BACKGROUND Improving the health and development of adolescents aged 10-19 years is a global health priority. One in five adolescents globally live in India. The Rashtriya Kishor Swasthya Karyakram (RKSK), India's national adolescent health strategy, recommends supporting community-based peer educators to conduct group meetings with boys and girls. Groups aim to give adolescents a space to discuss the social and health issues affecting them and build their capacity to become active community members and leaders. There have been no evaluations of the community component of RKSK to date. In this protocol, we describe the evaluation of the Jharkhand Initiative for Adolescent Health (JIAH), a community intervention aligned with RKSK and designed to improve school attendance, dietary diversity and mental health among adolescent girls aged 10-19 years in rural Jharkhand, eastern India. METHODS The JIAH intervention is delivered by a community youth team consisting of yuva saathis (friends of youth), youth leadership facilitators and livelihood promoters. Teams conduct (a) peer-led Participatory Learning and Action meetings with girls and boys, mobilising adolescents, parents, health workers, teachers and the wider community to make changes for adolescent health and development; (b) group-based youth leadership activities to build adolescents' confidence and resilience; and (c) livelihood promotion with adolescents and their families to provide training and practical skills. We are evaluating the JIAH intervention through a parallel-group, two-arm, superiority, cluster-randomised controlled trial. The unit of randomisation is a geographic cluster of ~1000 people. A total of 38 clusters covering an estimated population of 40,676 have been randomised to control or intervention arms. Nineteen intervention clusters have adolescent groups, youth leadership activities and livelihood promotion. Nineteen control clusters receive livelihood promotion only. Study participants are adolescent girls aged 10-19 years, married or unmarried, in or out of school, living in the study area. Intervention activities are open to all adolescent boys and girls, regardless of their participation in surveys. We will collect data through baseline and endline surveys. Primary trial outcomes are school attendance, dietary diversity and internalising and externalising mental health problems. Secondary outcomes include access to school-related entitlements, emotional or physical violence, self-efficacy and resilience. TRIAL REGISTRATION ISRCTN17206016. Registered on 27 June 2018.

中文翻译：

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社区青年队为参与的青少年团体，青年领导活动和生计促进提供了便利，以提高印度东部农村少女的入学率，饮食多样性和心理健康：一项整群随机对照试验的方案。

背景技术改善10-19岁青少年的健康和发育是全球卫生的重点。全球有五分之一的青少年居住在印度。印度的国家青少年健康策略Rashtriya Kishor Swasthya Karyakram（RKSK）建议支持基于社区的同伴教育者与男孩和女孩进行小组会议。团体旨在为青少年提供一个讨论影响他们的社会和健康问题的空间，并建立他们成为活跃的社区成员和领导人的能力。迄今为止，还没有对RKSK社区组成部分的评估。在此协议中，我们描述了针对青少年健康的贾坎德计划（JIAH）的评估，该计划是与RKSK保持一致并旨在提高入学率的社区干预措施，印度东部贾坎德邦农村地区10-19岁少女的饮食多样性和心理健康状况。方法JIAH干预由社区青年团队提供，该团队由yuva saathis（青年之友），青年领导者和生计推动者组成。团队与（a）与男孩和男孩举行由同行领导的参与式学习和行动会议，动员青少年，父母，卫生工作者，教师和更广泛的社区，为青少年的健康和发展做出改变；（b）以团体为基础的青年领导活动，以建立青少年的信心和复原力；（c）促进青少年及其家庭的生计，以提供培训和实践技能。我们正在通过一项平行分组，两臂，优势，聚类随机对照试验评估JIAH干预。随机单位是〜1000人的地理簇。总共38个集群覆盖了估计的40676个人口，已随机分配给控制或干预部门。19个干预小组有青少年团体，青年领导活动和生计促进。19个控制集群仅接受生计提升。研究对象是居住在研究区域内的10-19岁已婚或未婚，已婚或未婚的少女。干预活动向所有青春期男孩和女孩开放，无论他们是否参与调查。我们将通过基线和最终调查收集数据。初级试验的结果是入学率，饮食多样性以及心理健康问题的内在化和外在化。次要结果包括获得与学校相关的权利，情绪或身体暴力，自我效能感和应变能力。试用注册号ISRCTN17206016。2018年6月27日注册。