# Engaging providers, community members, and young women to adapt and pilot a youth-friendly sexual and reproductive health package in low-income communities in India

> **NIH NIH K01** · YALE UNIVERSITY · 2021 · $78,504

## Abstract

Project summary/abstract
 Impoverished adolescent girls and young women (ages 15-25 years) in low- and middle-income
countries (LMICs) face inequitable gender norms that limit their educational opportunities, social support, and
healthcare access. These inequities also place them at higher risk for maternal morbidity and mortality,
psychological trauma, violence, and STIs/HIV. Consistent with these patterns, many young women in India
marry early and face similar sexual and reproductive health and rights (SRHR) challenges.
 Adolescent services in India are unequally distributed leaving marginalized adolescents, including those
not in school, without services or access. In 2013, India launched the “Rashtriya Kishor Swasthya Karyakam”
(National Adolescent Health Program) framework for improved adolescent health services and education to be
provided in the healthcare system and community through adolescent health clubs and adolescent-friendly
health clinics. However, implementation of the framework has been uneven, with poor fidelity in the adaptation
of programs to make them youth-centered.
 In this proposal, I will adapt and pilot an integrated community and facility intervention to improve
uptake of adolescent-friendly services for married and unmarried AGYW (ages 15-25) in a low-income area
with a population of 600,000 in Mumbai, India. Formative research will characterize the SRHR landscape in the
study area and adapt the intervention using the systematic ADAPT-ITT approach. The community component
will adapt a health curriculum for the peer adolescent health clubs to incorporate participatory activities to build
AGYW’s resources and agency, promote use of newly available adolescent services, and obtain participants’
viewpoints and preferences. The facility component consists of adapted sensitization training on adolescent-
friendly care for health providers and staff at both public and private clinics in the study area. This hybrid pilot
study will assess both implementation outcomes and a pilot set of health/behavioral outcomes including clinic
service uptake, contraceptive use, mental health, gender norms/agency, and health knowledge.
 My longstanding commitment to global health research with adolescent girls and young women has led
me to pursue training opportunities to gain experience in international collaborative research projects. This K
award builds on my doctoral and post-doctoral training in medical anthropology and adolescent SRHR, and the
relationships I have developed with multidisciplinary mentors and organizations in the United States and
Mumbai, India. This proposal extends my previous training and K12 work on youth-centered approaches to
SRHR communication in the U.S. by providing training in adolescent health quality improvement,
implementation science, and advanced quantitative methods in an international context. This K01 award also
facilitates my development into an independent global health researcher focused on improving ...

## Key facts

- **NIH application ID:** 10454501
- **Project number:** 3K01TW011480-02S1
- **Recipient organization:** YALE UNIVERSITY
- **Principal Investigator:** Marie Amanda Brault
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $78,504
- **Award type:** 3
- **Project period:** 2020-09-04 → 2021-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10454501

## Citation

> US National Institutes of Health, RePORTER application 10454501, Engaging providers, community members, and young women to adapt and pilot a youth-friendly sexual and reproductive health package in low-income communities in India (3K01TW011480-02S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10454501. Licensed CC0.

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