SEHER Plus- Strengthening Evidence base on scHool-based intErventions for pRomoting
adolescent health, seeks to evaluate a school based adolescent health promotion intervention
delivered by two different delivery agents viz. teacher-as-SEHER Mitra (TSM) and lay school
counsellor called as SEHER Mitra (SM) in government- run secondary schools in Bihar, India.
SEHER Plus will be implemented in the same randomly assigned 74 schools wherein, the SEHER
trial (ClinicalTrials.gov ID: NCT02484014)-a three armed clustered randomised trial (CRT) was
implemented to evaluate the effectiveness and cost-effectiveness of these two models compared
with the Tarang-Adolescence Education Programme (usual care) implemented by the State
Government of Bihar.
The SEHER trial hypothesised that both interventions, compared to the control arm, would lead
to a greater impact on school climate (school connectedness and relationship with teachers
and fellow students). In addition, the interventions would increase the knowledge, attitude
and awareness, and promoting healthy behaviours in youth on reproductive and sexual health
outcomes, mental health and substance use, and gender related attitudes and violence. The
SEHER trial also hypothesized that the addition of more resource intensive component (the SM
arm) would be associated with the best outcomes. The hypothesis for the SEHER Plus is that
students who will have exposure to the SEHER intervention activities in two academic years
(Class IX and X) will show greater benefits on the primary, secondary and exploratory
outcomes than students who have exposure to the SEHER intervention activities in one academic
year (Class IX).