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Adolescent Girls' Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot

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Title: Adolescent Girls' Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot
Language: English
Authors: Meghan Cutherell (ORCID 0000-0002-0326-3629), Roselyn Odeh, Seyoum Atlie, Jenna Grzeslo, Mary Phillips, Olusesan Ayodeji Makinde, Kehinde Atoloye, Andenet Haile, Albert Tele, Joy Ede, Simileoluwa Ashimolowo, Aderaw Anteneh, Claire W. Rothschild, Fifi Ogbondeminu, Abednego Musau
Source: Journal of Adolescence. 2025 97(7):1950-1964.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 15
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Adolescents, Females, Sexuality, Birth, Empowerment, Decision Making, Self Efficacy, Intervention, Sex Education, Program Effectiveness, Age Differences, Marital Status, Educational Attainment, Foreign Countries, Self Determination, Gender Bias
Geographic Terms: Ethiopia, Nigeria
DOI: 10.1002/jad.70015
ISSN: 0140-1971
1095-9254
Abstract: Introduction: Adolescence is a time of unique vulnerability for many girls, however, when supported to strengthen their capabilities, resources, and agency, adolescents can thrive even in adverse situations. This study sought to evaluate agency outcomes (decision-making power, mobility, and self-efficacy) among girls aged 15-19 participating in integrated sexual and reproductive health and economic empowerment interventions in Ethiopia and Nigeria. Methods: The study was a quasi-experimental prospective cohort design involving two questionnaires at baseline and endline, 9 months apart, administered to intervention and comparison groups. Program effect was assessed using a difference-in-differences approach, modeling using linear generalized estimating equations accounting for repeated observations at the individual level and adjusted for age, marital status, education, and parity. Results: The evaluation demonstrated significant positive program effects on one agency outcome each among married girls in Ethiopia (self-efficacy) and northern Nigeria (decision-making power). In southern Nigeria significant positive program effects were demonstrated among unmarried girls across all agency outcomes: decision-making power, mobility, and self-efficacy. Conclusions: The evaluation showed promising increases in agency for girls who participated in this integrated intervention. The positive program effects seen during this relatively short pilot suggest that agency-related gains can be made even in programs with limited implementation time.
Abstractor: As Provided
Notes: https://doi.org/10.6084/m9.figshare.29390573.v1
Entry Date: 2025
Accession Number: EJ1485306
Database: ERIC
FullText Text:
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  Data: Adolescent Girls' Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Meghan+Cutherell%22">Meghan Cutherell</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-0326-3629">0000-0002-0326-3629</externalLink>)<br /><searchLink fieldCode="AR" term="%22Roselyn+Odeh%22">Roselyn Odeh</searchLink><br /><searchLink fieldCode="AR" term="%22Seyoum+Atlie%22">Seyoum Atlie</searchLink><br /><searchLink fieldCode="AR" term="%22Jenna+Grzeslo%22">Jenna Grzeslo</searchLink><br /><searchLink fieldCode="AR" term="%22Mary+Phillips%22">Mary Phillips</searchLink><br /><searchLink fieldCode="AR" term="%22Olusesan+Ayodeji+Makinde%22">Olusesan Ayodeji Makinde</searchLink><br /><searchLink fieldCode="AR" term="%22Kehinde+Atoloye%22">Kehinde Atoloye</searchLink><br /><searchLink fieldCode="AR" term="%22Andenet+Haile%22">Andenet Haile</searchLink><br /><searchLink fieldCode="AR" term="%22Albert+Tele%22">Albert Tele</searchLink><br /><searchLink fieldCode="AR" term="%22Joy+Ede%22">Joy Ede</searchLink><br /><searchLink fieldCode="AR" term="%22Simileoluwa+Ashimolowo%22">Simileoluwa Ashimolowo</searchLink><br /><searchLink fieldCode="AR" term="%22Aderaw+Anteneh%22">Aderaw Anteneh</searchLink><br /><searchLink fieldCode="AR" term="%22Claire+W%2E+Rothschild%22">Claire W. Rothschild</searchLink><br /><searchLink fieldCode="AR" term="%22Fifi+Ogbondeminu%22">Fifi Ogbondeminu</searchLink><br /><searchLink fieldCode="AR" term="%22Abednego+Musau%22">Abednego Musau</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Adolescence%22"><i>Journal of Adolescence</i></searchLink>. 2025 97(7):1950-1964.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: Y
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  Data: 15
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  Data: 2025
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Females%22">Females</searchLink><br /><searchLink fieldCode="DE" term="%22Sexuality%22">Sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Birth%22">Birth</searchLink><br /><searchLink fieldCode="DE" term="%22Empowerment%22">Empowerment</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+Making%22">Decision Making</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Efficacy%22">Self Efficacy</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+Education%22">Sex Education</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Marital+Status%22">Marital Status</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Attainment%22">Educational Attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Determination%22">Self Determination</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+Bias%22">Gender Bias</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Ethiopia%22">Ethiopia</searchLink><br /><searchLink fieldCode="DE" term="%22Nigeria%22">Nigeria</searchLink>
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  Label: DOI
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  Data: 10.1002/jad.70015
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 0140-1971<br />1095-9254
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Adolescence is a time of unique vulnerability for many girls, however, when supported to strengthen their capabilities, resources, and agency, adolescents can thrive even in adverse situations. This study sought to evaluate agency outcomes (decision-making power, mobility, and self-efficacy) among girls aged 15-19 participating in integrated sexual and reproductive health and economic empowerment interventions in Ethiopia and Nigeria. Methods: The study was a quasi-experimental prospective cohort design involving two questionnaires at baseline and endline, 9 months apart, administered to intervention and comparison groups. Program effect was assessed using a difference-in-differences approach, modeling using linear generalized estimating equations accounting for repeated observations at the individual level and adjusted for age, marital status, education, and parity. Results: The evaluation demonstrated significant positive program effects on one agency outcome each among married girls in Ethiopia (self-efficacy) and northern Nigeria (decision-making power). In southern Nigeria significant positive program effects were demonstrated among unmarried girls across all agency outcomes: decision-making power, mobility, and self-efficacy. Conclusions: The evaluation showed promising increases in agency for girls who participated in this integrated intervention. The positive program effects seen during this relatively short pilot suggest that agency-related gains can be made even in programs with limited implementation time.
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  Label: Abstractor
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  Data: As Provided
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  Data: https://doi.org/10.6084/m9.figshare.29390573.v1
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  Data: 2025
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  Data: EJ1485306
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        Value: 10.1002/jad.70015
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