Furaha Adolescent Implementation Research (FAIR) Study

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Funded by: The Evaluation Fund

Start date: 2020

End date: 2021

Project outline

Overview. The Furaha Adolescent Implementation Research (FAIR) Study of the Kizazi Kipya Project addresses the urgent need to optimise the scale-up of parenting programmes to prevent violence against children (VAC) in low- and middle-income countries (LMICs). It is uses innovative research methods to evaluate the quality of delivery and impact of an evidence-based parenting programme for adolescents, Parenting for Lifelong Health for Adolescents (PLH-Teens, known as Furaha Teens in Tanzania). The study will be conducted within the national scale-up of the programme by Pact and local community service organisations (CSOs) in Tanzania as part of the USAID-funded Kizazi Kipya Project. The study is funded by the Evaluation Fund

Intervention. PLH-Teens is a group-based parenting intervention delivered by community facilitators to caregivers and their children ages 10 to 17 years old. It is designed to address multiple risks for VAC in the home and community by improving parent-child communication, positive parenting and supervision, and parent and adolescent mental health, while decreasing corporal punishment, family conflict, financial insecurity, and adolescent risky behaviours.

Readiness for Implementation Research. The FAIR study represents a unique opportunity to deepen our understanding of the scale-up of family-based interventions to reduce VAC in low-resource settings. Since initial testing in South Africa, PLH-Teens has been rapidly disseminated to over 15 LMICs reaching approximately 500,000 families. In 2020, the programme will be delivered to 18,200 adolescent girls and their caregivers in Tanzania, which will allow for the study of real-world implementation of VAC prevention at scale.

Relevance. The FAIR study aims to advance SDG 16.2, which calls for the end of abuse, exploitation, trafficking, and all forms of violence and torture against children. This goal is in alignment The Evaluation Fund’s Call for Proposals to use evaluation and implementation research to study a programme aiming to prevent VAC using a researcher-implementer partnership.

Partners and Stakeholders. The FAIR study is a multi-sectoral collaboration between the National Institute of Medical Research, University of Oxford, Clowns Without Borders South Africa (CWBSA), and Pact Tanzania. Stakeholders include the Tanzanian Ministry of Health, Community Development, Gender, Elderly, and Children, WHO, UNICEF, African Parenting Network, PLH implementing agencies, and participating families.

Research Question and Methods: The FAIR study addresses the following research questions (RQs): RQ1: What is the level of implementation of PLH-Teens in terms of quality of delivery and implementation fidelity? RQ2: What factors are associated with these implementation outcomes? RQ3: How is implementation associated with programme impact on reducing VAC? RQ4: How does supervision of community volunteer facilitators effect programme delivery and effectiveness? We will use a mixed-methods approach, including observational assessments of facilitator competence, large-scale pre-post surveys, in-depth interviews, focus groups, and stakeholder meetings to address these research questions.

Dissemination and Utilisation: Study findings will inform future implementation of PLH-Teens at scale in Tanzania and internationally. The results will be disseminated with families, NGOs, government, PLH implementing partners, organisations implementing similar family strengthening programmes, and academics through reports, webinars, policy briefs, flyers, consultations, Pact and CSO community of practice meetings, and academic papers/conferences.