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Improving livelihoods and gender equitable attitudes of street‐connected young people in Eldoret, Kenya: Results from a pilot evidence‐based intervention.
- Source :
- Health & Social Care in the Community; Jan2021, Vol. 29 Issue 1, p227-240, 14p, 1 Diagram, 4 Charts
- Publication Year :
- 2021
-
Abstract
- Street‐connected young people (SCY) in Eldoret, Kenya, experience substantial gender inequities, economic marginalization and are highly vulnerable to acquiring HIV. This study sought to explain and explore how participation in a pilot‐adapted evidence‐based intervention, Stepping Stones and Creating Futures, integrated with matched savings, changed SCY's economic resources, livelihoods and gender equitable attitudes. We piloted our adapted intervention using a convergent mixed‐methods design measuring outcomes pre‐ and post‐intervention with 80 SCY in four age‐ and gender‐stratified groups of 20 participants per group (young women aged 16–19 years and 20–24 years, young men aged 16–19 years and 20–24 years). The pilot occurred at MTRH‐Rafiki Centre for Excellence in Adolescent Health in Eldoret, Kenya, from September 2017 to January 2018. Through street outreach, Peer Facilitators created four age‐ and gender‐stratified sampling lists of SCY whom met the eligibility criteria and whom indicated their interest in participating in the intervention during outreach sessions. Simple random sampling was used to select eligible participants who indicated their interest in participating in the intervention. The adapted intervention, Stepping Stones ya Mshefa na Kujijenga Kimaisha, included 24 sessions that occurred over 14 weeks, focused on sexual and reproductive health, gender norms in society, livelihoods and included a matched‐savings programme conditional on attendance. The primary outcome of interest was gender equitable attitudes measured using the Gender Equitable Men scale and secondary outcomes included economic resources and livelihoods. Participants had a significant change in gender equitable attitudes from pre‐ to post‐intervention from 43 (IQR 38–48) to 47 (IQR 42–51) (p <.001). Quantitatively and qualitatively participants reported increases in daily earnings, changes in street involvement, housing and livelihood activities. Overall, this study demonstrated that the adapted programme might be effective at changing gender equitable attitudes and improving livelihood circumstances for SCY in Kenya. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infection risk factors
AGE distribution
CONFIDENCE intervals
STATISTICAL correlation
HEALTH behavior
HEALTH services accessibility
HEALTH status indicators
HOMELESS persons
SEXUAL health
INTEGRATED health care delivery
RESEARCH methodology
QUALITY assurance
RESEARCH evaluation
RESEARCH funding
RISK assessment
STATISTICAL sampling
SEX distribution
SEXISM
SOCIAL norms
STATISTICS
T-test (Statistics)
EVIDENCE-based medicine
REPRODUCTIVE health
QUALITATIVE research
PILOT projects
PROFESSIONAL practice
DATA analysis
GENDER inequality
MULTIPLE regression analysis
PSYCHOSOCIAL factors
QUANTITATIVE research
RESIDENTIAL patterns
SOCIOECONOMIC factors
THEMATIC analysis
LIFESTYLES
HEALTH equity
RELATIVE medical risk
PRE-tests & post-tests
DATA analysis software
PSYCHOLOGICAL vulnerability
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09660410
- Volume :
- 29
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Health & Social Care in the Community
- Publication Type :
- Academic Journal
- Accession number :
- 147905594
- Full Text :
- https://doi.org/10.1111/hsc.13086