OUR WORK AND IMPACT
Promoting Family Planning Use and Gender Equity among Married Adolescent Girls and their Husbands in Dosso, Niger
In Niger, young women experience the highest adolescent fertility rate in the world and extremely low prevalence of use of modern family planning (FP) methods. In this context, Dr. Silverman is leading a four-arm cluster randomized control trial evaluating the Reaching Married Adolescents (RMA) intervention (implemented by Pathfinder International) among 1100 married adolescent girls (ages 13-19 years, n=1100) and their husbands (n=1100) across three districts of the Dosso region of Niger. From each of these three districts, 16 villages (total n = 48 villages) were randomly selected and randomly assigned to one of three interventions or to a control condition. Baseline data were collected April-June 2016, and a 24-month follow-up was conducted from April-June 2018. This first follow-up also includes a collection of social network data led by Dr. Holly Shakya. A third wave of data (36-month follow-up) will be collected in 2019. Additionally, both ethnographic and cost-effectiveness studies were conducted to determine acceptability and inform scale-up of the intervention approaches.