TY - JOUR
T1 - Implementing Interventions to Address Gender and Power Inequalities in Early Adolescence
T2 - Utilizing a Theory of Change to Assess Conditions for Success
AU - Mmari, Kristin
AU - Gayles, Jennifer
AU - Lundgren, Rebecka
AU - Barker, Katherine
AU - Austrian, Karen
AU - Levtov, Ruti
AU - Kato-Wallace, Jane
AU - van Reeuwijk, Miranda
AU - Richardson, Lisa
AU - Green, Jakevia
AU - Kågestan, Anna E.
AU - Ramaiya, Astha
N1 - Funding Information:
Disclaimer: This article was published as part of a supplement supported by USAID and The Packard Foundation. The opinions or views expressed in this article are those of the authors and do not necessarily represent the official position of the funder.
Funding Information:
This work was supported, in whole or in part, by the Bill & Melinda Gates Foundation [ INV-009194 ]. Under the grant conditions of the Foundation, a Creative Commons Attribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission. In addition, funds from the Packard Foundation ( 2019–69311 ) and USAID ( AID-OAA-A-15–00042 ) supported this work.
Publisher Copyright:
© 2022
PY - 2023/7
Y1 - 2023/7
N2 - Purpose: To create a set of criteria to assess facilitators and barriers to implementation among gender transformative interventions that target very young adolescents (VYAs) across different cultural settings. Methods: Interventionists and researchers involved in the Global Early Adolescent Study created a Theory of Change (ToC) based on summarizing intervention components from five different gender transformative intervention curricula. Embedded within the ToC is a set of criteria labeled, ‘Conditions of Success’ which were developed to illustrate that change cannot happen unless interventions are implemented successfully. To test the feasibility of these criteria, implementation data collected across the five interventions in Global Early Adolescent Study were mapped onto the ‘Conditions for Success’ criteria and used to identify common facilitators and barriers to implementation. Results: Using the ‘Conditions for Success’ criteria, we found that gender transformative interventions targeting VYAs were most challenged in meeting program delivery and facilitation conditions and needed to build more multisectoral support to shift rigid gender norms. Parents and caregivers also needed to be engaged in the program either as a separate target population or as codesigners and implementers for the interventions. Discussion: The Conditions for Success criteria provide a useful framework for assessing facilitators and barriers to implementation among gender transformative interventions for VYAs. Additional research is underway to examine whether interventions that meet more conditions of success result in greater program impact, which will be used to further refine the overall ToC.
AB - Purpose: To create a set of criteria to assess facilitators and barriers to implementation among gender transformative interventions that target very young adolescents (VYAs) across different cultural settings. Methods: Interventionists and researchers involved in the Global Early Adolescent Study created a Theory of Change (ToC) based on summarizing intervention components from five different gender transformative intervention curricula. Embedded within the ToC is a set of criteria labeled, ‘Conditions of Success’ which were developed to illustrate that change cannot happen unless interventions are implemented successfully. To test the feasibility of these criteria, implementation data collected across the five interventions in Global Early Adolescent Study were mapped onto the ‘Conditions for Success’ criteria and used to identify common facilitators and barriers to implementation. Results: Using the ‘Conditions for Success’ criteria, we found that gender transformative interventions targeting VYAs were most challenged in meeting program delivery and facilitation conditions and needed to build more multisectoral support to shift rigid gender norms. Parents and caregivers also needed to be engaged in the program either as a separate target population or as codesigners and implementers for the interventions. Discussion: The Conditions for Success criteria provide a useful framework for assessing facilitators and barriers to implementation among gender transformative interventions for VYAs. Additional research is underway to examine whether interventions that meet more conditions of success result in greater program impact, which will be used to further refine the overall ToC.
KW - Gender transformative interventions
KW - Global health
KW - Implementation research
KW - Theory of change
KW - Very young adolescents
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U2 - 10.1016/j.jadohealth.2022.10.032
DO - 10.1016/j.jadohealth.2022.10.032
M3 - Article
C2 - 37330821
AN - SCOPUS:85161635071
SN - 1054-139X
VL - 73
SP - S5-S14
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 1
ER -