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What can the global movement to end child marriage learn from the implementation of other multi-sectoral initiatives?
  1. Claudia Lo Forte1,
  2. Marina Plesons2,
  3. Matilda Branson3,
  4. Venkatraman Chandra-Mouli2
  1. 1Child Frontiers, Sheung Wan, Hong Kong
  2. 2World Health Organization, Geneve, Switzerland
  3. 3Girls Not Brides, London, UK
  1. Correspondence to Marina Plesons; m.plesons{at}gmail.com

Abstract

If the Sustainable Development Goal (SDG) target 5.3 to end child marriage by 2030 is to be met, the annual rate of reduction in the prevalence of child marriage must increase from 1.9% to 23%. Over 30 countries have developed, or are developing, national policies/programmes towards this goal. However, many are struggling to operationalise these policies/programmes, particularly at subnational levels. Thus, Girls Not Brides and the WHO commissioned a review of lessons learnt from national and subnational implementation of multi-sectoral policies/programmes targeting other issues that could be applied to the global movement to end child marriage. This review identified a number of pragmatic lessons learnt. At the national level, countries should identify and engage committed and skilled leadership, build a shared understanding of the target issue and how to address it, and delineate and clarify the roles and responsibilities of relevant stakeholders. At the subnational level, countries should establish coordination mechanisms, build awareness and capacity of staff, use subnational evidence to contextualise and tailor interventions, develop coordinated budgets and cost-sharing mechanisms, and integrate monitoring and evaluation systems. These lessons are remarkably consistent, despite coming from different target issues and contexts. The commonality of these findings reveals that various stakeholders are repeatedly and consistently failing to ensure that these fundamental requirements are in place. It is vital that the global movement to end child marriage learns from and uses these lessons if it is to meet its SDG target.

  • health policy
  • review
  • HIV
  • nutrition
  • maternal health

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Footnotes

  • CLF and MP are joint first authors.

  • Handling editor Seye Abimbola

  • Contributors VC and MB conceived the review. CLF was engaged to conduct the review and prepare a full report. MP led the adaptation of the full report into this manuscript. MP and MB prepared the evidence table. MP prepared the draft manuscript and shared it with the co-authors, collated the feedback and prepared revised drafts. MB and CLF provided feedback on the first and subsequent draft. VC provided feedback on the subsequent draft. All the authors read and approved the final draft.

  • Funding This work was funded by Girls Not Brides: The Global Partnership to End Child Marriage and the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored programme executed by the World Health Organization (WHO).

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.