies, one will include hygiene supplies, and will be a combination of both. Each adolescent girl will choose which package she would like to receive and will receive components of the package at 3 timepoints over the course of the first 10 months of the project.

Intervention Type BEHAVIORAL

Act With Her (simple)

This arm will implement the Act With Her curricula described above with 10-13 year old girls and boys over 10 months. The adolescent groups will follow the same model (near-peer, same-sex mentors, 40 weekly meetings for girls, 18 meetings for boys, 4 of which are joint sessions for boys and girls, 6 sessions for parents), but will not include community-level systems strengthening activities

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* girls and boys 10-13 at time of enrollment in Act With Her Arms
* girls 11-13 female at time of enrollment in Her Spaces Arm

Exclusion Criteria

* None
Minimum Eligible Age

10 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Overseas Development Institute

UNKNOWN

Sponsor Role collaborator

Addis Ababa University

OTHER

Sponsor Role collaborator

University of Oklahoma

OTHER

Sponsor Role collaborator

Pathfinder International

INDUSTRY

Sponsor Role collaborator

Care International

UNKNOWN

Sponsor Role collaborator

UK Department for International Development on behalf of UK Aid

UNKNOWN

Sponsor Role collaborator

Bill and Melinda Gates Foundation

OTHER

Sponsor Role collaborator

George Washington University

OTHER

Sponsor Role lead

Responsible Party

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Sarah Baird

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Zone 5, Afar Region, Ethiopia

Site Status

South Gondar, Amhara, Ethiopia

Site Status

East Hararghe, Oromiya, Ethiopia

Site Status

Countries

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Ethiopia

Other Identifiers

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GAGE AWH-E 2019

Identifier Type: -

Identifier Source: org_study_id

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