Rise

Research Initiative to Support the Empowerment of girls

Adolescent pregnancies pose a risk to young mothers and their babies. In Zambia, 35% of young girls in rural areas have given birth by the age of 18. Poverty, low secondary school enrolment, myths and community norms regarding contraceptive use all contribute to early childbearing. The Research Initiative to Support the Empowerment of girls (RISE) aims to measure the effect on early childbearing rates in a rural Zambian context of (1) economic support to girls and their families, and (2) combining economic support with a community intervention to enhance knowledge about sexual and reproductive health and supportive community norms. The trial has three arms, and the clusters are rural schools in twelve districts. The participants are girls who were enrolled in grade 7. The target sample size was 4,900 girls and 157 schools. Recruitment took place March-July and randomization was conducted in July 2016. The intervention period is from September 2016 to November 2018. In one intervention arm, girls and their guardians are offered economic support in the form of cash transfers and payment of school fees. In the second intervention arm, economic support is combined with community dialogue including youth club meetings (covering a sexual and reproductive health curriculum) and community meetings. The girls will be interviewed every six months, with the final interview taking place 4.5 years after recruitment. We will measure to what extent the interventions increase the proportion of girls who complete grade 9 and reduce the proportion that give birth before reaching the age of 18. Of 164 schools invited to participate in the project, 157 were included and had 5,107 eligible girls of whom 4,922 assented. Thus, a very high proportion of invited schools, guardians and girls participate in our study. The findings of this trial will be highly relevant for education programmes for adolescents and for reproductive health programs in Zambia and in similar contexts.

Project Management Team

Principal Investigator

Ingvild Fossgard Sandøy is a medical doctor from Norway, and her PhD was on HIV epidemiology in Zambia. She has been involved in a number of research projects on HIV and other sexually transmitted infections in Eastern and Southern Africa, including a cluster randomized trial on home-based HIV testing in rural Zambia, and an intervention study on the effects of targeting HIV prevention and condom distribution at high risk places in Zambia. She is a Professor at the Department of Global Public Health and Primary Care at the University of Bergen, and the Deputy director of CISMAC. 

Co-Principal Investigator

Patrick Musonda specializes in Medical Statistics and has been teaching and doing research at higher learning institutions, including the Institute of Child Health (London) and the University of Zambia, for 15 years. He has a PhD in Medical Statistics from the Open University (UK) and a Master of Science in Medical Statistics from the London School of Hygiene and Tropical Medicine (UK). He has co-authored over 50 research papers published in peer-reviewed journals and published a book on statistical methodology. He has an academic interest in statistical modelling of observational data and in modelling adverse outcomes using a case series approach. Musonda is currently a postdoctoral fellow at CISMAC and the Co-principal investigator of RISE.

RESEARCHERS

 

 

MEDICAL STUDENT RESEARCH PROGRAMME

 

Astrid Blystad

UiB

Taran Grønvik

UiB

Knut Fylkesnes

UiB

Hanne Hegdahl

UiB

Choolwe Jacobs

UNZA

 

 

Mpundu C. Makasa

UNZA

MASTER STUDENTS

 

Karen Marie Moland

UiB

Emmanuel Banda

UNZA

Mweetwa Mudend

UNZA

Maligzani Chavula

UNZA

Ecloss Munsaka

UNZA

Eunice Chirwa

UNZA

Ottar Mæstad

CMI

Elise Jense

UiB

Bertil Tungodden

CMI/NHH

Tobby Kumbwa

UNZA

Joseph Zulu

UNZA

Mwila Lundamo

UiB

 

 

Joyce Milimo

UNZA

POST-DOCTORAL FELLOWS

 

Priscilla Nkonde

UNZA

Amani Mori

UiB

Mutale Samp

UNZA

Joar Svanemyr

UiB/CMI

Ireen Zamanga

UNZA

 

 

 

 

PHD CANDIDATE

 

 

 

 

Linda Kampata

UiB

 

 

Country: Zambia