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Citation |
Merrill KG, Merrill JC, Hershow RB, Barkley C, Rakosa B, DeCelles J, Harrison A. Eval. Program Plann. 2018; 70: 12-24. |
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Affiliation |
Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S. Main Street, Providence, RI, 02903, United States. Electronic address: Abigail_harrison@brown.edu. |
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Copyright |
(Copyright © 2018, Elsevier Publishing) |
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DOI |
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PMID |
29890449 |
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Abstract |
Grassroot Soccer developed SKILLZ Street-a soccer-based life skills program with a supplementary SMS platform-to support adolescent girls at risk for HIV, violence, and sexual and reproductive health challenges. We conducted a mixed-methods assessment of preliminary outcomes and implementation processes in three primary schools in Soweto, South Africa, from August to December 2013. Quantitative methods included participant attendance and SMS platform usage tracking, pre/post questionnaires, and structured observation. Qualitative data were collected from program participants, parents, teachers, and a social worker during 6 focus group discussions and 4 in-depth interviews. Of 394 participants enrolled, 97% (n = 382) graduated, and 217 unique users accessed the SMS platform. Questionnaires completed by 213 participants (mean age: 11.9, SD: 3.02 years) alongside qualitative findings showed modest improvements in participants' perceptions of power in relationships and gender equity, self-esteem, self-efficacy to avoid unwanted sex, communication with others about HIV and sex, and HIV-related knowledge and stigma. The coach-participant relationship, safe space, and integration of soccer were raised as key intervention components. Implementation challenges were faced around delivery of soccer-based activities. Language: en |
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Keywords |
Adolescent girls; Gender violence; HIV; Sexual & reproductive health; Soccer-based intervention |