Preparedness for Marriage of Adolescent Girls

Title: Preparedness’ for Marriage of adolescent girls residing in Health and Demographic Surveillance System setting: Vadu Experience in Rural Maharashtra

PeriodDecember 2012 to March 2014

Sponsor: Indian Council of Medical Research, New Delhi

Investigator/s: 1.Dr Sanjay Juvekar, (Principal Investigator),Vadu Rural HealthProgram, KEM Hospital Research Centre, Pune  2.Dr Suhas Otiv, (Co-Investigator ) KEM hospital, Pune. 3.Dr Diana Kekan, (Co-Investigator ) Vadu Rural HealthProgram, KEM Hospital Research Centre, Pune 4. Dr. Ankita Shrivastava (Co-Investigator ) Vadu Rural HealthProgram, KEM Hospital Research Centre, Pune

Rationale:

Adolescence is a variedly understood cultural construct but largely defines the period of transition from childhood to adulthood, a period crucial to preparing oneself to take on roles, responsibilities and privileges of adulthood. Adolescents are not only vulnerable in terms of risky health behaviors, but also that their needs are poorly understood and rarely addressed. Healthy sexual and reproductive life can be practiced by understanding overall needs of an adolescent girl and her preparedness for marriage.  As already adolescent girls have less opportunity and autonomy to express their feelings, this study will try to provide a platform to know their needs, perception and readiness to accept the new phase of life; to find the lacunae in society with respect to adolescent health with a focus on rural area which would lay the grounds for addressing needs of adolescents with respect to domains like sexual and reproductive health, gender disparities with regards to health and ways of empowering them to make informed reproductive choices,

This will sensitize and prioritize programs and policies to direct efforts towards empowering the adolescent girl, increase access to an ‘adolescent-friendly’ health system.

Aim/s and objectives:

The overall aim of this study is to document adolescent girl’s perceptions and expectations for preparedness marriage residing in rural settings.

Objectives:

  1. 1.To document the adolescent girl’s perceptions and expectations of marriage.
  2. 2.To record the adolescent girl’s needs of knowledge and skills which may help prepare her for marriage specially with reference to a healthy sexual and reproductive life and how these needs are addressed by sources of information peers and parents .
    1. 3.To identify innovative interventions in ‘preparedness of marriage’ that may address agency like decision making and self efficacy in order toher to exercise choice over her own sexual and reproductive health.

Study Design:

This is a cross-sectional research study involving both qualitative as well as quantitative research methods. The study will use the ‘mixed methods’ approach complementing qualitative approach with a survey.

Study population/ Sample size:

Target Population

Method

Sample size

Unmarried Adolescents

Focus group discussion

6

Unmarried Adolescents

Free listing

30

Parent of adolescent girls

Focus group discussion

6

Nurse/ANM

Key informant Interview

2

Doctor

Key informant Interview

2

Teacher

Key informant Interview

2

ASHA

Key informant Interview

2

Gram panchayat member

Key informant Interview

2

Unmarried adolescent girls

Quantitative method

300

Unmarried adolescent girls

In depth interview

15

Married adolescents

In depth interview

15

Parents of adolescent girls

In depth interview

 

10

 

 

 

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