Afghan Women Turn To Virtual Learning Amid Education Ban, But Obstacles Remain

Afghan Women Turn To Virtual Learning Amid Education Ban, But Obstacles Remain

Number of Taliban members can access him, and even much less Afghans have witnessed him. He refuses to meet up with foreigners, like the most distinguished spiritual students from the Muslim environment.

Despite the Taliban’s guarantees of moderation on seizing electricity in August 2021, its man behind the curtain, supreme chief Mullah Haibatullah Akhundzada, has dominated final decision-producing as the tricky-line Islamist team carries on to restore a lot of of the draconian procedures it was notorious for when it dominated Afghanistan from 1996 to 2001.

And even though there has been some steady backlash inside the Taliban’s ranks, Akhundzada has cemented himself as the closing say in almost all issues by micromanaging the Taliban federal government and decreeing policies that deprive Afghans of essential legal rights.

Pure Islamic Procedure

In his endeavor to build what he sees as a “pure” Islamic technique, specialists say, Akhundzada has alienated Afghans and the outside the house world and is steering the Taliban and the place he guidelines down a destructive route.

Michael Semple, a former European Union and UN adviser to Afghanistan, claims that resistance to Akhundzada’s uncompromising solution could unleash yet another damaging civil war or even spill over Afghanistan’s borders.

“Haibatullah’s insistence on pushing through the radical system increases the probability of a new round of conflict,” Semple informed RFE/RL.

On returning to electric power, the Taliban claimed it had set an stop to much more than 4 many years of combating in Afghanistan that began with a communist coup in 1978. The group’s leaders have pointed to the somewhat very low levels of violence recorded considering the fact that it took in excess of the federal government as evidence that war in the state was around.

But additional than 16 months of Taliban rule beneath Akhundzada’s management has poured cold drinking water on the hopes of Afghans and the intercontinental community for peace and security.

Taliban leader Mullah Haibatullah Akhundzada is seen in an undated photograph distributed by the Taliban at the time of his appointment in 2016.

Taliban chief Mullah Haibatullah Akhundzada is seen in an undated photograph dispersed by the Taliban at the time of his appointment in 2016.

Semple says the Taliban’s political place of work in the Qatari capital, Doha, which negotiated the February 2020 settlement with the United States that was to pave the way for a stop-fire with the former government ahead of the withdrawal of foreign forces, was in essence a public relations stunt. Even though the Taliban’s diplomats in Doha talked about a peaceful transition of power and a wide-primarily based government, they never ever experienced genuine authority.

“We can now securely say that this was in no way the policy of the Islamic Emirate and these diplomats never experienced the ability inside of the motion to press as a result of these strategies … even if they personally assumed it was a fantastic idea,” Semple reported, referring to the Taliban by its formal identify.

Semple characteristics Akhundzada’s results in exercising his electric power in part to the actuality that Taliban leaders and foot troopers obey his instructions as a religious obligation.

Akhundzada, 56, is formally titled the “commander of the devoted.” The Taliban also refers to him as the “sheikh” in a nod to his title of Sheikh al-Hadith, which denotes his standing as an eminent scholar of the Prophet Muhammad’s sayings.

Semple suggests that Akhundzada’s faithful followers want to create their excessive eyesight of Islamic rule at all fees, no matter of the effects.

“The Taliban is an armed Islamist revolutionary motion, long dedicated to establishing their model of an Islamic state and culture by force of arms,” he stated.

Parallel Governing administration

Sami Yousafzai, a veteran Afghan journalist and commentator who has tracked the Taliban due to the fact its emergence in the 1990s, says that adhering to the Taliban takeover in August 2021, Akhundzada stored his distance from the group’s caretaker government in Kabul by picking to stay in the southern Afghan town of Kandahar.

Yousafzai states that in recent months Akhundzada has tightened his grip on electric power by appointing loyalists to critical govt positions and has even founded his individual administrative secretariat in Kandahar.

Taliban members participate in a parade in the southern Afghan city of Kandahar on August 31 to mark the first anniversary of the withdrawal of US-led troops from Afghanistan.

Taliban members participate in a parade in the southern Afghan metropolis of Kandahar on August 31 to mark the initial anniversary of the withdrawal of US-led troops from Afghanistan.

“Akhundzada is working a parallel governance program from Kandahar and has step by step concentrated all the ability in his palms,” Yousafzai stated, introducing that every single ministry or governmental division now has at minimum one particular Akhundzada loyalist working for it.

“Anyone in that ministry is familiar with that he experiences to the big boss,” Yousafzai explained.

Yousafzai says that Akhundzada has surrounded himself with like-minded advisers who echo his imagining on religious and temporal matters. In latest months the supreme leader has also fashioned provincial clerical councils to supervise the Taliban administration in most provinces.

Akhundzada has also appointed well known loyalists Mawlawi Habibullah Agha and Mawlawi Nida Mohammad Nadim as the ministers of education and learning and greater schooling, respectively, two essential enforcers of the Taliban’s latest ban on women’s education. The Taliban’s main justice, Abdul Hakim Haqqani, and Mohammad Khalid Haqqani, the head of the Ministry for the Marketing of Virtue and Prevention of Vice, are other critical confidants.

Akhundzada’s religious credentials increase issues as to irrespective of whether he could grow to be much more extreme.

In an job interview this 7 days, Shahabuddin Delawar, the Taliban’s minister for mining, unveiled that Akhundzada approved of his son carrying out a suicide bombing right after his father was chosen as the chief of the team in 2016.

He has also taken a defiant stance versus exterior criticism.

“You are welcome to use even the atomic bomb in opposition to us due to the fact nothing can scare us into getting any action towards Islam or Shari’a,” Akhundzada advised a accumulating in Kabul in July.

Revolutionary Enthusiasm

Semple, now a Queen’s College Belfast professor, states Akhundzada has increasingly exercised his authority in excess of the earlier couple of months.

Akhundzada additional to the Taliban’s extensive record of limits by banning ladies both equally from attending college and doing work for domestic and worldwide nongovernmental corporations. He also purchased the Taliban’s judiciary to carry out Islamic corporal punishments collectively identified as hudood, which prescribes flogging for consuming, amputation of limbs for theft, and stoning for adultery.

These kinds of policies, Semple says, have alienated a expanding cross-part of Afghan culture. The Taliban’s bans on girls pursuing larger education and get the job done, along with significant limits on mobility and how they can look publicly, have taken absent elementary legal rights. Several adult males, in turn, have misplaced their livelihoods amid the financial downturn triggered by the Taliban’s return to energy. And ethnic and religious minorities have decried becoming marginalized by the Islamist governing administration.

“The Taliban’s the latest groundbreaking enthusiasm is alienating Afghan culture almost as extensively as did the Afghan communists in 1978 and 1979,” Semple claimed.

After seizing electrical power in a bloody armed service coup in April 1978, the ruling Khalq faction of the Afghan communists embarked on a innovative method to remake Afghan culture. The shift quickly provoked a revolt in the conservative countryside that drastically expanded just after the Soviet invasion in December 1979, which mounted the Parcham faction of Afghan communists in energy.

Tricky Engagement

Semple claims that under Haibatullah’s leadership, the Taliban is also cultivating new conflicts with important neighbors. He states that longtime Taliban ally Pakistan is furious about the sanctuary the Tehrik-e Taliban Pakistan (TTP), which is engaged in preventing from the authorities in Pakistan, enjoys in Afghanistan. Iran, meanwhile, has expressed considerations about the activities of Sunni Baluch militants energetic in the southeastern province of Sistan and Baluchistan.

Semple states that a lot of Muslim nations around the world are alarmed that Taliban interpretations are supplying Islam a bad identify. Western donors, he says, are fearful about constraints on aid functions, women’s concerns, and terrorism. Highlighting the seriousness of the condition, lots of nongovernmental corporations suspended their functions in Afghanistan previous thirty day period immediately after the Taliban ordered them to prevent employing Afghan ladies.

“Even nations which identified it expedient to have interaction with the Taliban diplomatically instead than risking another spherical of civil war are locating it difficult or unpalatable to sustain that engagement,” he reported.

China, Russia, and two of Afghanistan’s Central Asian neighbors, Uzbekistan and Turkmenistan, have constantly tried to make improvements to cooperation with Kabul. But the Taliban’s draconian guidelines have kept them away from formally recognizing its government.

Akhundzada’s extremism has also provoked steady criticism in just the Taliban ranks, including from Taliban Deputy Foreign Minister Sher Mohammad Abbas Stanikzai, a best negotiator in Doha, who has opposed Akhundzada’s ban on women’s education and learning.

“You are only obliged to comply with the orders in line with Shari’a Islamic law,” he explained to a Taliban gathering previously this thirty day period.

But whilst Akhundzada has steadily exerted his will, these who do set up some opposition to his procedures are inconsistent and passive, in accordance to Kabul-based mostly educational Obaidullah Baheer.

And that “is hurting all of us,” Baheer claimed.

Effect of using 5A’s model for lifestyle counseling on psychological symptoms in women with polycystic ovary syndrome: a randomized field trial

Effect of using 5A’s model for lifestyle counseling on psychological symptoms in women with polycystic ovary syndrome: a randomized field trial
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  • 102 Women Team Up To Achieve Sustainable Development Goals I…

    102 Women Team Up To Achieve Sustainable Development Goals I…
    (MENAFN- Jordan Situations)

    AMMAN — For the 1st time in Jordan, the World Target League programme introduced alongside one another 102 women of all ages from numerous governorates throughout the Kingdom to discover how to use athletics to push social alter.

    The league is portion of the World-wide Objectives World Cup (GGWCUP) launched in 2015 by Eir Soccer, a Danish non-earnings sports affiliation which targets women and youthful ladies.

    The programme was jointly applied in Jordan by Eir Soccer, LaLiga Spain and Rise for Great.

    LaLiga Spain is an organisation which aims to advertise social action via athletics, even though Increase for Good is a Jordanian social business founded in 2019 by HRH Princess Lara Faisal with the intention of making a neighborhood of“active world-wide citizens”.

    In excess of the training course of the nine-thirty day period programme, each individual of the 10 all-female groups labored toward accomplishing just one of the 17 United Nations’ Sustainable Progress Targets (SDGs) via neighborhood-centered initiatives, even though also competing in a five-a-aspect soccer match.

    The 2022 League gamers aged 18 to 48 were being also admitted to the Eir Coach programme, which enabled them become“activist soccer coaches”, according to a Rise for Very good statement created out there to The Jordan Periods.

    Their graduation ceremony was held on Saturday at the American Neighborhood School (ACS) in Amman, with the Keepers team crowned as the winners of the league.

    The teams had been evaluated for their steps on and off the soccer industry centered on four categories, including the design and style reflecting their aim, engagement with the group, social action and the variety of targets they scored all through the event, the assertion said.

    In an job interview with The Jordan Instances, Princess Lara famous that“being aspect of a crew aims to empower and amplify the voices of these ladies, who are united by their push for motion and social change”.

    “They you should not participate in to acquire, but to adjust the globe and make their communities better,” she added.

    Aintzane Encinas, a retired Spanish football player and an ambassador for LaLiga, instructed The Jordan Periods:“It was remarkable witnessing these women’s progress into leaders and able coaches keen to pass on what they figured out to many others in their neighborhood.”

    Some of the coaches who a short while ago accomplished the programme spoke with The Jordan Periods about their understanding encounters as perfectly as their teams’ achievements and goals for the foreseeable future.

    Lanna Zakaria, 40, is a coach in the“Leaf a Mark” workforce, working on SDG 15 about lifetime on land.

    Her group aims to raise social awareness, maximize green areas in Jordan and regulate desertification by planting fruit trees to enhance food stuff security and assist area farmers.

    Zakaria, who has been a sports fanatic at any time considering the fact that she was 10 decades old, claimed that her favorite issue about soccer is taking part in in a staff.

    “Each woman on our crew has a little something precious to incorporate, as just about every single one of us has a exceptional viewpoint and a unique established of skills, which is why we can obtain much more collectively than we can aside,” she advised The Jordan Moments, adding that her team’s objective is to plant one million trees by 2030.

    Waed Shawamreh, a 28-calendar year-outdated Syrian living in the Zaatari refugee camp, is a mentor for the Desire Team, which is operating on SDG 5.

    This sport“taught us critical values these as teamwork, perseverance, regard and discipline”, Shawamreh advised The Jordan Times, noting her belief in football’s means to be a drive that can have an impact on good adjust and unite people.

    She is presently doing work on working with the skills she obtained by way of the programme to encourage sporting activities actions inside the camp.

    20-five-year-previous Raneem Abu Khalaf, who has a bachelor’s degree in Sporting activities Rehabilitation, is a mentor on the Keepers staff, who also labored on SDG 15.

    “This practical experience allowed me to learn a lot more about the joy of providing and assisting other individuals devoid of expecting a thing in return,” she advised The Jordan Times.

    Abu Khalaf additional that sports activities have the power to convey persons with each other in a way that“nothing else can”.

    “Despite our unique backgrounds, we as a team are united by a widespread intention, to be agents of alter and empowerment in our communities,” she continued.

    Samah Al Malahmeh, 23, is a actual physical education teacher and a mentor on the Keepers staff.

    “Being component of a staff taught me how a collection of smaller functions can impact important alterations,” she instructed The Jordan Occasions.

    Fathia Musse, a 27-year-aged Somali living in Jordan, is a coach on the Revive workforce, who is doing the job on SDG 4, which is targeted on excellent instruction.

    She stated that her team’s initiatives, which benefited about 4,000 ladies about a period of time of 9 months, mostly targeted on general public universities where“physical training is not a priority”.

    The workforce conducted soccer instruction programs for woman students, bodily education instructors and mothers, who ended up also supplied with each day training routines, in-body checks and nutritional programmes, in accordance to Malahmeh.

    “Physical schooling shouldn’t be a privilege and it just isn’t any considerably less critical than educational instruction as the expressing goes: ‘a balanced physique potential customers to a nutritious mind’,” she advised The Jordan Instances.

    The team’s uniforms, developed by Mentor Shireen Al Kurdi, 38, are recycled t-shirts, embellished with handmade stitching styles reflecting Jordanian lifestyle, she extra.

    The Revive team’s coaches didn’t want their get the job done to cease after the programme finishes, so they established the Revival Group Foundation in Amman and Zarqa to proceed performing in direction of SDG 4.

    Afraa Al Rawi, 28, is a coach for the Phoenix crew, who labored towards obtaining SDG 5, which is concentrated on gender equality.

    The team’s soccer training initiatives, which aimed to“create a harmless house for women of all ages to participate in sports”, were being concentrated on marginalised and deprived regions in Jordan’s northern governorates, Rawi reported.

    “This programme served me establish so a lot of friendships and meaningful associations which I am guaranteed will very last a lifetime,” she told The Jordan Periods.

    Other participating teams incorporated the Defeat Group – SDG 5, The Hunger Fighters – SDG 2, Sustainable Activity – SDG 17, Vacationer Soccer – SDG 11 and Walkers – SDG 3.

    The League will be re-launched in Jordan in the spring of 2023, with registration open up to all females aged 18 and above who“want to make a change in their neighborhood, come to feel the ability of being portion of a workforce and grow the scope of what sporting activities can do for change”, according to Increase for Superior.

    Great Women of Texas honored at Fort Worth Business Press event

    Great Women of Texas honored at Fort Worth Business Press event

    The Fort Truly worth Small business Press held its once-a-year Excellent Girls of Texas ceremony at Ridglea Place Club Thursday evening, spending tribute to 23 influential women of all ages representing a wide spectrum of professional and personal accomplishment.

    Topping the checklist of honorees have been the winners of four specific awards: former Fort Value Mayor Betsy Selling price, who gained the Lifetime  Achievement Award Leah King, president and CEO, United Way of Tarrant County, the Legacy Award Pam Minick, marketing and advertising govt and broadcast individuality, the Legend Award and Ellen Harris, co-founder of the Jordan Elizabeth Harris Foundation, the Angel Award.

    “We’re honoring a ton of men and women who have finished a good deal of points,” said Small business Push president and publisher Richard Connor, who served as grasp of ceremonies. “What you’re going to hear about these men and women is only a portion of all they did.”

    Among the speakers on the plan was Tarrant County Choose Glen Whitley, who explained to the crowd of far more than 400: “If we’re going to get some thing done in Tarrant County, these women in this home are going to get it performed.”

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    Connor provided some history at the rear of the ceremony, which was remaining held for the 22nd year, and praised his two daughters, whom he stated had been an inspiration for the system.

    “I nevertheless assume it’s hard for girls,” he said.

    Presenting sponsor for the occasion was BMO Harris Bank. Sustaining sponsors ended up The Kimbell Artwork Museum and United Way of Tarrant County. Bronze sponsors had been The Rios Group, Goodwill Of North Central Texas, Velvet Box, Simmons Lender, Tarleton State College, North Texas Neighborhood Basis, and M. Gale & Associates.

    Price served as mayor for 10 several years right before retiring previous spring at the stop of her fifth consecutive two-calendar year expression. She is renowned for assisting Fort Value turn out to be just one of the healthiest towns in The united states and for enjoying a key purpose in the city’s incredible development all through her tenure as the longest-serving mayor in Fort Really worth history.

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    “Betsy Selling price was a wonderful mayor,” Connor mentioned. “She asserted bold, fearless management working day right after day, 12 months following calendar year.”

    In her acceptance speech, a humble Rate mentioned, “This place is stuffed with the management that tends to make this achievable.”

    She added of her beloved hometown, “I was born here, I’ll be buried here. I’ll stop by (other towns), but I will not dwell wherever but Fort Worthy of.”

    Then she took a second to thank her husband of 5 decades, Tom Price tag, declaring, “Everyone has anyone who is the wind beneath your wings.”

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    Other dignitaries in attendance included previous Fort Really worth Mayor Mike Moncrief and his wife Rosie, together with the city’s present Mayor Professional Tem, District 5 Councilwoman Gyna Bivens.

    “I’m just glad to be out. I’m hugging folks I really do not even like,” Bivens quipped, referencing all the shutdowns and social distancing linked to the COVID-19 pandemic.

    Bivens reminded the audience to connect with her and other council users about their wishes and desires.

    “Without your enter we really don’t know what you want,” she mentioned, incorporating with a chuckle, “And if you get authentic mad you can come down to City Hall on Tuesday (when the metropolis council meets).”

    A touching instant for the duration of the night came when Ellen Harris gained the inaugural Terrific Women of all ages of Texas Angel Award. She was honored for dedicating her everyday living to those people who have suffered the tragic reduction of liked kinds, as she did when her daughter Jordan fully commited suicide in 2012.

    Harris, together with spouse Tom, is co-founder and co-chair of the Jordan Elizabeth Harris Basis, named in honor of their late daughter. Serving around 75 universities, the foundation has aided hundreds of pupils deal with melancholy and ideas of suicide.

    Harris reminded the viewers of her perception that we are in this article to support other people. She ended her acceptance speech with a comment she stated was influenced by Jewish legislation: “It’s not incumbent on you to end the get the job done, but neither are you free of charge to evade it.”

    Legacy Award winner Leah King expressed gratitude for the perform of her fellow citizens in caring for other individuals, but extra that far more can usually be done.

    “This city, this county is great, but picture what can be carried out if we observe kindness till it hurts,” she said.

    Pam Minick, a previous world champion rodeo competitor, praised all of her fellow honorees as she recognized the Legend Award, stating they all “cowgirl up and get it finished.”

    She extra, “To me, currently being section of this group indicates becoming element of a group, and it suggests to give.”

    In addition to the 4 major awards, 19 honorees ended up regarded as Terrific Females of Texas Females of Affect:

    • Katy Kothmann Abraham CEO/President Building Value Management

    • Lori Baldock, Simmons Financial institution, Fort Really worth Current market President

    • Anna Boulware, M Pak Inc., Vice President

    • Rose Bradshaw, North Texas Neighborhood Basis, President & CEO

    • Dr. Jennifer Giddings Brooks, Brooks Instructional Consultants, Founder/CEO

    • Rosemary Cruz, Goodwill North Central Texas, Vice President of Retail Profits & Donated Merchandise

    • Missy Gale, M. Gale & Associates, President & CEO

    • Sheryle Gillihan, Lead to Labs, CEO

    • Ruth Hughs, Kelly Hart & Hallman, Husband or wife and Co-Chair of General public Regulation Group

    • Dr. Dorothy (Tina) Jenkins, Tarrant County College, Affiliate Professor & Task Supervisor for the Visions Unrestricted Method

    • Kim Kilpatrick, Higginbotham, Managing Director

    • Lauren King, Tarrant County Homeless Coalition, Government Director

    • Marcelle LeBlanc, Velvet Box, CEO and Founder

    • Mary-Margaret Lemons, Fort Worthy of Housing Alternatives, President

    • Kim McCuistion, Tarleton Condition University, Vice President for Exterior Operations/Dean, Fort Really worth Campus

    • Rachel Navejar Phillips, The Rios Group, Company Enhancement Manager

    • Shanna Saldana, Linbeck, Organization and Local community Advancement

    • Julie Swearingin, Fort Worthy of Law enforcement Department, Assistant Main

    • Dr. Shagranda Traveler, Tarrant Place Food stuff Lender, Executive Vice President, Advocacy/Federal government Relations/Conversation

    On Women’s Day, 4 Polk women with ‘power to create, nurture, transform’

    On Women’s Day, 4 Polk women with ‘power to create, nurture, transform’
    Claudine Humber is the education coordinator at Explorations V Children's Museum in Lakeland. After working in a classroom for 11 years, Humber wanted to leave the stresses of the classroom but still work with children.

    All over heritage, gals have proved to be nurturing and resilient.

    In accordance to creator Diane Mariechild, “a woman is the comprehensive circle. Within her is the energy to make, nurture, and rework.”  

    Today, for International Women’s Working day, we profile 4 females in Polk County who juggle becoming a coach, instructor, volunteer or businesswoman.

    Claudine Humber

    Right after educating in a classroom for 11 yrs, Claudine Humber resolved to switch to doing work with kids at a museum. Humber is the training coordinator at Explorations V Children’s Museum in downtown Lakeland. 

    “I truly value the museum for the reason that I get to get the job done with children and to provide enjoyment, educational activities for them without having having the stress filled aspect of teaching,” Humber mentioned. 

    Humber, 44, was born in Jamaica and lifted in Lakeland. She was with the second graduating course of George Jenkins Superior University and been given her bachelor’s diploma in elementary instruction from the University of South Florida in 2000. 

    The conceptual framework for a combined food literacy and physical activity intervention to optimize metabolic health among women of reproductive age in urban Uganda | BMC Public Health

    The conceptual framework for a combined food literacy and physical activity intervention to optimize metabolic health among women of reproductive age in urban Uganda | BMC Public Health

    Step I: Needs assessment

    Findings from our systematic review [16] were used to design a theoretical framework for the qualitative study [17]. Notable determinants identified in the systematic review were financial and time limitations, health/beauty paradox (= overweight/obesity as a sign of beauty and wealth), and lack of knowledge, self-efficacy, and skills. Qualitative study findings re-affirmed the systematic review findings concerning health/beauty paradox, knowledge, self-efficacy, and skills gaps. In addition, the qualitative study showed socio-cultural misconceptions around lifestyle PA, fruits, vegetables, and habitual orientation towards carbohydrate foods. We also found that there is a high trust in nutrition information shared on social and mass media, yet skills to evaluate this nutrition information are limited. Figure 1 below shows the logical model of needs assessment, summarises the determinants of dietary and PA in urban Uganda [16, 17].

    Fig. 1
    figure 1

    Logical model of needs assessment, summarizing the personal and environmental determinants of dietary and PA behavior in urban Uganda. Adapted from Yiga et al., [16] and Yiga et al., [17]

    Step II: Formulation of behavioral intervention, performance, and change objectives

    We hypothesised that changing the overall existing behaviours towards WHO healthy lifestyle guidelines in one intervention may meet strong resistance and thus may not be effective. For example, the planning group hypothesised that due to the existing health/beauty paradox and habitual orientation towards carbohydrate rich foods, interventions focusing directly on weight loss and reduction of portion sizes of foods rich in carbohydrates may meet strong resistance. Therefore, we decided to go for more feasible gradual changes able to enact clinically relevant metabolic improvements. We hypothesised that increased consumption of vegetables and fruits will indirectly translate into reduction of portion sizes of carbohydrate rich foods. In line with WHO health recommendations, the intervention aims to stimulate WRA to consume at least 400 g fruits and vegetables [13]. Moderate intensity PA that can be incorporated in daily life activities may be the achievable type of PA among WRA compared to structural high intensity PA [26]. Non-factual nutrition information influences dietary and PA behaviors in urban Uganda [17]. Thus, we decided to supplement the intervention with a component on information evaluation; to enact ability to distinguish evidence-based information from nonfactual information.

    Accordingly, three behavioural intervention objectives were formulated.

    1. 1.

      Women evaluate the accuracy of food, nutrition, and PA information.

    2. 2.

      Women engage in moderate intensity PA for at least 150 min a week.

    3. 3.

      Women consume at least one portion of vegetables and one portion of fruit every day.

    Table 1 shows the behavioral intervention objectives, subdivided into POs providing the answer to the question; “what do the participants of the intervention need to do to achieve the behavioural objectives”. The model of food literacy [27] guided the formulation of POs. Food literacy is the interrelated combination of knowledge, skills and self-efficacy to (i) plan, (ii) select, (iii) prepare, (iv) eat food with the ultimate goal of developing a lifelong healthy, sustainable and gastronomic relationship with food within the prevailing environment [27, 28]. The POs were based on the above mentioned four components of food literacy (plan, select, prepare, and eat). For PA, a similar model was adopted, where “eat” was replaced with “do”, that is; plan, select, prepare, and do. The model of food literacy was chosen as it is a holistic behavior change model focusing on a “how to do approach” to initiate and sustain healthy eating habits [27, 28]. Evidence shows a positive association between food literacy and healthy dietary behaviors, particularly increased intake of vegetables and fruits [29, 30]. Table 2 shows the determinants considered to have a strong influence on accomplishing the created POs. Matrices of change objectives are presented in Additional file 3.

    Table 1 Behavioural intervention objectives subdivided into performance objectives
    Table 2 Determinants of performance objectives for behavior intervention objectives

    Step III: Selection of theory-based methods and practical strategies

    We aimed to create an intervention capable of initiating and sustaining behaviour change. Eleven BCTs scientifically shown to enact changes in knowledge, skills, self-efficacy, subjective norms, and social support were selected, Additional file 4. The selected BCTs are supported by the self-regulation theory and self-determination theory which specifies the need for autonomy, competence, and relatedness to attain a positive behaviour change [33, 34]. Accordingly, our intervention aims to create behavioural change through enacting autonomy, competence, and relatedness. Providing information coupled with motivation interviewing creates a positive intention [35]. Implementation intentions can be achieved through goal setting [24, 34, 35]. Goal setting necessitates competence, which we hypothesised to be attained through a combination of (i) action planning; (ii) guided practice; ii) self-monitoring; iv) feedback on performance and v) planning of coping plans [24, 26, 34,35,36]. To sustain the behavioural goals requires relatedness, which can be achieved using a combination of social support, role modelling, feedback, planning coping responses and motivation interviewing [20, 24, 34].

    The selected BCTs were then operationalised into practical strategies. BCTs; motivational interviewing, role modelling, feedback, guided practice, social support through exchanging ideas and planning coping responses were translated into interactive group-based sessions. Brainstorming workshops with planning group II and FGDs with target group revealed that group sessions may be the best strategy to deliver the intervention in this setting.

    “Through education sessions, like you come in this group and give us a health talk, like the way you have come, you teach us and then us we can go and teach our other friends out there. Like for us every Tuesday we be meeting here, very many of us, so if you say you will give us one Tuesday in a week or month, or the last Tuesday of a month and you come and teach us”. “It would be very nice, because literally I share the information with others, so it will move, it moves much faster, because these groups are not only here, but also have these groups in other dioceses, so we can go visit them, and the teach them, but in health centers you only visit when you’re sick”. “Yes it helps, what I know is good, I wish it for my friends and we act as a support for each, and we as well spread it to other groups, example of myself, I used to never eat pumpkin, but I got it from these ladies, that this pumpkin is good and with time I gradually started to eat it until it become part of my diet”, participants in FGD 4 and 6.

    Additionally, a recent systematic review shows that diet and PA interventions delivered through group sessions are effective in promoting clinically relevant weight loss [34]. These groups provide opportunities for social support, experience sharing, and may create a motivating atmosphere [22, 34]. Our needs assessment as well revealed that the community and church small groups are an opportunity to share dietary and PA counselling [16, 17]. Our environmental asset assessment revealed existence of women groups within religious structures. Existing groups boosts social cohesion, a facilitator for behavioural change [22].

    The reading culture of Ugandans is low.

    “We need more of practical, and also the pamphlet, some of us don’t really understand so much, but if it brings out the picture very well, even I can pick interest in it”. “Pamphlets, some people are lazy to read”, participants in FGD 5.

    So, the BCT of “providing information through imagery” was translated into infographics with less text and more locally recognisable visuals. Evidence as well shows that visuals increase attention, interest, and credibility of the messages [20].

    During FGDs with the target group, participants emphasised the need for practical vegetable preparation skills.

    “like we are trying to reduce cooking oil and other stuff from our daily life, so maybe we meet in a group, there is a demonstration whereby some food stuffs are prepared in the best possible way which is to the taste, and people learn how to prepare them, because most of us, do not know how to cook, that is the truth, but somebody may not even fry food, but it tastes so good, if you know how to mix the ingredients and so on. Yes, include cooking demonstrations”, participants in FGD 2.

    Hence, BCT of “guided practice” was specifically translated into a practical vegetable group cooking session. We also included vegetable recipes based on locally available vegetables in the intervention infographics. Intervention strategies linked to personal metabolic health and lifestyle needs, and environmental opportunities may help drive behaviour change and positively influence health outcomes [37]. Thus, BCT of; implementation intentions, goal setting and action planning were translated in to; (i) creating “if then plans” in line with metabolic health, (ii) SMART fruit/vegetable/PA goals, detailed action plans to achieve set SMART goals drawn considering environmental opportunities. Figure 2 below shows the hypothesised intervention logical model (conceptual framework) of behavioural change. Practical strategies built from BCT are hypothesized to effect changes in the change objectives, which in turn translate in changes in the determinants. Changes in the determinants in turn result in attainment of POs and corresponding behavioural intervention objectives.

    Fig. 2
    figure 2

    hypothesised intervention logical model for behavioural change (conceptual framework for the intervention)

    Step IV: Development of the intervention programme

    The practical strategies were built into the intervention scope and sequence, Additional file 5. The intervention consists of five interactive group sessions, 150 min each, Fig. 3. A booklet (infographics); on benefits/recommendations, local vegetable recipes, and practical tips to eat more fruits, vegetables and do more PA is included as a guide, Additional file 6. Tools to assess PA and food environment for opportunities were included, Additional file 7. As well a self-monitoring tool for PA, fruit and vegetable intake was included for participants to track their behaviour daily goals for use in the feedback sessions, Additional file 8. The infographics were designed with locally recognisable images as cultural relevance of health promotion materials is vital for the success of an intervention [20]. Messages on the infographics were framed in a positive and active tone as evidence shows that positively framed messages are more acceptable [20].

    Fig. 3
    figure 3

    Showing delivery timeline of the intervention sessions, intervention content (organised practical strategies from step III), role of participants, and anticipated outcome per session

    Brain storming workshop with planning group I and FGDs with the target group identified religious institution women group structures as an appropriate potential delivery channel. The women group structures boosts established social networks, community reach (85{e4f787673fbda589a16c4acddca5ba6fa1cbf0bc0eb53f36e5f8309f6ee846cf} Ugandans are Christians) and trust. The channel offers an opportunity for assessing the intervention effectiveness in an unrestricted real-life community setting.

    “Religious institutions because they are transparent, religious organizations because they reach out to a bigger community and then they are transparent. The health centers, there is that rudeness, and still for health centers will only meet those people who come to them, but the church, you get a bigger audience”, “Come to churches like this, people really belong to this communities, then you say every third Saturday or Sunday of the month, from 4 to 5 pm, there will always be a nutritional class, for the first-time people may not come, but eventually they come, if it is a free class”, participants in FGD 4.

    STEP V: Adoption and implementation plan

    The intervention will be delivered through institutional religious women groups (results of environmental asset assessment framework – see step IV). Through meetings with the strategic community leaders, a collaboration was established with Our Lady of Africa Catholic Parish, Mbuya. Mbuya Catholic Parish has six sub parishes. Within these sub parishes they are existing women groups, and these groups will be utilized for face-to-face intervention group sessions. FGDs with target group and meetings with planning group II pointed at the importance of opinion peer leaders being part of the implementation team.

    “Our women group leader has helped us a lot, she taught us the dangers of cooking in polyethene bags and taught us the use of banana leaves, us we had got so much used to using the polyethene bags, she can’t eat the food you have prepared in polyethene bags, even if she visits you and if you have cooked like that, she can’t eat that food. “We have musawo (village health team) in our group, she usually brings for us education sessions on how to eat, she goes a lot for these education sessions and what she learns she brings them back to us”, participants in FGD 6.

    Scientific evidence shows that the efficacy and acceptability of health promotion interventions increases if peer opinion leaders within the target group are part of the implementation team [38]. Peer opinion leaders provide entry and legitimacy to the external change agents and may help drive changes in social norms. Selection of peer opinion leaders: the intervention will be delivered within existing women groups. Leaders of these existing groups will be selected to work as peer opinion leaders on the implementation team. The main role and responsibilities peer opinion leaders will be to (i) mobilize fellow women to participate in the intervention, (ii) follow up and (iii) give social support to participating women to attain set intervention goals. Women leaders will be given a two – day refresher training on mobilization and leadership skills, as mobilization is the routine responsibility for women leaders in their usual group meetings. The planning group I designed the sessions to be moderated by health behavior coach (PhD researcher) following the techniques of motivational interviewing [39]. A general guide (scope & sequence) will ensure consistency during the group sessions.

    Step VI: Development of an evaluation plan

    Study design, setting and timing

    The effectiveness of the intervention will be evaluated through a cluster-randomized controlled trial. The intervention will be evaluated in Kampala, the capital city of Uganda. The six sub parishes of Mbuya catholic parish will be randomized to treatment and control arms, Fig. 4. The treatment arm will be exposed to both the developed intervention infographics and face to face group sessions while the control arm will only receive the developed intervention infographics. An awareness session will be organized to distribute the infographics to the control arm. Within the sub parishes, there are existing women groups. These existing groups will be utilized for face-to-face intervention group sessions. For the intervention purposes, each group will be limited to a maximum of 14 members. The study period is divided into two phases: a three-month intervention and a three-month post-intervention follow-up phase.

    Fig. 4
    figure 4

    Recruitment

    The PhD researcher and women leaders of existing groups will make presentations about the intervention during one of the routine meetings. Flyers with details of the intervention will be distributed for sharing with members who are absent during the briefing. At the end of the presentations, interested participants will be invited for the first session to test their eligibility to participate in the study. Eligible participants will be provided with an informed consent form to endorse.

    Inclusion criteria

    1. i)

      Sex (women),

    2. ii)

      Age (18 to 45 years),

    3. iii)

      Central obesity [waist circumference ≥ 80 cm]),

    4. iv)

      Fluent in either Luganda or English (sessions will be conducted in Luganda/English).

    5. v)

      Willingness to follow the three-months intervention and three months follow-up,

    6. vi)

      Willingness to sign the informed consent.

    Exclusion criteria

    1. i.

      Being treated for diabetes Mellitus Type 1 or Type 2, hypertension, high cholesterol, or any other cardio-metabolic related disease.

    2. ii.

      Pregnancy.

    Outcomes

    Primary outcome is reduction in waist circumference. Decreases in waist circumference are recommended as critically important treatment target for reducing adverse cardiometabolic health risks [15]. Secondary outcomes include optimisation of, fasting blood glucose, total cholesterol, HDL, LDL, triglycerides, body composition, food literacy, PA, and fruit and vegetable intake.

    Sample size calculation

    Sample size calculation is based on waist circumference.

    To calculate the sample size, we used the formula described by Rutterford, Copas [40], Table 3.

    Table 3 Description of sample size calculation

    Randomization

    The six sub parishes (clusters) will be listed alphabetically. A cluster randomization with a 1:1 allocation will then be applied to randomize the sub parishes to either the treatment or control arm. In the sub parishes, women group leaders and participants will be blinded about the study arms.

    Data collection

    Table 4 gives an overview of the different measurements and time points during the study.

    Table 4 Measurements and time points

    Data analysis

    Data will be analysed using R software. To evaluate the effects of the intervention, multilevel analysis will be used. Using this technique, regression coefficients will be adjusted for the clustering of observations within sub parishes. We will define two levels in our multi-level analysis: (1) participant and (2) sub parishes. Linear mixed effect models will be used to examine the effect of the intervention on each of the outcome values. All analyses will be performed according to the intention-to treat-principle [42]. To assess changes in metabolic health between the intervention and control groups, a linear mixed effect model will be built where “time” (end line measurement (M2) will be compared with base-line measurement (M1) and post-follow up measurement (M3)), treatment (and interaction of time and treatment) as well as age will be specified as fixed effects, and sub parishes and participants as random factors. For all linear mixed models, compatibility with mixed-model assumptions will be checked by inspection of residual plots and Q-Q plots. In the case of heteroscedastic residuals, data will be log transformed. Tukey or Benjamini–Hochberg procedures will be applied when performing post hoc analyses to further identify differences within treatments as well as between time points. Statistical outliers will be defined as any observation which has an absolute residual exceeding 3 times the residual standard deviation. p < 0.05 will be considered significant in all analyses.