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Health Education and Community Integration: Evidence based Strategies to increase equity, integration and effectiveness of reproductive health services for poor communities in Sub Saharan Africa

Objective

Objectives: The research aims to improve the delivery of reproductive health (RH) services in Tanzania and Niger by generating new evidence about effective ways to strengthen the provision, uptake, equity and effectiveness of adolescent reproductive health (ARH) programmes. Background: Poor adolescent reproductive health (ARH) continues to be a major cause of morbidity and worsening poverty for the poorest people in sub-Saharan Africa. The effectiveness of ARH programmes implemented within the health and education sectors is seriously hampered by adverse prevailing cultural norms and practices within those sectors and the wider community, and by poor programme integration. Methods: The proposed research will promote equitable reproductive health (RH) service provision and improve its uptake and effectiveness by : (i) conducting a situation analysis of current community and implementer experiences of existing ARH programmes in Tanzania and Niger, identifying priority areas of weakness in RH service provision and opportunities for strengthened service uptake and integration; (ii) addressing identified weaknesses and opportunities by developing an innovative package of interventions in 4 areas: (1) workplace ARH strategy in health units; (2) RH support to teachers in schools; (3) integrated school and community guardian support to pupils; (4) enhanced community referral to health services. We will evaluate the processes and impact of the interventions through a series of rigorous process evaluation studies, which will generate new knowledge, about intervention development, and indicators of intervention processes and effect. The overall impact of the interventions will be evaluated in a population-based cluster randomised trial. Involvement as project partners of the government ministries directly responsible for ARH policy in both Niger and Tanzania, will ensure the policy-relevance of this research, and its continued impact beyond the life of this project.

Field of science

  • /medical and health sciences/health sciences/social biomedical sciences/sexual health
  • /social sciences/sociology/governance/public services
  • /social sciences/educational sciences/pedagogy/teaching

Call for proposal

FP7-HEALTH-2009-single-stage
See other projects for this call

Funding Scheme

CP-FP-SICA - Small/medium-scale focused research project for specific cooperation actions dedicated to international cooperation partner countries(SICA)

Coordinator

LIVERPOOL SCHOOL OF TROPICAL MEDICINE
Address
Pembroke Place
L35QA Liverpool
United Kingdom
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 921 174
Administrative Contact
Angela Obasi (Dr.)

Participants (7)

UNIVERSITE CATHOLIQUE DE LOUVAIN
Belgium
EU contribution
€ 475 061
Address
Place De L Universite 1
1348 Louvain La Neuve
Activity type
Higher or Secondary Education Establishments
Administrative Contact
Jean Macq (Prof.)
NATIONAL INSTITUTE FOR MEDICAL RESEARCH
Tanzania
EU contribution
€ 602 926
Address
Sokoine Luthuli Drive Ocean Road
255 Dar Es Salaam
Activity type
Research Organisations
Administrative Contact
John Meshack Changalucha (Mr.)
Ministry of Health and Social Welfare
Tanzania
EU contribution
€ 47 592
Address
Po Box 9083
Dar Es Salaam
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Elizabeth Mapella (Dr.)
Ministry of Education and Vocational Training
Tanzania
EU contribution
€ 47 592
Address

Dar Es Salaam
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Laetitia Sayi (Dr.)
LABORATOIRE D ETUDES ET DE RECHERCHES SUR LES DYNAMIQUES SOCIALES ET LE DEVELOPPEMENT LASDEL
Niger
EU contribution
€ 594 203
Address
Rue Du Plateau 118
227 Niamey
Activity type
Research Organisations
Administrative Contact
Hadiza Moussa (Dr.)
Ministère de la Santé Publique
Niger
EU contribution
€ 47 592
Address
Dsme/niger C/o Ministère De La Santé Publique Centre National De La Santé De La Reproduction 0
Niamey
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Asma Ghali Yaroh (Dr.)
UNITED NATIONS POPULATION FUND
United States
EU contribution
€ 13 860
Address
East 42Nd Street 220
10017 New York
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
Administrative Contact
Yacine Diallo (Mr.)