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AbstractThis participatory action research project conducted through the USAID-funded Transforming Teacher Education activity examined how two pre-service teacher education programs in Zambia prepared teachers for primary reading instruction. College and university lecturers and in-service primary grade teachers participated in focus groups and interviews. We identified gaps between training and practice within the framework of Zambia’s language of instruction policy. We find that pre-service teacher preparation was generally theoretical and not practical. Opportunities for practice were limited, leading to teachers lacking required competencies and using outdated approaches in schools. We suggest strategies to improve the alignment of pre-service teacher education and classroom instruction.

Adolescent health demands specific attention because adolescents have the lowest levels of health-care coverage of any age-group globally. The main objective as addressed in this article was to explore the lived experience of adolescent mothers and the services provided to them by community health assistants (CHAs) in rural Zambia. Because the number of adolescent mothers in rural Zambia is so high, it is even more critical to describe the lived experiences of health care among these young women with particular emphasis on primary health care as delivered by CHAs in rural Zambia. We used a mixed-methods design to address our research questions. Data were collected from nine focus groups, which were conducted with young mothers from four provinces and 10 districts (n= 60). To support our effort to better understand the delivery of maternal and child health care in rural Zambia, key informant interviews were conducted with adolescent mothers (n= 12). We also conducted surveys (n= 44) and one-on-one interviews (n= 22) with CHAs. To the best of our knowledge, this is the largest study focused on the intersection of adolescents, maternal child health, and CHA delivery of care in Zambia. The results of our study suggest opportunities for change to operational practices within the rural health-care setting and the need to develop structured and age-appropriate services that focus on adolescents. This work addresses the gap in research for adolescents in health care in rural Zambia and brings attention to the unique health-care needs of adolescent mothers within the rural health-care setting.

Background/Context Low-cost private schools (LCPSs) represent a large and growing share of schools in many low- and middle-income countries, including Kenya. In some Nairobi neighborhoods, more than half of children attend LCPSs, despite policies providing free access to public education. Parents generally choose LCPSs because they believe they are higher quality, although there is little conclusive evidence supporting this belief.Objective In this study, we aim to add to the evidence available on the comparison between LCPSs and public schools by using student gains over time as our outcome, thus controlling for the initial level of achievement and instead examining improvement.Participants The randomly selected longitudinal sample was composed of 326 children attending 47 LCPSs and government schools in several of Nairobi's geographic zones. These children's literacy and numeracy outcomes were tracked over two academic years to determine their learning gains over time.Research Design We used residual gain scores—as opposed to cross-sectional measures—in English and Kiswahili literacy and mathematics, to compare the outcomes of students attending LCPSs and public primary schools across the first and second grades. We discuss how these schools impacted achievement over time.Findings/Results We found that these LCPSs did not produce significantly higher student growth than public schools under the status quo condition. However, among schools participating in an instructional improvement intervention supported by the United States Agency for International Development, LCPSs increased performance more than public schools in English, Kiswahili, and mathematics, with the largest differences in English.Conclusions/Recommendations These findings offer a cautionary note to the rapid expansion of LCPSs in low-resource settings. The fees paid to LCPSs by low-income households are often burdensome for families and, in some contexts, may not be worth the trade-offs that families make to afford them. On the other hand, the findings also suggest that low-cost private school teachers may respond more effectively than public school teachers to project-based support.