High levels of poverty and entrenched gender norms in Northern Ghana increase the risk of adolescent girls leaving school, engaging in child labor, and migrating unaccompanied. Caregivers play a vital role in reducing these risks, but few interventions focus on family-level support for girls’ education. The ANZANSI Family Program combines economic empowerment with family strengthening to address child labor. A pilot randomized clinical trial (n = 97) was conducted across 10 schools, assessing caregiver-reported outcomes at baseline, 9 months, and 15 months. Results from linear mixed-effects models showed significant improvements in caregiver educational support at both follow-ups. These preliminary findings suggest caregiver-focused, multi-component interventions are feasible in settings facing resource constraints and educational inequities and may enhance caregivers’ involvement in supporting girls’ education.
AkuruguJ. A. (2022). Factors influencing school dropout among female junior high school pupils in the Pusiga district. International Journal of Social Sciences and Management Review, 5(2), 31–39. https://doi.org/10.37602/IJSSMR.2022.5203
2.
BasharpoorS.HeidariF. (2022). The model of structural relationships of family cohesion/adaptability, academic self-concept and social acceptability with school adjustment: The mediator role of educational engagement. Journal of School Psychology, 11(2), 6–20. https://doi.org/10.22098/jsp.2022.1712
3.
BermudezL. G.BaharO. S.Dako-GyekeM.BoatengA.IbrahimA.SsewamalaF. M.McKayM. (2020). Understanding female migrant child labor within a cumulative risk framework: The case for combined interventions in Ghana. International Social Work, 63(2), 147–163. https://doi.org/10.1177/0020872818788398
4.
BlondalK. S.AdalbjarnardottirS. (2014). Parenting in relation to school dropout through student engagement: A longitudinal study. Journal of Marriage and Family, 76(4), 778–795. https://doi.org/10.1111/jomf.12125
5.
BlumR. W.AstoneN. M.DeckerM. R.MouliV. C. (2014). A conceptual framework for early adolescence: A platform for research. International Journal of Adolescent Medicine and Health, 26(3), 321–331. https://doi.org/10.1515/ijamh-2013-0327
6.
BradleyG. L.FergusonS.Zimmer-GembeckM. J. (2021). Parental support, peer support and school connectedness as foundations for student engagement and academic achievement in Australian youth. In DimitrovaR.WiiumN. (Eds.), Handbook of positive youth development: Advancing research, policy, and practice in global contexts (pp. 219–236). Springer.
7.
BrathwaiteR.SsewamalaF. M.Sensoy BaharO.McKayM. M.NeilandsT. B.NamatovuP.KiyingiJ.ZmachinskiL.NabayindaJ.HuangK. Y. (2022). The longitudinal impact of an evidence-based multiple family group intervention (Amaka Amasanyufu) on oppositional defiant disorder and impaired functioning among children in Uganda: Analysis of a cluster randomized trial from the SMART Africa-Uganda scale-up study (2016–2022). Journal of Child Psychology and Psychiatry, 63(11), 1252–1260. https://doi.org/10.1111/jcpp.13566
8.
ByansiW.Sensoy BaharO.IbrahimA.BoatengA.KumbelimK.AmissahF. G.NarteyP. B.SsewamalaF. M.NabunyaP.McKayM. M. (2025). Addressing psychosocial outcomes among vulnerable adolescent girls: The preliminary impact of the ANZANSI family program in Northern Ghana. Journal of the Society for Social Work and Research, 2025, Article 735708. https://doi.org/10.1086/735708
9.
ByansiW.Sensoy BaharO.SmallL.NamatovuP.NabayindaJ.KiyingiJ.MwebembeziA.NakigoziG.HoagwoodK.McKayM. M. (2024). The longitudinal impact of an evidence-based multiple family group intervention (Amaka Amasanyufu) on family cohesion among children in Uganda: Analysis of the cluster randomized SMART Africa-Uganda scale-up study (2016–2022). Family Process, 63(4), 1851–1866. https://doi.org/10.1111/famp.13007
10.
ByansiW.SsewamalaF. M.NeilandsT. B.BaharO. S.NabunyaP.NamuwongeF.McKayM. M. (2022). The short-term impact of a combination intervention on depressive symptoms among school-going adolescent girls in southwestern Uganda: The Suubi4Her cluster randomized trial. Journal of Adolescent Health, 71(3), 301–307. https://doi.org/10.1016/j.jadohealth.2022.04.008
11.
Cavazos-RehgP.ByansiW.XuC.NabunyaP.Sensoy BaharO.BorodovskyJ.KassonE.AnakoN.MellinsC.DamuliraC.NeilandsT.SsewamalaF. M. (2021). The impact of a family-based economic intervention on the mental health of HIV-infected adolescents in Uganda: Results from Suubi + adherence. Journal of Adolescent Health, 68(4), 742–749. https://doi.org/10.1016/j.jadohealth.2020.07.022
12.
ChikhunguL.KadzamiraE.ChiwaulaL.MekeE. (2020). Tackling girls dropping out of school in Malawi: Is improving household socio-economic status the solution?International Journal of Educational Research, 103, Article 101578. https://doi.org/10.1016/j.ijer.2020.101578
13.
DennisonS. T. (2005). A multiple family group therapy program for at risk adolescents and their families. Charles C Thomas.
14.
FierloosI. N.WindhorstD. A.FangY.HosmanC. M.JonkmanH.CroneM. R.JansenW.RaatH. (2023). The association between perceived social support and parenting self-efficacy among parents of children aged 0–8 years. BMC Public Health, 23(1), Article 1888. https://doi.org/10.1186/s12889-023-16710-8
15.
FiliatreauL. M.TutlamN.BrathwaiteR.ByansiW.NamuwongeF.MwebembeziA.Sensoy-BaharO.NabunyaP.NeilandsT. B.Cavazos-RehgP. (2023). Effects of a combination economic empowerment and family strengthening intervention on psychosocial well-being among Ugandan adolescent girls and young women: Analysis of a cluster randomized controlled trial (Suubi4Her). Journal of Adolescent Health, 72(5), S33–S40. https://doi.org/10.1016/j.jadohealth.2022.11.250
16.
FortinL.MarcotteD.DialloT.PotvinP.RoyerÉ. (2013). A multidimensional model of school dropout from an 8-year longitudinal study in a general high school population. European Journal of Psychology of Education, 28(2), 563–583. https://doi.org/10.1007/s10212-012-0129-2
GordonD.NandyS. (2012). Measuring child poverty and deprivation. In MinujinA.NandyS. (Eds.), Global child poverty and well-being (pp. 57–102). Policy Press.
20.
GubbelsJ.van der PutC. E.AssinkM. (2019). Risk factors for school absenteeism and dropout: A meta-analytic review. Journal of Youth and Adolescence, 48, 1637–1667. https://doi.org/10.1007/s10964-019-01072-5
21.
HamenooE. S.DwomohE. A.Dako-GyekeM. (2018). Child labour in Ghana: Implications for children’s education and health. Children and Youth Services Review, 93, 248–254. https://doi.org/10.1016/j.childyouth.2018.07.026
JariegoI. M.JariegoM. (2021). Community prevention of child labor. Springer.
24.
KungH.-Y.Ching-YiL. (2015). Influence of academic achievement and dropout on economically disadvantaged students: An investigation of the “context–self–action–result” self-system model of motivational development. Journal of Research in Education Sciences, 60(4), Article 55. https://doi.org/10.6209/JORIES.2015.60(4).03
25.
KwartengP.AsiamahF.TwumasiA. O.NkansahJ. O.IssakaJ.AfetorgborS. K. (2022). Parental involvement in the academic performance of students in Ghana: Socio-economic status. Open Journal of Educational Research, 2(3), 114–125. https://doi.org/10.31586/ojer.2022.305
26.
LeeJ. A.HudsonR. E. (2011). Empowerment approach to social work practice (Vol. 5). Oxford University Press.
27.
MaynardP. E.OlsonD. H. (1987). Circumplex model of family systems: A treatment tool in family counseling. Journal of Counseling & Development, 65(9), 502–504. https://doi.org/10.1002/j.1556-6676.1987.tb00766.x
28.
McKayM. M.GonzalesJ. J.StoneS.RylandD.KohnerK. (1995). Multiple family therapy groups: A responsive intervention model for inner city families. Social Work with Groups, 18(4), 41–56. https://doi.org/10.1300/J009v18n04_04
29.
MichalopoulosS.PapaioannouE. (2016). The long-run effects of the scramble for Africa. American Economic Review, 106(7), 1802–1848. https://doi.org/10.1257/aer.20131311
30.
MillerA. B.Esposito-SmythersC.LeichtweisR. N. (2015). Role of social support in adolescent suicidal ideation and suicide attempts. Journal of Adolescent Health, 56(3), 286–292. https://doi.org/10.1016/j.jadohealth.2014.10.265
31.
MoellerK. (2013). Proving “The Girl Effect”: Corporate knowledge production and educational intervention. International Journal of Educational Development, 33(6), 612–621. https://doi.org/10.1016/j.ijedudev.2013.08.001
MoosR. H. (1994). Family environment scale manual: Development, applications, research. Consulting Psychologists Press.
34.
Murphy-GrahamE. (2024). From girls’ education to gender-transformative education: Lessons from different nations. Dædalus, 153(4), 267–285. https://doi.org/10.1162/daed_a_02115
35.
MussaE. C.MirzabaevA.AdmassieA.Nshakira-RukundoE.von BraunJ. (2019). Does childhood work impede long-term human capital accumulation? Empirical evidence from rural Ethiopia. International Journal of Educational Development, 66, 234–246. https://doi.org/10.1016/j.ijedudev.2018.09.001
36.
NarteyP.BaharO. S.NabunyaP. (2023). A review of the cultural gender norms contributing to gender inequality in Ghana: An ecological systems perspective. Journal of International Women’s Studies, 25(7), Article 14. https://vc.bridgew.edu/jiws/vol25/iss7/14
OffreyL. D.RinaldiC. M. (2017). Parent–child communication and adolescents’ problem-solving strategies in hypothetical bullying situations. International Journal of Adolescence and Youth, 22(3), 251–267. https://doi.org/10.1080/02673843.2014.884006
39.
OlsonD. H.WaldvogelL.SchlieffM. (2019). Circumplex model of marital and family systems: An update. Journal of Family Theory & Review, 11(2), 199–211. https://doi.org/10.1111/jftr.12331
40.
OlssonJ.HöjerS.NyströmL.EmmelinM. (2017). Orphanhood and mistreatment drive children to leave home: A study from early AIDS-affected Kagera region, Tanzania. International Social Work, 60(5), 1218–1232. https://doi.org/10.1177/0020872816641751
41.
OsujiH. L.NabunyaP.ByansiW.ParchmentT. M.SsewamalaF.McKayM. M.HuangK.-Y. (2018). Social support and school outcomes of adolescents orphaned and made vulnerable by HIV/AIDS living in South Western Uganda. Vulnerable Children and Youth Studies, 13(3), 228–238. https://doi.org/10.1080/17450128.2018.1439211
42.
PierreJ. (2020). The racial vernaculars of development: A view from West Africa. American Anthropologist, 122(1), 86–98. https://doi.org/10.1111/aman.13352
43.
ReissF. (2013). Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Social Science & Medicine, 90, 24–31. https://doi.org/10.1016/j.socscimed.2013.04.026
RothwellD. W.HanC. K. (2010). Exploring the relationship between assets and family stress among low-income families. Family Relations, 59(4), 396–407. https://doi.org/10.1111/j.1741-3729.2010.00611.x
46.
Sensoy BaharO.ByansiW.IbrahimA.BoatengA.KumbelimK.NarteyP. B.AmissahF.NabunyaP.SsewamalaF. M.McKayM. M. (2025). Preliminary impact of a combination intervention on intention to migrate and school absence among adolescent girls: Results from a pilot cluster-randomized clinical trial in Northern Ghana. Children and Youth Services Review, 171, Article 108205. https://doi.org/10.1016/j.childyouth.2025.108205
47.
Sensoy BaharO.SsewamalaF. M.IbrahimA.BoatengA.NabunyaP.NeilandsT. B.AsampongE.McKayM. M. (2020). Anzansi family program: A study protocol for a combination intervention addressing developmental and health outcomes for adolescent girls at risk of unaccompanied migration. Pilot and Feasibility Studies, 6(1), 1–12. https://doi.org/10.1186/s40814-020-00737-4
48.
Sensoy BaharB.BynasiW.IbrahimA.BoatengA.NarteyP.NabunyaP.KumbelimK.SsewamalaF.McKayM. (2024). Short-term impact of a combination intervention on family cohesion: Results from a pilot cluster-randomized clinical trial in Northern Ghana. Journal of Research on Adolescence: The Official Journal of the Society for Research on Adolescence, 34(3), 957–968. https://doi.org/10.1111/jora.12977
49.
SherradenM. (1991). Assets and the poor: A new American welfare policy. M.E. Sharpe.
50.
ShumwayR. (2018). A shared legacy: Atlantic dimensions of Gold Coast (Ghana) history in the nineteenth century. Ghana Studies, 21, 41–62. https://doi.org/10.1353/ghs.2018.0003
51.
ShumwayR.GetzT. R. (2017). Slavery and its legacy in Ghana and the diaspora. Bloomsbury.
52.
SkinnerH. A.SteinhauerP. D.Santa-BarbaraJ. (1983). The family assessment measure. Canadian Journal of Community Mental Health, 2(2), 91–103. https://doi.org/10.7870/cjcmh-1983-0018
53.
SommerM. (2010). Where the education system and women’s bodies collide: The social and health impact of girls’ experiences of menstruation and schooling in Tanzania. Journal of Adolescence, 33(4), 521–529. https://doi.org/10.1016/j.adolescence.2009.03.008
54.
SsewamalaF. M. (2015). Optimizing the “demographic dividend” in young developing countries: The role of contractual savings and insurance for financing education. International Journal of Social Welfare, 24(3), 248–262. https://doi.org/10.1111/ijsw.12131
55.
SsewamalaF. M.HanC.-K.NeilandsT. B. (2009). Asset ownership and health and mental health functioning among AIDS-orphaned adolescents: Findings from a randomized clinical trial in rural Uganda. Social Science & Medicine, 69(2), 191–198. https://doi.org/10.1016/j.socscimed.2009.05.019
Van de WaalW.AshonM. A.ComingsJ. P. (2024). A case study of support for girls’ access to primary school in Ghana. Prospects, 54(1), 241–253. https://doi.org/10.1007/s11125-022-09626-5
59.
WangM. T.EcclesJ. S. (2012). Social support matters: Longitudinal effects of social support on three dimensions of school engagement from middle to high school. Child Development, 83(3), 877–895. https://doi.org/10.1111/j.1467-8624.2012.01745.x
60.
WangY.HuebnerE. S.TianL. (2021). Parent-child cohesion, self-esteem, and academic achievement: The longitudinal relations among elementary school students. Learning and Instruction, 73, Article 101467. https://doi.org/10.1016/j.learninstruc.2021.101467
61.
WaszakC.SeveryL. J.KafafiL.BadawiI. (2001). Fertility behavior and psychological stress: The mediating influence of gender norm beliefs among Egyptian women. Psychology of Women Quarterly, 25(3), 197–208. https://doi.org/10.1111/1471-6402.00021
YanZ.YuS.LinW. (2024). Parents’ perceived social support and children’s mental health: The chain mediating role of parental marital quality and parent‒child relationships. Current Psychology, 43(5), 4198–4210. https://doi.org/10.1007/s12144-023-04625-x
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