Key issues in the implementation of programmes for adolescent sexual and reproductive health
Over the past five years, significant efforts have been made to identify the major determinants of the outcomes of adolescent sexual and reproductive health (ASRH) interventions, and analysing “what works” in ASRH programming. A growing body of evidence is therefore being generated globally on the important determinants of early sexual initiation, safer sexual behaviours, and other important ASRH issues.
A number of meta-reviews of programme effectiveness have been, and are still being, undertaken. However, despite the abundance of descriptions of programme activities, knowledge relating to the implementation of programmes (“what’s working”) remains limited by a lack of systematic analysis and documentation of programme experience.
This paper provides an overview of implementation issues in ASRH programming, and raises a number of the key questions and issues which need to be addressed. The review has been based upon the published literature and upon programme reports, curricula and articles on the implementation of ASRH programmes produced since 1996. Insights have also been drawn from discussions with programme managers.