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BackgroundEarly marriage (

BackgroundPrior research from India demonstrates a need for family planning counseling that engages both women and men, offers complete family planning method mix, and focuses on gender equity and reduces marital sexual violence (MSV) to promote modern contraceptive use. Effectiveness of the three-session (two male-only sessions and one couple session) Counseling Husbands to Achieve Reproductive Health and Marital Equity (CHARM) intervention, which used male health providers to engage and counsel husbands on gender equity and family planning (GE + FP), was demonstrated by increased pill and condom use and a reduction in MSV. However, the intervention had limited reach to women and was therefore unable to expand access to highly effective long acting reversible contraceptives such as the intrauterine device (IUD). We developed a second iteration of the intervention, CHARM2, which retains the three sessions from the original CHARM but adds female provider- delivered counseling to women and offers a broader array of contraceptives including IUDs. This protocol describes the evaluation of CHARM2 in rural Maharashtra.MethodsA two-arm cluster randomized controlled trial will evaluate CHARM2, a gender synchronized GE + FP intervention. Eligible married couples (n = 1200) will be enrolled across 20 clusters in rural Maharashtra, India. Health providers will be gender-matched to deliver two GE + FP sessions to the married couples in parallel, and then a final session will be delivered to the couple together. We will conduct surveys on demographics as well as GE and FP indicators at baseline, 9-month, and 18-month follow-ups with both men and women, and pregnancy tests at each time point from women. In-depth interviews will be conducted with a subsample of couples (n = 50) and providers (n = 20). We will conduct several implementation and monitoring activities for purposes of assuring fidelity to intervention design and quality of implementation, including recruitment and tracking logs, provider evaluation forms, session observation forms, and participant satisfaction surveys.DiscussionWe will complete the recruitment of participants and collection of baseline data by July 2019. Findings from this work will offer important insight for the expansion of the national family planning program and improving quality of care for India and family planning interventions globally.Trial registrationClinicalTrial.gov, NCT03514914 .

Climate change threatens hard won progress in the education and life outcomes of adolescent girls in low- and middle-income countries (LMICs) by compounding the harmful effects of gender inequality and poverty. In recent years, there has been a rise in global advocacy for gender transformative education for climate justice that addresses the underlying gender inequalities driving climate vulnerability for adolescent girls in LMICs. But, has the international development and education community responded to this call? This paper seeks to establish a baseline for answering this question through a landscape analysis of actors working on issues of gender and climate change with youth, especially girls, as well as a landscape analysis of publicly available curricular materials on climate justice and gender equality. We find that although there are many nongovernmental efforts focused on different entry points into the nexus of gender, education, leadership, and climate change, there is much more room for aligning gender equality and climate justice programming for girls. This paper highlights the gaps and opportunities for doing so and offers a taxonomy of programming approaches to guide actors and their collaborators toward more intersectional educational programming. [ABSTRACT FROM AUTHOR]