- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01703936
Ex-combatant Reintegration in Liberia
Evaluating a Landmine Action Ex-combatant Reintegration Program in Liberia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Poor and unemployed youth are widely considered a threat to political stability, often blamed for everything from fights to crime, riots and revolutions. Ex-combatants cause special worry. Not only do they have professional experience in warfare, and hence some comparative advantage in violence, but their social networks may also be dense with potential recruiters. War may also have left them poorer or more traumatized than their peers. Each of these factors could elevate the risk of rebellion, crime, or other aggression, risks greatest in weak states and uncertain economic climates like that of Liberia.
In response, policymakers commonly turn to employment and other poverty alleviation programs, including cash grants, vocational training, small business development, and microfinance. Underlying these programs is the belief that with economic opportunities come stability. When dealing with organized populations, such as former combatants, gang members, or criminal organizations, policymakers are also anxious to break down risky social networks, especially the links between commanders and foot soldiers. Interventions often go beyond simple employment programs, and seek to relocate, resettle, or otherwise remove high-risk individuals from risky networks.
This project evaluates a rehabilitation program for ex-combatants and other high-risk youth in Liberia, a unique case where it was both politically and practically feasible to establish and follow a random control group. The program we study, which was designed and implemented by the international non-governmental organization (NGO) Action on Armed Violence, is among the best of its class. The program is targeted towards ex-combatants and other high-risk populations in resource enclaves and other "hotspots" around the country. It provides extensive agricultural skills training and inputs alongside life skills training and resettlement assistance. Its objective is to reduce the risk of violence and aggression by providing an alternative, stable livelihood in civilian communities to youth otherwise engaged in illicit activities or thought to be easily mobilized into crime or violence. After observing two highly promising courses and classes of graduates, the researchers collaborated with the NGO to randomly evaluate their next round of classes at two training sites.
The program implementers confirmed that the number of youth eligible for the program exceeded program capacity by a factor of at least two. The sample size was limited to 2.5 times the number of spots in the program, for a total of 1500. In order to give all eligible youth an equal opportunity to participate, the program implementers determined entry into the program using a computerized randomization of eligible youth. Respondents were assigned to treatment and control using a randomization program coded in Stata. The sample was stratified by gender, "commander status," and community of registration.
The study has two principal rounds of data collection among both treatment and control groups: a baseline prior to the intervention and a follow-up survey approximately one year following completion of the program.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Bong County
-
Salala, Bong County, Liberia
- Tumutu Agricultural Training Program
-
-
Sinoe County
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Panama, Sinoe County, Liberia
- Sinoe Agricultural Training Program
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria (determined by program):
- ex-combatant
- not served by previous reintegration programs
- engaged in illicit activities such as mining and rubber tapping
Exclusion Criteria (determined by program):
- pregnant women
- individuals deemed physically incapable of agriculture
- foreigners unwilling to settle in Liberia
Study Plan
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: Control group
|
|
|
Experimental: agricultural training program
Three to four month residential agriculture and life skills training program.
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Potential for Social Instability
Time Frame: 1 year after completion of program
|
This outcome includes engagement in illicit activities, ease of mobilization, political attitudes, violence and aggression, how settled they are, integration into mainstream society, and mental health symptoms.
|
1 year after completion of program
|
|
Economic Stability
Time Frame: 1 year after completion of program
|
This outcome includes employment and poverty level.
|
1 year after completion of program
|
|
Preferences
Time Frame: 1 year after completion of program
|
This outcome includes risk and time preferences.
|
1 year after completion of program
|
|
Interest in Agriculture
Time Frame: 1 year after completion of the program
|
This outcome measures level of interest in agriculture, attempts to engage in agriculture, perceptions of agriculture, and level of willingness to invest in agriculture.
|
1 year after completion of the program
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Level of Social Support and Quality of Social Relations
Time Frame: 1 year after completion of the study
|
The outcome includes aggregate level of social support, quality of relationship with family and elders, advising, and peer groups.
|
1 year after completion of the study
|
|
Aspirations and Future Planning
Time Frame: 1 year after completion of the program
|
This outcome measures aspirations for the future and thinking about the future.
|
1 year after completion of the program
|
|
Empowerment
Time Frame: 1 year after completion of the study
|
The outcome includes locus of control and making their own decisions.
|
1 year after completion of the study
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jeannie Annan, Ph.D., International Rescue Committee
- Principal Investigator: Christopher Blattman, Ph.D., Columbia University
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- AAAK6203
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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