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This paper contributes to the evidence base on the impact of the COVID‐19 on child marriage prevalence and on the protective potential of girl‐centred, community‐level interventions in buffering communities against aggregate shocks. Drawing on data from repeat cross‐sectional surveys completed with adolescent girls aged 12–19 in 609 villages in four states in India as a part of the More Than Brides Alliance impact evaluation, we examine whether the intervention appears to have impacted child marriage prevalence over its 5‐year implementation period, whether the onset of COVID‐19 affected ongoing trends in child marriage prevalence, and whether the intervention appeared to have buffered against increased child marriage risk resulting from the pandemic. Results show that significant differences emerged between treatment and control villages between midline and endline—and these differences were larger following the onset of COVID‐19—suggesting both that the treatment was successful in preventing child marriage and that the intervention had a protective effect. Results suggest that girl‐centred, community‐based interventions can help communities to weather environmental shocks and protect girls against potential increased child marriage risk during times of acute crisis. [ABSTRACT FROM AUTHOR]

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Copyright of African Journal of Reproductive Health is the property of Women's Health & Action Research Centre and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The More Than Brides Alliance (MTBA) implemented an intervention in India, Malawi, Mali and Niger from 2017 to 2020. The holistic community-based program included girls' clubs focused on empowerment and sexual and reproductive health knowledge; work with parents and educators; community edutainment events; and local-, regional-, and national-level advocacy efforts related to child marriage. Using a cluster randomized trial design (India and Malawi), and a matched comparison design (Niger and Mali), we evaluated the effectiveness of the program on age at marriage among girls ages 12-19 in intervention communities. Repeat cross sectional surveys were collected at baseline (2016/7), midline after approximately 18 months of intervention (2018), and endline (2020). Impact was assessed using difference-in-difference (DID) analysis, adjusted for the cluster design. We find that the intervention was successful at reducing the proportion of girls ages 12-19 married in India (-0.126, p < .001). Findings in the other countries did not show impact of the intervention on delaying marriage. Our findings suggest that the MTBA program was optimized to succeed in India, in part because it was built on an evidence base that relies heavily on data from South Asia. The drivers of child marriage in India may be substantially different from those in Malawi, Mali, and Niger and require alternate intervention approaches. These findings have implications for those designing programs outside of South Asia and suggest that programs need to consider context-specific drivers and whether and how evidence-based programs operate in relation to those drivers. Trial registration: This work is part of an RCT registered August 4, 2016 in the AEA RCT registry identified as: AEAR CTR-0001463. See: https://www.socialscienceregistry.org/trials/1463., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Melnikas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)