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Citation Information

Type Journal Article - Health Education & Behavior
Title Evidence that classroom-based behavioral interventions reduce pregnancy-related school dropout among Nairobi adolescents
Volume 44
Issue 2
Publication (Day/Month/Year) 2017
Page numbers 297-303
URL https://www.ncbi.nlm.nih.gov/pubmed/27486178
Purpose. To evaluate the effect of behavioral, empowerment-focused interventions on the incidence of pregnancy-related
school dropout among girls in Nairobi’s informal settlements. Method. Retrospective data on pregnancy-related school
dropout from two cohorts were analyzed using a matched-pairs quasi-experimental design. The primary outcome was the
change in the number of school dropouts due to pregnancy from 1 year before to 1 year after the interventions. Results.
Annual incidence of school dropout due to pregnancy decreased by 46% in the intervention schools (from 3.9% at baseline
to 2.1% at follow-up), whereas the comparison schools remained essentially unchanged (p < .029). Sensitivity analysis shows
that the findings are robust to small levels of unobserved bias. Conclusions. Results suggest that these behavioral interventions
significantly reduced the number of school dropouts due to pregnancy. As there are limited promising studies on behavioral
interventions that decrease adolescent pregnancy in low-income settings, this intervention may be an important addition to
this toolkit.

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