SEHER

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

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.

This program is supported by The John D and Catherine T MacArthur Foundation, USA  and United Nations Population Fund (UNFPA) and is run in collaboration with London School of Hygiene and Tropical Medicine, Public Health Foundation of India and SCERT, Bihar.

 

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-based violence, and other adverse health outcomes in school going adolescents in Nalanda district of Bihar

Overview
The team aims to achieve the objective through three strategies:

  • Refine the component of Sangath’s established health promotion intervention viz. SHAPE (School Health Promotion and Empowerment)
  • Access its acceptability and feasibility in a mixed methods pilot study
  • Evaluate the effectiveness and cost-effectiveness of the SEHER intervention in two delivery models viz. teacher-as-a counsellor and school health counsellor against the teacher-led Adolescence Education Programme

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

  • Phase I (From July 2013 to June 2014): Refinement of the intervention and development of trial design methodology, and pilot study
  • Phase II (From July 2014 to June 2016): A cluster randomised controlled trial to evaluate the effectiveness and cost-effectiveness of the two interventions
  • Phase III ( From July 2016 to June 2017): Establishment of a cohort of beneficiaries, preparation of proposal for long-term outcome evaluation, and the first follow-up survey with the established cohort

Project updates

  • SEHER-PLus- SEHER intervention is extended by one more academic year (2016-17) in all the intervention schools.
  • SEHER-Mela conducted with 400 students and teacher representatives from intervention schools in November 2016.
  • Endline assessment completed with approx 15500+ students from Class 10th in Dec ’16.
  • Endline assessment completed with approx 14000+ students from class 10th in Jan ’17.
  • 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 schools.
  • 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,
  • Research Director pursuing a PhD at the London School of Hygiene and Tropical Medicine under the guidance of Professor Vikram Patel, and in principal received approval from the funders for an extension of the trial by one year.

This program is supported by The John D and Catherine T MacArthur Foundation, USA and United Nations Population Fund (UNFPA) in collaboration with LSHTM, PHFI and SCERT-Bihar.

Resources

– Click here to download the statistical analysis plan for SEHER Plus: an extended evaluation of the SEHER intervention.

– Click here to download the trial analysis plan for SEHER.