SEHER

STRENGTHENING THE EVIDENCE BASE ON EFFECTIVE SCHOOL-BASED INTERVENTIONS FOR PROMOTING YOUTH HEALTH

PROJECT AT A GLANCE

Funders: John T and Catherine D MacArthur Foundation and United Nations Population Fund(UNFPA)

Duration: July 2013-June 2017

Project Site: Government run co-educational secondary schools in Nalanda District of Bihar, India

Principal Investigator: Dr. Vikram Patel

Programme Director: Prachi Khandeparkar

Research Director: Sachin Shinde

Intervention Coordinator (Bihar): Annu Singh

Research Coordinator (Goa): Bernadette Pereira

Research Coordinator (Bihar): Amit Kumar Sharma, Rajesh Gupta

Admin-cum-Finance Assistant (Bihar): Amit Kumar Singh

Project Secretary:TruptiPalyekar

Collaborating Institutions: London School of Hygiene & Tropical Medicine, Public Health Foundation of India

Brief
Sangath is the recipient of a new four-year funding towards the promotion of youth and adolescent health. The primary beneficiaries are youth attending the targeted schools in Nalanda district, Bihar and  the secondary beneficiaries are teachers and parents.

Objective

To develop and evaluate the effectiveness of two models of school-based interventions aimed at promoting reproductive and sexual health, and gender equity, and mitigating gender-base violence, and other adverse health outcomes in school going adolescents in Nalanda district of Bihar

Overview

The overall goal of the SEHER is to develop and evaluate a comprehensive school-based adolescent health promotion intervention aimed at building school climate and as a result of it promoting reproductive and sexual health, and gender equity, and mitigating gender-base violence, and other adverse health outcomes in school-going adolescents in Nalanda district of Bihar. This intervention will be delivered by two different agents viz. Teacher as SEHER Mitra and SEHER Mitra (lay health worker) and compared with government-run Adolescence Education Programme.

The programme will be implemented in three phases over four years:

    Phase I (From July 2013 to March 2014): Adapting the components of Sangath’s established school-based adolescent health promotion intervention viz.SHAPE (School Health Promotion and Empowerment)

    Phase II (From April 2014- May 2015) Establishing the acceptability and feasibility of the intervention in a mixed methods pilot study and development of trial design methodology.

     Phase III (From June 2015 to March 2017): A cluster randomized controlled trial to evaluate the effectiveness and cost-effectiveness of the two interventions.

 Project updates

Currently, the SEHER project is in its trial phase and has achieved the following milestones:

 -    Development of a comprehensive school-based adolescent health promotion intervention;

-    Trained 29 SEHER Mitra, 25 Teacher-as-SEHER Mitra and 8 supervisors in delivering intervention activities,

-    Pilot tested the acceptability of the intervention and feasibility of delivering the intervention in 75 secondary school,

-    Delivering the intervention activities in 50 intervention schools since August 2014,

-    More than 90% completion rate of intervention activities against the set target in 50 intervention schools,

-   Base and end-line outcome assessment  survey with more than 13000 class students from 74 SEHER trial schools in the academic year 2015-16,

-   Research director pursuing a PhD at the London School of Hygiene and Tropical Medicine under the guidance of Professor Vikram Patel, and

-     In principal approval from the funders to an extension to the Trial by one year.

 

Click here to read : SEHER Statistical Analyis Plan - 27 June 2016