In rural Zambia, where many young girls face early pregnancies and limited educational opportunities, a new study has revealed the challenges of short-term interventions. Despite providing financial aid and education programs to 5,000 girls, the study found only a modest reduction in pregnancies during the support period, with little lasting impact after the aid ended.
The research, to be published in eClinicalMedicine on November 14, spanned 4.5 years and involved 157 schools. Conducted by the University of Zambia, University of Bergen, Chr. Michelsen Institute, and the Norwegian School of Economics, the study divided schools into three groups: financial support, financial support combined with sexuality education and community dialogue, and a control group.
For families like those of 14-year-old girls in these communities, the promise of education was real but fleeting. Many parents could not afford school fees after the two years of financial aid ended, forcing their daughters to leave school. Without education, these girls remained vulnerable to the pressures of early marriage and pregnancy.
“The findings show what we already know – short-term poverty-reducing measures like cash transfers can help, but they are not enough to achieve significant reductions in teenage pregnancies,” said Professor Ingvild Sandøy of the University of Bergen.
The study paints a sobering picture of the barriers faced by girls in Zambia. Poverty remains a dominant factor, compounded by social pressures to marry early and a lack of access to contraceptives.
“If the support had lasted until these girls finished secondary school or turned 18, the results might have been much better,” said Professor Patrick Musonda of the University of Zambia. He emphasized that Zambia’s recent removal of secondary school fees is a step in the right direction. “This policy will likely help many girls stay in school and avoid the cycle of early pregnancy.”
Researchers called for a more comprehensive approach, including affordable education, sexuality education, and improved access to contraceptives. They argue that without sustained support, the root causes of teenage pregnancies will persist.
“Longer-term support, combined with better health services for young people, is what’s needed to truly make a difference,” Professor Sandøy concluded.
The study, funded by the Research Council of Norway and the Swedish International Development Agency, highlights a critical issue: while short-term programs can provide a lifeline, they cannot address the systemic challenges that leave so many young girls at risk.
For girls in rural Zambia, the promise of education and a better future depends on long-term solutions that go beyond quick fixes.