Breaking News
March 18, 2019 - Fibromyalgia can be reliably detected in blood samples
March 18, 2019 - Legacy Pharmaceutical Packaging, LLC Issues Voluntary Nationwide Recall of Losartan Potassium Tablets, USP, 25mg, 50mg, And 100mg Due to The Detection of Trace Amounts Of N-Nitroso N-Methyl 4-Amino Butyric Acid (NMBA) Impurity Found in The Active Pharmaceutical Ingredient (API)
March 18, 2019 - Researchers identify early home and family factors that contribute to obesity
March 18, 2019 - Fate and festivity: Match Day 2019
March 18, 2019 - Study finds TAVR to be as good as open-heart surgery for patients at low surgical risk
March 18, 2019 - EU-funded project is developing new tools for diagnosing cancer
March 18, 2019 - Gluten, lactose, food dyes in pills could be causing side effects finds study
March 18, 2019 - Taking painkillers during pregnancy is not responsible for asthma risk in children, study shows
March 18, 2019 - Prediagnosis Psychiatric Care Linked to Worse Cancer Mortality
March 18, 2019 - Paris hospital halts stool study after donor deluge
March 18, 2019 - Partial oral antibiotic therapy shows efficacy and safety in patients with infectious endocarditis
March 18, 2019 - Olympus improves access to science education through BioBus collaboration
March 18, 2019 - Depression screening does not improve quality of life in heart attack patients
March 18, 2019 - Echocardiography may aid in patient selection for TMVR
March 18, 2019 - Are ‘Inactive’ Ingredients in Your Drugs Really So Harmless?
March 18, 2019 - Wearable technology can safely identify atrial fibrillation
March 18, 2019 - Scientists tackle rare retinal disease in unique research project
March 18, 2019 - Death By A Thousand Clicks
March 18, 2019 - Absorbable, antibiotic-eluting envelope can reduce rate of cardiac device infections
March 18, 2019 - Hormonal treatment associated with depression in men with prostate cancer
March 18, 2019 - Porvair Sciences launches reinforced 96-well deep round microplate
March 18, 2019 - Simplified catheter ablation could slash waiting lists for atrial fibrillation patients
March 18, 2019 - BFR therapy as part of rehabilitation following ACL surgery may slow bone loss
March 18, 2019 - A human model to test implants for cataract surgery
March 18, 2019 - New risk adjustment model could reduce financial penalty for safety net hospitals
March 18, 2019 - NHS cancer patients’ wait to start treatment worrying
March 18, 2019 - Inventiva Announces Results from Phase IIb Clinical Trial with Lanifibranor in Systemic Sclerosis
March 18, 2019 - Cologuard
March 18, 2019 - Researchers find evidence of prenatal environment tuning genomic imprinting
March 18, 2019 - Dolomite Bio launches novel Nadia product family for single-cell research
March 18, 2019 - Intellipharmaceutics Announces Resubmission of New Drug Application to the U.S. FDA for its Oxycodone ER
March 18, 2019 - Excessive gestational weight gain tied to maternal morbidity
March 18, 2019 - RCEM issues position statement on metrics to supplement four-hour standard target
March 17, 2019 - Noncontrast Brain MRI Effective for Monitoring Multiple Sclerosis
March 17, 2019 - Brain region plays key role in regulation of parenting behavior, study finds
March 17, 2019 - Natural speed limit on DNA replication sets pace for life’s first steps
March 17, 2019 - New research reveals overlooked impact of herbicide glyphosate on the environment
March 17, 2019 - Molecular patterns could help predict relapse risk in breast cancer patients
March 17, 2019 - Study confirms sensitivity of microbiological cultures for detecting cholera
March 17, 2019 - Scientists Spot Clues to Predicting Breast Cancer’s Return
March 17, 2019 - Scientists identify gene that keeps PTSD-like behavior at bay in female mice
March 17, 2019 - New method would allow doctors to detect earliest stages of cancers in the lymph nodes
March 17, 2019 - Cholesterol protein discovery raises hope for smarter drugs
March 17, 2019 - New insect medium delivers high viable cell density growth and protein yield
March 17, 2019 - Opioid crisis brings concerns about heart dangers
March 17, 2019 - Resistance Training May Prevent Type 2 Diabetes Progression
March 17, 2019 - Bioluminescence sensors make new approaches to drug discovery possible
March 17, 2019 - New FDA Rules Aim to Keep Kids From Flavored E-Cigarettes
March 17, 2019 - Vitamin B3 analogue boosts production of blood cells
March 17, 2019 - Government cuts to stop smoking services have detrimental impact on public health
March 17, 2019 - Common tool to assess potential adoptive parents lags behind societal changes
March 17, 2019 - Patients’ own cells could be the key to treating Crohn’s disease
March 17, 2019 - Diagnostic delays common in inflammatory bowel disease
March 17, 2019 - Study uncovers dramatic differences in the brains of Hispanics with dementia
March 17, 2019 - Study describes epigenetic loss that changes how cells obtain energy from cancer
March 16, 2019 - Active Bathing in Non-ICU Setting Does Not Cut Infections
March 16, 2019 - How the immune system maintains a healthy gut microbiota
March 16, 2019 - Bacteria ‘trap’ could help in the fight against antimicrobial resistance
March 16, 2019 - Hospital work environment associated with all EHR usability outcomes
March 16, 2019 - Study unravels mystery behind how the brain encodes time when forming long-term memories
March 16, 2019 - Light physical activity may lower risk of cardiovascular disease in older women
March 16, 2019 - USP15 enzyme could potentially lead to new treatments for breast, pancreatic cancer
March 16, 2019 - After Chinese Infant Gene-Editing Scandal, U.S. Health Officials Join Call for a Ban
March 16, 2019 - PACS1 syndrome – Genetics Home Reference
March 16, 2019 - Researchers discover an unexpected organization of antimicrobial molecules that amplifies immune response
March 16, 2019 - With New Study, Era of Open-Heart Surgery for Aortic Stenosis May be Ending
March 16, 2019 - Dolomite Bio introduces high throughput sNuc-Seq protocol for its Nadia Instrument
March 16, 2019 - New course prepares materials scientists for biomedical testing
March 16, 2019 - Finding clues to a functional HIV cure
March 16, 2019 - People with chronic periodontitis have higher risk for dementia
March 16, 2019 - Few heart care recommendations are based on rigorous study
March 16, 2019 - Colorectal cancer diagnosed at early age is distinct from that in older patients
March 16, 2019 - Researchers use MRI and AI techniques at birth to predict cognitive development at age 2
March 16, 2019 - Discarding information from the brain linked to more mental effort, finds study
March 16, 2019 - OTA International supplement provides current snapshot and forward look at global trauma systems
March 16, 2019 - NIH trial to track outcomes of liver transplantation from HIV+ donors to HIV+ recipients
March 16, 2019 - Apple Heart Study shows how wearable technology can help detect heart problem
March 16, 2019 - Researchers determine factors that cause stress development in the human body
March 16, 2019 - Elderly Men Undertreated for Osteoporosis
March 16, 2019 - People with chronic pain are coping with the help of Pinterest, new study reveals
Life skills program benefits adolescent girl refugees in Sub-Saharan Africa

Life skills program benefits adolescent girl refugees in Sub-Saharan Africa

image_pdfDownload PDFimage_print

A yearlong program for adolescent girl refugees in Sub-Saharan Africa successfully promoted healthy transitions to adulthood within the evaluation period, according to the results of randomized controlled trials in Ethiopia and the Democratic Republic of Congo. The studies, which appear in BMJ: Global Health, were led by researchers in the Program on Forced Migration and Health at Columbia University’s Mailman School of Public Health.

The COMPASS program (Creating Opportunities through Mentoring, Parental Involvement, and Safe Spaces), developed by the International Rescue Committee, was implemented in refugee camps in Ethiopia and in conflict-affected communities in eastern Democratic Republic of Congo (DRC), and Khyber Pakhtunkwah province, Pakistan. (Pakistan findings appeared in a separate journal article in the Prevention Science.)

Baseline surveys found a majority of girls experienced sexual, physical, or emotional violence, and most girls accepted norms of gender inequality and violence against women in the home. One in five girls experienced early marriage, or were living with a man as if married, and expressed low expectations about the level of education a girl should complete. Few girls said they had an adult they could talk to if they experienced gender-based violence (GBV), and they had limited knowledge of professional services to help survivors of violence.

“There is a huge gap in programming for adolescent girls in emergencies,” says first author Lindsay Stark, DrPH, associate professor of social work and public health at Washington University in St. Louis’s Brown School and former associate professor of Population and Family Health at the Columbia Mailman School. “Programming tends to either be geared towards younger children (e.g. child-friendly spaces) or geared towards adult women (e.g. GBV services). Adolescents’ unique needs and issues are rarely addressed.”

“The humanitarian community must ensure that the unique needs of adolescent girls are addressed, as they remain amongst the most marginalized populations in the world,” says Julia Thomas, head of Strategic Initiatives, Violence Prevention, and Response at the International Rescue Committee. “In times of conflict, they are at greater risk of exploitation and abuse, which has grave long-term implications, as they are denied the chance to reach their full potential. We must build on programs like COMPASS to put an end to gender based violence and to empower and protect adolescent girls everywhere.”

Ethiopia

A randomized controlled trial of 986 Sudanese and South Sudanese girls ages 13-19 residing in refugee camps in Ethiopia tested an intervention of weekly classes that taught life skills geared to build girls’ knowledge of violence risk factors, reshape attitudes about gender roles, expand social networks, and improve decision-making and negotiation skills, ultimately to equip them to advocate for their rights and physical safety. These sessions were delivered in female-only safe spaces where girls could meet and form friendships and connect with mentors. Each participating adolescent girl was also invited to select a caregiver to participate in complementary monthly classes that facilitated discussion on ways to support adolescent girls, foster gender equitable attitudes, and non-violent methods of child discipline.

Analyses showed no significant effect of the intervention on reports of sexual violence, physical violence, emotional violence, transactional sex, as well as no effect on perceived feelings of safety. However, girls randomized to the life skills lessons expressed a greater value in prolonged schooling and delayed marriage compared to girls in the control group. Girls in the intervention arm were also nearly twice as likely to report having friends their own age and a trusted non-family female adult in their life. In an unpublished finding, the researchers found girls in the intervention were also more likely to know where to go if they experienced violence. The program also showed a reduction in child marriage for girls who were married or living with a partner as if married at baseline. Informal reports from program staff suggest that girls who were living with boyfriends as if married left those relationships and returned home.

Democratic Republic of Congo

A randomized control trial followed 869 adolescent girls ages 10-14 and 764 caregivers residing in South Kivu, DRC, focused on the added impact of caregiver classes. Adolescent girls in both study arms participated in similar life skills sessions to the intervention in Ethiopia with one arm getting additional caregiver sessions.

The researchers found no evidence that adding a caregiver component to this life skills program increased or reduced girls’ exposure to any form of sexual violence, physical violence, child marriage, or transactional sex, beyond those of a program targeting girls alone. However, as compared to caregivers in the control arm, caregivers receiving the intervention exhibited greater warmth and affection toward their children at the conclusion of the study, though they did not report more gender equitable attitudes, or decreased acceptance of physical discipline.

More Work Needed

The researchers write that one year may not have been sufficient to measure the effectiveness of the COMPASS intervention against violence, as greater reductions may be seen as the girls’ age. Nevertheless, the intervention made a difference in several other ways.

“The COMPASS program showed some important improvements in building girls’ social networks in terms of friends and mentors, increasing knowledge about where to access services, and improving girls’ attitudes around staying in school and getting married later,” says Stark. “In thinking about how our learning can inform future programming, we have shown that harmful social and gender norms tended to persist, pointing to a need to do more work in this arena, including with men and boys. We also believe longer follow-up is critical for this kind of research, given the norms and behaviors programs like COMPASS are seeking to change.”

“Exposure to violence is routine for many adolescent girls who are refugees,” says Terry McGovern, JD, Harriet and Robert H. Heilbrunn Professor and Chair Population and Family Health at Columbia’s Mailman School of Public Health. “We need to continue to investigate interventions that will reduce the likelihood and exposure to violence. With each intervention, we learn more about how to tackle this devastating problem.”

Source:

https://www.mailman.columbia.edu/public-health-now/news/refugee-girls-gain-effort-teach-life-skills

Tagged with:

About author

Related Articles