Conclusion
LATE PREGNANCIES
Considering that the odds of exposure to both in-school CSE and accessible receptive health facility-based SRH services, significantly increased for students in intervention arms 2 and 3, and pregnancies significantly declined, it appears that at least both of those additional interventions are beneficial and should be implemented in these and additional schools. However, to compensate individual intervention study limitations and enhance outcomes, a hybrid intervention arm incorporating both intervention elements would be ideal.In addition, further research, which employs qualitative study designs, will be required to establish the circumstances surrounding the individual in-school pregnancies, as well as health and social outcomes affecting the girls, especially among those who fail to return to school. A potential study limitation was having to rely on school records on pregnancies that occur in a calendar year, as that misses early unitended pregnancies occurring at the end of the year, but the ideal of including pregnancy tests, is not feasible, and this limitation is countered by the potential for such late pregnancies to be randomly distributed across the three study arms.