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. 2020 Jun 30;8(2):300–324. doi: 10.9745/GHSP-D-20-00015

TABLE 1.

Community-Based Girl Group Program Effects by Outcome Domains

Reported Effect Measure(s):Beneficial Out of Total a
Health beliefs/attitudes
    Improved attitudes toward early pregnancy 2/2
    Increased concerns about unprotected sex 2/2
    Increased demand for health servicesb 2/2
    Affected their perceived vulnerability to HIV/AIDS 1/1
    Improved attitudes toward female genital mutilation/cutting 1/1
    Improved attitudes toward family sizes 2/3
10/11 (90.9%)
Gender beliefs/attitudes
    Changed perception of gender roles and norms 7/8
    Improved attitudes towards child marriage 5/6
    Improved attitudes towards gender-based violence 4/7
    Improved beliefs regarding girls' education 1/2
    Improved attitudes towards girls’ economic empowerment 1/2
18/25 (72.0%)
    Education-related outcomes
    Improved numeracy skills 4/4
    Increased vocational training 1/1
    Reduced need for tutoring 1/1
    Increased school enrollment 3/4
    Improved literacy skills 2/4
    Increased school retention 1/3
    Increased grade attainment 1/3
13/20 (65.0%)
Psychosocial outcomes
    Increased self-efficacy regarding condom use 2/2
    Increased self-efficacy to assert opinions and concerns 6/7
    Increased social supportc 7/9
    Increased self-efficacy to seek out HIV testing 1/1
    Increased autonomy when searching for a job 2/3
    Increased mobility 4/10
    Improved self-esteem 1/3
    Reduced experience of gender discrimination 0/1
23/36 (63.8%)
Knowledge/awareness-health
    Increased HIV knowledge 9/12
    Increased reproductive health knowledge 6/10
    Increased STI knowledge 5/9
    Increased menstrual regulation knowledge 1/2
    Increased awareness of sexual and reproductive health and HIV 1/2
Knowledge/awareness-gender
    Increased awareness of marital-related rightsd 2/4
24/39 (61.5%)
Economic and financial outcomes
    Increased household assets 1/1
    Decreased food insecurity 1/1
    Increased monthly expenditures 1/1
    Increased number of savings accounts (formal and informal) 7/8
    Increased employment 5/6
    Increased earnings 2/4
    Increased savings amount 1/4
    Increased financial literacy 0/3
    Reduced dowry practices 0/2
18/30 (60.0%)
Health-related behavior
    Increased secondary abstinence 1/1
    Increased menstrual hygiene management 1/1
    Increased utilization of violence treatment, support, and/or prevention services 1/1
    Increased health service utilization 3/6
    Reduced child marriage 3/8
    Increased condom use 5/11
    Increased contraceptive use 3/9
    Delayed sexual debut 2/6
    Decreased transactional sex 1/3
    Decreased number of sex partners 1/7
    Reduced drugs or alcohol misuse 0/1
    Increased HIV testing 0/2
21/56 (37.5%)
Health status
    Improved self-rated health status 1/1
    Decreased female genital mutilation/cutting 1/1
    Decreased pregnanciese 2/5
    Decreased experience of physical violence 1/3
    Decreased experience of sexual violencef 2/7
    Decreased HSV-2 incidence 1/4
    Delayed pregnancy 0/1
    Decreased negative mental health outcomes 0/2
    Reduced STI symptoms 0/3
    Decreased HIV incidence 0/4
8/31 (25.8%)

Abbreviations: HSV-2, herpes simplex virus 2; STI, sexually transmitted infection.

a

Denominator=total number of times each effect was measured across all the programs. Numerator=number of times a measured effect was statistically significant (i.e., beneficial). A program could not contribute to an effect’s denominator and numerator more than once. An aggregate total of the effect measures is presented at the bottom of each domain.

b

For example, contraceptives and voluntary counseling and testing.

c

Social support includes increasing girls’ support from elders (e.g., family and non-family adults whom girls can turn to in need) and peers (e.g., social safety nets, girls’ clubs, friends).

d

For example, detriments of child marriage and legal age of marriage.

e

This effect includes early, unintended, and current pregnancies.

f

Aggregates the measurement of indicators that described experiences of rape and indecent/unwanted touching by someone of the opposite sex, including a husband.