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REACH
REACH Study: Reproductive Empowerment for Adolescents Through CAHLS and Health Services (FPIL Sierra Leone Component)
Sponsor study identifier
interventional
5,300
1 country
1
Study Start
October 5, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The goal of this randomized controlled trial is to learn if comprehensive sexuality education (CSE) and access to mobile sexual and reproductive health (SRH) services in secondary schools can improve short- and long-term health, well-being, social and economic outcomes among adolescents and young people in two districts of Sierra Leone. The main questions it aims to answer are:
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 30, 2026
Actual (reported)October 5, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
October 6, 2026
Actual (reported)October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Proportion of Adolescent Girls and Young Women (AGYW) Using (or Whose Partner Uses) a Modern Contraceptive Method (mCPR)
Proportion of female respondents who use, or whose partners use, modern contraceptive methods (female/male sterilization, IUD, implant, injectable, pill, emergency contraception, male/female condom, and modern fertility-awareness-based methods). Aggregated as a proportion at each round; between-arm effect estimated via difference-in-differences.
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of AGYW Whose Contraceptive Use or Non-Use Is Concordant with Their Fertility Preferences (Preference-Aligned Fertility Management)
Proportion of female respondents classified as preference-concordant by the Preference-Aligned Fertility Management (PFM) indicator: using contraception and wanting to be, or not using and not wanting to be.
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
The 60 schools in this arm are the control group. They will continue providing their standard services and functions. They will not implement the Comprehensive Sexuality Education curriculum nor will they receive mobile SRH services.
The 60 schools in this arm will implement the Comprehensive Sexuality Education (CSE) curriculum and offer a safe space for menstrual hygiene and care.
The 60 schools in this arm will receive MSSL-provided mobile sexual and reproductive health (SRH) outreach services on the school premises 3 times per school year.
For junior secondary schools in the "CSE only" and "CSE+mobile SRH services" intervention arms, at baseline at the start of the school year, MSSL will train teachers who teach subjects in which CSE topics are included, using a standard teaching training curriculum to help mitigate the risk of variability in the quality of CSE implementation across schools. Teachers will then implement the CSE curriculum in their classes throughout the duration of the study. MSSL will provide yearly refresher teacher training throughout the study. In each school, guidance counselors will be tasked with monitoring implementation of the intervention. MSSL will provide all materials and equipment needed to teach CSE. Each school will create a "safe space" where students can go for menstrual hygiene and care.
240 schools in Kambia and Kenema districts (confidential, cannot be disclosed)
Freetown, Sierra Leone
Hannah Olson, PhD
Guttmacher Institute
Margaret Giorgio, PhD
Guttmacher Institute
Onikepe Owolabi, PhD
Guttmacher Institute
First Submitted
September 30, 2026
First Posted
October 6, 2026
Study Start
October 5, 2026
Estimated (date passed)Proportion of AGYW with Decision-Making Autonomy over Family Planning
Proportion of female respondents who report being able to make their own decisions regarding the use of family planning, as opposed to needing permission from a parent, partner, healthcare provider, or other household authority figure.
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of AGYW and Adolescent Boys and Young Men (ABYM) Who Have Dropped Out of School
Proportion of the baseline (JSS1-enrolled) cohort of female and male respondents no longer enrolled in / attending school at a given follow-up round. Baseline enrollment is universal by eligibility, so dropout is measured longitudinally across rounds.
Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Unintended Pregnancy Incidence Rate Among AGYW
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of Sexually Active AGYW and ABYM Who Used a Condom at Last Sexual Intercourse
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of AGYW with Unmet Need for Modern Contraception
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of Female Contraceptive Users Who Are Satisfied With Their Method
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Incidence of Contraceptive Method Discontinuation Among AGYW
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Average Number of Comprehensive Sexuality Education Topics Reported by AGYW and ABYM as Covered in Class
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion of AGYW and ABYM Reporting That Comprehensive Sexuality Education Classes Have Been Useful
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
Proportion AGYW and ABYM Who Received School-Based Mobile SRH services
Baseline; Month 6 of intervention; Month 12 of intervention; Month 18 of intervention; Month 24 of intervention; Month 30 of intervention; Month 36 of intervention; Month 42 of intervention; Endline (month 48 of intervention)
The 60 schools in this arm will receive both interventions: they will implement the CSE curriculum (and space spaces) and will also receive MSSL-provided mobile SRH outreach services on the school premises 3 times per school year.
For junior secondary schools in the "Mobile SRH services only" and "CSE+mobile SRH services" intervention arms, MSSL will utilize three mobile clinical teams to provide direct, comprehensive SRHR services on-site at schools. Each team will be composed of two service providers trained to provide youth-friendly services, one data imputer, and a transport assistant. The team will visit each school once per quarter (3 times during the school year). A comprehensive range of youth-friendly SRH services, including contraceptive counseling, provision of LARC (implants and IUDs), short-term methods (pills, injectables and emergency contraception), condom promotion, STI services, and referrals to health facilities if needed, will be available to all students through the mobile visits.
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This estimate has passed. The registry has not confirmed an actual date for this milestone.
Primary Completion
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
October 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 6, 2026
Record last verified: 2026-09
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Source: ClinicalTrials.gov.
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