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      Effectiveness of interventions to reduce child marriage and teen pregnancy in sub-Saharan Africa: A systematic review of quantitative evidence

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          Abstract

          Introduction

          Child marriage and teen pregnancy have negative health, social and development consequences. Highest rates of child marriage occur in sub-Saharan Africa (SSA) and 40% of women in Western and Central Africa got married before the age of 18. This systematic review was aimed to fill a gap in evidence of effectiveness to reduce teen pregnancy and child marriage in SSA.

          Methods

          We considered studies conducted in sub-Saharan Africa that reported on the effect of interventions on child marriage and teen pregnancy among adolescent girls for inclusion. We searched major databses and grey literature sources.

          Results

          We included 30 articles in this review. We categorized the interventions reported in the review into five general categories: (a) Interventions aimed to build educational assets, (b) Interventions aimed to build life skills and health assets, (c) Wealth building interventions, and (d) Community dialogue. Only few interventions were consistently effective across the studies included in the review. The provision of scholarship and systematically implemented community dialogues are consistently effective across settings.

          Conclusion

          Program designers aiming to empower adolescent girls should address environmental factors, including financial barriers and community norms. Future researchers should consider designing rigorous effectiveness and cost effectiveness studies to ensure sustainability.

          Systematic Review Registration

          https://www.crd.york.ac.uk/prospero/, identifier: CRD42022327397.

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          Most cited references45

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            Cash or Condition? Evidence from a Cash Transfer Experiment

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              Fertility Transition: Is sub-Saharan Africa Different?

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                Author and article information

                Contributors
                Journal
                Front Reprod Health
                Front Reprod Health
                Front. Reprod. Health
                Frontiers in Reproductive Health
                Frontiers Media S.A.
                2673-3153
                2673-3153
                31 March 2023
                2023
                : 5
                : 1105390
                Affiliations
                [ 1 ]Dornsife School of Public Health, Drexel University , Philadelphia, PA, United States
                [ 2 ]Department of Obstetrics and Gynecology, Saint Paul Hospital Millennium Medical College , Addis Ababa, Ethiopia
                [ 3 ]Department of Psychiatry, Jimma University , Jimma, Ethiopia
                Author notes

                Edited by: Nega Assefa, Haramaya University, Ethiopia

                Reviewed by: Eileen Ai-liang Yam, Mathematica, Inc., United States Sugarmaa Myagmarjav, Mongolian National University of Medical Sciences, Mongolia

                [* ] Correspondence: Garumma Tolu Feyissa garummatolu@ 123456yahoo.com

                Specialty Section: This article was submitted to Adolescent Reproductive Health and Well-being, a section of the journal Frontiers in Reproductive Health

                Abbreviations AIDS, Acquired Immuno-deficiency Syndrome; AOR, Adjusted odds ratio; CT, Cash Transfer; CCT, Conditional cash transfer; CENTRAL, Cochrane Database of Systematic Reviews; CI, Confidence interval; CINAHL, Cumulative Index to Nursing and Allied Health Literature; cRTs, Cluster-randomized trials; FP, Family Planning; HEWC, Interventions consisting of health, education promotion, wealth building and community dialogue components; HIV, Human Immuno-deficiency Virus; HR, Hazard ratio; IEC, Information, education, and communication; JBI, Joanna Briggs Institute; OVC, Orphan and vulnerable children; PP, percentage point; PRISMA-ScR, Preferred Reporting Items for Systematic Reviews and Meta-Analyses for scoping reviews; RH, Reproductive Heath; RR, Relative risk; SBCC, Social and behavioral change communication; SRH, Sexual and Reproductive Heath; SSA, Sub-Saharan Africa; TFR, Total Fertility Rate; TT, Teachers' training; UCCT, Unconditional cash transfer; UNICEF, United Nations Children's Fund; VE, Violence prevention combined with and education promotion; VEH, Violence, Education and Health; VEHW, Violence prevention, education promotion, health, and wealth creation; WHO, World Health Organization; YFS, Youth Friendly Services.

                Article
                10.3389/frph.2023.1105390
                10103588
                38b7fac6-fd29-4357-9724-029b4d2f309a
                © 2023 Feyissa, Tolu, Soboka and Ezeh.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 22 November 2022
                : 03 March 2023
                Page count
                Figures: 1, Tables: 6, Equations: 0, References: 63, Pages: 0, Words: 0
                Categories
                Reproductive Health
                Systematic Review

                teen pregnancy,early marriage,systematic review,sub-saharan africa (ssa),interventions

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