Reference/country/implementation period | Objectives | Target population | Multi component intervention | Study design and sampling technique, evaluation design | Focus of intervention | ||
---|---|---|---|---|---|---|---|
Direct intervention with young married couple | Interventions to target family members and community meetings | Interventions towards health and other welfare systems | |||||
Khan et al. 2008, [23] India, 2006–07 (FP)a | 1. To assess the feasibility and effectiveness of using community workers to promote the use of Lactation Amenorrhea Method (LAM) and post-partum contraception that are conducive to healthy spacing and timing of pregnancy which can lead towards maternal and child mortality control. | 1. Pregnant women with parity 0, 1 Age group-20-24 years | 1. Individual counselling | 1. Discussion sessions, | 1. Cascaded capacity building training of frontline health workers | 1. Quasi experimental with intervention/control area, | 1. Post-partum contraception, |
2. Husbands of pregnant women | 2. Group counselling | 2. Educational campaign | 2. Purposive and convenience sampling, | 2. Family planning | |||
3. Mother-in-Law of pregnant women | 3. Wall Paintings | 3. Comparison between intervention and control | |||||
Santhya et al. 2008, [24] India, 2003–05, (FTP)a | 1. To develop and test an integrated package of health and social interventions to improve married young women’s reproductive and sexual health knowledge and practices, | 1. Young women married for up to 2 years and not yet pregnant | 1. Individual counselling | 1. Informal interaction to provide information | 1. None | 1. Quasi experimental with intervention/control area, | 1. Antenatal care, |
2. To enhance their ability to act in their own interest and expand their social support networks. | 2. Nulliparous pregnant women; | 2. Group Formation | 2. Community Educational campaign | 2. Selection process not reported | 2. Delivery care | ||
3. First-time mothers up to 18 months postpartum | 3. Group counselling | 3. Comparison between intervention and control, and Baseline end line | 3. Post natal care | ||||
4. Contraceptive use to delay first pregnancy | |||||||
5. Decision making, mobility and couple communication | |||||||
Daniel et al.2008, [25] India 2005–07 (PRACHAR)a | 1. To improve the health and welfare of young mothers and their children by changing traditional customs of early childbearing | 1. Married women (aged 15–24) | 1. Individual counseling | 1. Community meetings | 1. Training of rural medical practitioner (RMP) | 1. Quasi experimental with intervention/control area, | 1. Delay first birth |
2. Unmarried adolescents | 2. Street Plays, | 2. BCC | 2. Purposive and convenience sampling, Comparison between baseline and follow-up with in intervention and control group | 2. Family planning | |||
3. Young couples, their guardians (parents and in laws) and influential community members | 3. Drama | 3. Group meeting | 3. Follow-up/monitoring of cohort for reproductive and sexual health | 3. RTI/STI prevention, | |||
4. Subgroups based on child status (no child, pregnant and with one child) | 4. Community educational campaign, | 4. Importance of delaying first birth, need of birth spacing, | |||||
5. Provision of basic reproductive and sexual health services | |||||||
ACQUIREb 2008, Nepal, [26] 2000–2002 (ACQUIRE Project)a | 1. To increase married adolescents’ knowledge about family planning, maternal health and HIV and STI, | 1. Married couples in which the woman was an adolescent | 1. Group training | 1. Advocacy workshop | 1. Advocacy | 1. Pre post Repeated Cross sectional surveys | 1. Use of contraception before first pregnancy, |
2. To increase community and family support for reproductive health decision making by married adolescent couples, especially related to family planning and pregnancy, delivery and post natal care | 2. Youth couples aged up to 25 years | 2. Individual counselling | 2. Discussion sessions, | 2. Cluster Sampling with Village Development Council as unit, Comparison between Baseline and End line | 2. ANC, | ||
3. Sensitization | 3. Qualitative and quantitative survey | 3. Delivery, | |||||
4. Community educational campaign | 4. PNC | ||||||
5. Street Plays | 5. HIV/AIDS, | ||||||
6. Drama | 6. Gender attitude | ||||||
CREHPAb 2004, Nepal, [27] (REWARDa Project) | 1. To improve the reproductive health need of newly married couples | 1. Young married women under 25 years | 1. Group formation Youth Communication Action Group (YCAG) and Mothers group (MG) | 1. Special events | 1. Cascaded Capacity building training of frontline health workers | 1. Quasi experimental with intervention/control area, | 1. Family planning, |
2. Capacity building of Group leaders and deputy leaders, Group (YCAG and MG) | 2. Dissemination of knowledge | 2. Advocacy | 2. Purposive and convenience sampling, | 2. ANC, | |||
3. Counselling, Linkage of Group (YCAG and MG) members to health providers | 3. Sensitisation | 3. Comparison between intervention and control groups | 3. Delivery | ||||
4. Community Educational campaign | 4. Qualitative and quantitative survey | 4 PNC, | |||||
5. Group Sensitization | 5. STI and HIV/AIDS | ||||||
6. Street Plays, Drama, Wall Paintings, Radio channels, TV channels | |||||||
Shattuck et al. 2011, [28] Malawi, 2008 (MMM)a | 1. To evaluate the effect of a peer-delivered educational intervention, the Malawi Male Motivator intervention, on couples’ contraceptive uptake | 1. Primary target: Men at least 18 years old and married to or living with female sexual partner aged not less than 25 years who was not currently pregnant or breastfeeding | 1. Information, Motivation and Behavioral skill model | 1. None | 1. None | 1. RCT | 1. Use of contraception |
2. Secondary target group: Wife/female sexual partner of those men | 2. Computer based random number list, Comparison between baseline and end line with in intervention and control group | 2. Gender norms | |||||
3. Qualitative and quantitative survey | |||||||
Pande et al. (a) 2006 [29] (KEM)a | 1. Improving the reproductive health of married and unmarried adolescents | 1. Married male and female adolescents and young adults aged: 14–25 years | 1. Identification and referral for counselling | 1. Sensitisation | 1. Training | 1. Feasibility study, House-listing survey, | 1. Sexual and Reproductive health knowledge and status and use of services |
2. Couple counselling, | 2. Baseline and end line comparison | ||||||
3. Marital counselling, and Clinical Referral | 3. Qualitative and quantitative survey | ||||||
Pande et al. (b) 2006 [30] (FRHS)a | 1. To examine the feasibility and effectiveness of providing a package of services in a rural community to improve married adolescents’ sexual and reproductive health knowledge and status, and use of services | 1. Newly married couple less than 22 years old, | 1. Group Formation and Group counselling (health education sessions), | 1. Social mobilization activities | 1. Training of health providers | 1. 2 × 2 intervention control design | 1. ANC |
2. Husbands | 2. Couple counselling | 2. House-listing survey | 2. Delivery, | ||||
3. Mothers in law. | 3. Comparison between baseline and end line with in intervention and control group | 3. PNC | |||||
4. Contraception use, | |||||||
5. Abortion, infertility and treatment of reproductive RTI |