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Alex Ogundipe Adaoha Akubuiro Dayo Lajide Uche Onyebuchi Sheikh Taiwo Ato Selby

NIGERIA Family Life Health Education. Alex Ogundipe Adaoha Akubuiro Dayo Lajide Uche Onyebuchi Sheikh Taiwo Ato Selby Stephen Ayisi -Addo Nancy Padian Jean-Louis Arcand. Intervention - Family Life Health Education. Unit of intervention: LGA

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Alex Ogundipe Adaoha Akubuiro Dayo Lajide Uche Onyebuchi Sheikh Taiwo Ato Selby

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  1. NIGERIA Family Life Health Education Alex Ogundipe AdaohaAkubuiro DayoLajide UcheOnyebuchi Sheikh Taiwo AtoSelby Stephen Ayisi-Addo Nancy Padian Jean-Louis Arcand

  2. Intervention - Family Life Health Education • Unit of intervention: LGA • Planned Coverage: 12 states – 2 in each geopolitical zone – 1 LGA with intervention and 1 without intervention in each state (12 with and 12 without nation-wide) – • Matching Criteria for the LGAs - STI, HIV and Pregnancy rates similar in the LGAs - Socioeconomic status similar - Urban/Rural mix - Public/Private school balance

  3. Cont.’d • Within LGA, do a random sample of schools that have a mix of both public and private schools • Target group: In- school youths 12 – 18yrs (Secondary schools) - Randomly pick intervention class from each arm (1 from JSS 1, 1 from SS1, 1 from SS2)

  4. Cont.’d • Criteria for inclusion – mix of both private and public schools – public control, public intervention, private control and private intervention

  5. Policy Questions PROBLEM STATEMENT: • There is a high rate of pregnancy among in school youths and an increase in school drop-out rate. There is a high rate of STIs and HIV as well as low level of knowledge among youths on HIV/AIDS education QUESTIONS: • How do we address this problem amongst in-school youths? • Are there relevant policies/guidelines to change/revise? • What specific activities do we have to undertake to address these problems? • What resources do we need to address these problems? • How do we sustain these activities to ensure a good impact?

  6. Indicators Intermediate and Final Indicators • Increase in abstinence rates reported • Increased age at sexual debut • Reduction in STI incidence • Reduction in rates of unwanted pregnancy • Reduction in HIV incidence

  7. Sample and Data • In school youths (JSS3-SS3) attending schools in the selected LGAs where the FLHE intervention will be taking place. • Data: NARHS, DHS, IBBSS, ANC • New survey plans: Baseline data and follow up data on selected indicators including biological outcomes • Field work: Field Reports

  8. Sample and Data 2 • Random selection of classes. Within the classes, all students are selected. Start at the last year of Junior Secondary School into the last year of Senior Secondary School. • SS3 students are followed for 1 year • SS2 students are followed for 2 years • SS1 students are followed for 3 years • JS3 students are followed for 4 years • SS = Senior Secondary • JS = Junior Secondary

  9. Hypotheses • Ho: FLHE intervention does not have an effect on • Abstinence • Sexual debut • STI cases • Unwanted pregnancy • HIV • H1: FLHE has a significant effect on • Abstinence • Sexual debut • STI cases • Unwanted pregnancy • HIV

  10. Results/Causal pathway Increased rates of reported abstinence Increase age at sexual debut Reduced incidence of STI cases Decreased incidence of unwanted pregnancy Reduced incidence of HIV

  11. Evaluation Design

  12. Evaluation Design • Examine outcomes comparing ‘treatment’ & ‘control’ • Examine if impact differs by • Yrs of exposure • Private/public settings • Urban/rural location

  13. Evaluation Design – Important Covariates • Student characteristics – ethnicity, religion etc • Parent characteristics – socioeconomic status, religion etc • Teacher characteristics – level of education, experience, discipline • Examine initial matching criteria at LGA level

  14. Staffing Plan • Nigerian AIDS Research Network (NARN) • SACA M&E staff • NACA zonal M&E staff • Federal Ministry of Education • LACA • DFID/British Council • Measure Evaluation • World Bank • UN Agencies

  15. Planning Timeline • Constitution of Program design team • Completion of Program design • Advocacy and resource mobilization • Constitution of Evaluation Advisory Board & team • Community/stakeholder Preparedness • Conduct Baseline: Ahead of program implementation • Conduct Annual follow-up surveys for 3yrs (control & treatment) • Analyze data & write report annually • Dissemination of reports • Policy dialogue for Program expansion & Sustainability

  16. Budget/Potential Sources • Development Partners • WB, DFID, USG,UNDP • Government • Federal( MDG, DRG etc), State & Local • Educational Authorities

  17. Enhanced design possibilities

  18. Alternative scenarios • Plan B: • Same design but insufficient power • Increase the number of LGAs • Plan C • For logistical, political or resource constraints • Fewer states, but more LGAs

  19. Thank You

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