Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal

ABSTRACTCurrently, Nepal is not on track to meet Sustainable Development Goal 5.3 – the elimination of harmful practices, including child, early and forced marriage by the year 2030. Evidence on what works to prevent child, early and forced marriage often is inattentive to contextual factors that in...

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Main Authors: Cari Jo Clark, Kayla Jashinsky, Emma Renz, Irina Bergenfeld, Robert L. Durr, Yuk Fai Cheong, Sadhvi Kalra, Anne Laterra, Kathryn M. Yount
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Global Public Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17441692.2023.2287606
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author Cari Jo Clark
Kayla Jashinsky
Emma Renz
Irina Bergenfeld
Robert L. Durr
Yuk Fai Cheong
Sadhvi Kalra
Anne Laterra
Kathryn M. Yount
author_facet Cari Jo Clark
Kayla Jashinsky
Emma Renz
Irina Bergenfeld
Robert L. Durr
Yuk Fai Cheong
Sadhvi Kalra
Anne Laterra
Kathryn M. Yount
author_sort Cari Jo Clark
collection DOAJ
description ABSTRACTCurrently, Nepal is not on track to meet Sustainable Development Goal 5.3 – the elimination of harmful practices, including child, early and forced marriage by the year 2030. Evidence on what works to prevent child, early and forced marriage often is inattentive to contextual factors that influence intervention effectiveness. This study presents qualitative results of a mixed-methods evaluation of CARE’s Tipping Point Program to prevent child, early and forced marriage in Nepal, interrogating the perceived benefits of the programme and elucidating contextual features that enhance or detract from programme benefit. Baseline data included interviews with adolescent girls (N = 20), boys (N = 10), adult community leaders (N = 8) and focus group discussions (FGDs) with girls (N = 8 groups; 48 individuals), boys (N = 8 groups; 47 individuals) and parents (N = 16 groups; 95 individuals). Using thematic analysis and structured comparisons by time, gender, district, caste/community, stakeholder type and arm, we found diverse programme participation, but widespread improvements in knowledge across several domains, with behavioural changes concentrated among participants with stronger participation and pre-programme characteristics suggestive of low risk of child marriage. Findings underscore the need to address structural barriers to prevent child marriage and the challenges of attributing programme benefit amidst a dynamic social context.
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spelling doaj.art-018880fd36e146d9b9bcb21c7bbca8012023-12-06T13:21:44ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2023.2287606Qualitative endline results of the tipping point project to prevent child, early and forced marriage in NepalCari Jo Clark0Kayla Jashinsky1Emma Renz2Irina Bergenfeld3Robert L. Durr4Yuk Fai Cheong5Sadhvi Kalra6Anne Laterra7Kathryn M. Yount8Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAEmory College of Arts and Sciences, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USADepartment of Psychology, Emory College of Arts and Sciences, Atlanta, GA, USAGender Justice Team, CARE USA, Atlanta, GA, USAHealth Equity and Rights Team, CARE USA, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAABSTRACTCurrently, Nepal is not on track to meet Sustainable Development Goal 5.3 – the elimination of harmful practices, including child, early and forced marriage by the year 2030. Evidence on what works to prevent child, early and forced marriage often is inattentive to contextual factors that influence intervention effectiveness. This study presents qualitative results of a mixed-methods evaluation of CARE’s Tipping Point Program to prevent child, early and forced marriage in Nepal, interrogating the perceived benefits of the programme and elucidating contextual features that enhance or detract from programme benefit. Baseline data included interviews with adolescent girls (N = 20), boys (N = 10), adult community leaders (N = 8) and focus group discussions (FGDs) with girls (N = 8 groups; 48 individuals), boys (N = 8 groups; 47 individuals) and parents (N = 16 groups; 95 individuals). Using thematic analysis and structured comparisons by time, gender, district, caste/community, stakeholder type and arm, we found diverse programme participation, but widespread improvements in knowledge across several domains, with behavioural changes concentrated among participants with stronger participation and pre-programme characteristics suggestive of low risk of child marriage. Findings underscore the need to address structural barriers to prevent child marriage and the challenges of attributing programme benefit amidst a dynamic social context.https://www.tandfonline.com/doi/10.1080/17441692.2023.2287606Preventionchild marriagetrialqualitativecontext
spellingShingle Cari Jo Clark
Kayla Jashinsky
Emma Renz
Irina Bergenfeld
Robert L. Durr
Yuk Fai Cheong
Sadhvi Kalra
Anne Laterra
Kathryn M. Yount
Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
Global Public Health
Prevention
child marriage
trial
qualitative
context
title Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
title_full Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
title_fullStr Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
title_full_unstemmed Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
title_short Qualitative endline results of the tipping point project to prevent child, early and forced marriage in Nepal
title_sort qualitative endline results of the tipping point project to prevent child early and forced marriage in nepal
topic Prevention
child marriage
trial
qualitative
context
url https://www.tandfonline.com/doi/10.1080/17441692.2023.2287606
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