How do gender transformative interventions reduce adolescent pregnancy in low- and middle-income countries: a realist synthesis
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View abstract on PubMed
Summary
This summary is machine-generated.Gender transformative interventions (GTIs) effectively reduce adolescent pregnancy by fostering supportive environments and empowering youth. These programs increase contraceptive use and delay marriage in low- and middle-income countries.
Area Of Science
- Public Health
- Adolescent Health
- Gender Studies
Background
- Adolescent pregnancy is a major health issue in low- and middle-income countries.
- Gender transformative interventions (GTIs) aim to address this, but their mechanisms are not well understood.
- A research gap exists in understanding how GTIs successfully reduce adolescent pregnancy.
Purpose Of The Study
- To systematically investigate the mechanisms through which GTIs effectively reduce adolescent pregnancy.
- To identify the contexts and target groups for successful GTI implementation.
- To develop evidence-based programme theories for effective adolescent pregnancy prevention.
Main Methods
- A five-step realist review of published and grey literature.
- Inclusion of interventions for adolescents aged 10-19 in low- or middle-income countries.
- Development of context-mechanism-outcome configurations using narrative synthesis and realist analysis.
Main Results
- Analysis of 28 documents covering 14 interventions and eight programme theories.
- Key strategies include supportive school environments, comprehensive sexual education, and empowering boys.
- Health facility interventions focused on safe access to services and digital health tools; community interventions empowered girls and involved community members.
Conclusions
- Eight nuanced programme theories for successful GTIs were proposed.
- Findings provide insights for developing and improving future adolescent pregnancy prevention programmes.
- Effective strategies are context-dependent and require tailored approaches for diverse socio-cultural settings.
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