Cups or Cash for Girls Trial to Reduce Sexual and Reproductive Harm and School Dropout

Summary

A 4-armed cluster randomised controlled trial conducted among secondary schoolgirls in Siaya, western Kenya, where clusters are the unit of allocation and schoolgirls the unit of measurement. The overall aim of the trial is to inform evidence-based policy to develop intervention programmes which improve adolescent girls' health, school equity and life-chances. The primary objective is to determine the impact of menstrual cups or cash transfer alone, or in combination, compared against controls, on a composite of deleterious outcomes (HIV, HSV-2 infection, and school dropout) over 3 schoolyears follow-up.

Conditions

• Reproductive Health
• Herpesvirus Infection
• HIV Infections
• Woman Abuse
• Quality of Life
• Adolescent Behavior

Interventions

DEVICE

Menstrual Cup

Menstrual cups are reusable bell-shaped receptacles made of high grade medical silicone which collect \~30 ml of menstrual blood when inserted into the vaginal canal

OTHER

Cash transfer

A small stipend of Ksh 1500 (US$15, Dec15 exch) per term will be provided to girls, through a safe and secure mobile money transfer system provider, like M-Pesa, Equity, or Postbank. Monies will be transferred at the beginning of a term, based on school registry statistics confirming participants attended for at least 80% of the previous term.

OTHER

Cups and Cash

Combination of both interventions, using the same interventions and implementation methods.

Sponsors & Collaborators

• Kenya Medical Research Institute

  collaborator OTHER

• Centers for Disease Control and Prevention

  collaborator FED

• Safe Water and AIDS Project

  collaborator OTHER

• Liverpool School of Tropical Medicine

  lead OTHER

Principal Investigators

• Penelope A Phillip-Howard, PhD · Liverpool School of Tropical Medicine

• Daniel Kwaro, MD · Kenya Medical Research Institute

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Model

PARALLEL

Eligibility

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-02-28

Primary Completion

2021-06-30

Completion

2021-06-30

Countries

• Kenya

Study Locations