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Preventing gender-based violence victimization in adolescent girls in lower-income countries: Systematic review of reviews

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  • Yount, Kathryn M.
  • Krause, Kathleen H.
  • Miedema, Stephanie S.

Abstract

This systematic review of reviews synthesizes evidence on the impact of interventions to prevent violence against adolescent girls and young women 10–24 years (VAWG) in low- and middle-income countries (LMICs). Theories of women's empowerment and the social ecology of multifaceted violence frame the review. Child abuse, female genital mutilation/cutting (FGMC), child marriage, intimate partner violence (IPV), and sexual violence were focal outcomes. Our review followed the Assessment of Multiple Systematic Reviews (AMSTAR) for the systematic review of reviews, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for a systematic review of recent intervention studies. Of 35 reviews identified between June 7 and July 20, 2016, 18 were non-duplicate systematic reviews of medium-to-high quality. Half of these 18 reviews focused on interventions to prevent IPV. Only four focused on adolescents, of which three focused on child marriage and one compared findings across early and late adolescence. None focused on interventions to prevent child abuse or sexual violence in adolescent/young women. From these 18 reviews and the supplemental systematic review of intervention studies, data were extracted on 34 experimental or quasi-experimental intervention studies describing 28 interventions. Almost all intervention studies measured impacts on one form of VAWG. Most studies assessed impacts on child marriage (n = 13), then IPV (n = 8), sexual violence (n = 4), child abuse (n = 3), and FGMC (n = 3). Interventions included 1–6 components, involving skills to enhance voice/agency (n = 17), social networks (n = 14), human resources like schooling (n = 10), economic incentives (n = 9), community engagement (n = 11) and community infrastructure development (n = 6). Bundled individual-level interventions and multilevel interventions had more favorable impacts on VAWG. Interventions involving community engagement, skill-building to enhance voice/agency, and social-network expansion show promise to reduce VAWG. Future interventions should target poly-victimization, compare impacts across adolescence, and include urban, out-of-school, married, and displaced/conflict-affected populations in LMICs, where VAWG may be heightened.

Suggested Citation

  • Yount, Kathryn M. & Krause, Kathleen H. & Miedema, Stephanie S., 2017. "Preventing gender-based violence victimization in adolescent girls in lower-income countries: Systematic review of reviews," Social Science & Medicine, Elsevier, vol. 192(C), pages 1-13.
    • Handle: RePEc:eee:socmed:v:192:y:2017:i:c:p:1-13
    DOI: 10.1016/j.socscimed.2017.08.038
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    5. Prachi Pundir & Ashrita Saran & Howard White & Ramya Subrahmanian & Jill Adona, 2020. "Interventions for reducing violence against children in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(4), December.
    6. Ashrita Saran & Howard White & Kerry Albright & Jill Adona, 2020. "Mega‐map of systematic reviews and evidence and gap maps on the interventions to improve child well‐being in low‐ and middle‐income countries," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(4), December.
    7. Maria Suzana Maguele & Boikhutso Tlou & Myra Taylor & Nelisiwe Khuzwayo, 2020. "Risk factors associated with high prevalence of intimate partner violence amongst school-going young women (aged 15–24years) in Maputo, Mozambique," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-22, December.
    8. Ernestina Coast & Nicola Jones & Umutoni Marie Francoise & Workneh Yadete & Roberte Isimbi & Kiya Gezahegne & Letisha Lunin, 2019. "Adolescent Sexual and Reproductive Health in Ethiopia and Rwanda: A Qualitative Exploration of the Role of Social Norms," SAGE Open, , vol. 9(1), pages 21582440198, March.
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