Shamba Maisha: a household farming program to improve sexual and reproductive health for adolescent girls and young women in Western Kenya

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The intervention, called Shamba Maisha, provides a multisectoral agricultural package to households of adolescent girls and young women (AGYW) in Kisumu and Migori counties who report moderate to severe food insecurity. AGYW participants are 15–19 years old, STI-uninfected and not pregnant at baseline, and enroll with an adult caregiver in a household that has farming land and nearby surface water. The trial measures sexual and reproductive health outcomes, including HIV/STI incidence, alongside indicators of food security and mental health to determine whether household-level economic and agricultural support changes risk. The program targets school-attending AGYW with at least 18 months remaining of schooling and uses household enrollment criteria to focus on households likely to implement agricultural changes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Adolescent Girls and Young women (AGYW):

* AGYW assigned female at birth
* Between 15-19 years of age at enrollment
* Attending the selected schools with at least 18 months remaining of schooling
* STI-uninfected and not pregnant at baseline
* Has an adult caregiver willing to participate
* Demonstrates moderate to severe FI based on the Household Food Insecurity Access Scale (HFIAS), and/or malnutrition (BMI less than two standard deviations below the mean for age-specific BMI

Caregiver:

* At least 18 years old.
* At least 1 AGYW aged 15-19 years old attending the selected schools
* household has access to farming land
* household has available surface water in the form of lakes, rivers, ponds, or shallow wells (home is 200m from permanent water source)

Exclusion Criteria:

* AGYW or adult caregivers who have inadequate cognitive and/or hearing capacity to complete planned study procedures
* AGYW or adult caregivers who do not speak Dholuo, Kiswahili, or English
* Married AGYW and those who serve as heads of households
* AGYW who are pregnant at screening

Adolescent girls who test positive for gonorrhea or chlamydia at screening will be invited to re-screen at least 14 days after receiving treatment and will be eligible to enroll if they have a confirmatory negative STI test.

Where it's running

• Kenya Medical Research Institute (KEMRI)
  Kisumu, Kenya Recruiting

Study contacts

• Principal investigator: Sheri Weiser, MD, MPH — University of California, San Francisco
• Study coordinator: Rachel L Burger, MHS
• Email: rachel.burger@ucsf.edu
• Phone: 415-535-2650

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.