Evaluation of Adolescents 360

Among adolescent girls across developing countries, there remains a persistent unmet need for modern contraception. Despite major investments, scalable solutions remain elusive.

A360 is implemented by Population Services International (PSI) and works in partnership with IDEO.org, the Center on the Developing Adolescent at UC Berkeley, and the Society for Family Health Nigeria. A360 is co-funded by the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation.

A360 Project Design

A360 used human-centered design (HCD) alongside other disciplines to develop innovative country-specific interventions through an iterative process of research, testing, prototyping and piloting ideas with girls and other stakeholders.

Evaluating Impact

Itad is working in collaboration with the London School of Hygiene and Tropical Medicine (LSHTM) and Avenir Health to independently evaluate and distil lessons from the A360 programme.

The evaluation is comprised of four components:

1. A Cost-Effectiveness Analysis – led by Avenir Health
2. An Outcome Evaluation – led by LSHTM
3. A Process Evaluation – led by Itad
4. An Engagement and Research Uptake Strategy – led by Itad

   

The evaluation has been commissioned to:

• Provide timely evaluation data to course correct the programme during implementation as necessary, and to maximise the effectiveness and impact of efforts.
• Assess the impact of the programme on reducing the number of unintended pregnancies among adolescent girls.
• Provide a robust evidence base on what does and does not work to reach adolescent girls at scale, cost-effectively and to what extent the programme is replicable.

A360 evaluation outputs

Midterm Review

• Midterm Review of the Adolescents 360 Program
• A360 Evaluation Midterm Review Summary
• Spotlight 1: Lessons from evaluating A360
• Spotlight 2: The A360 experience of Human-Centred Design
• Spotlight 3: Meaningful Youth Engagement
• Spotlight 4: Service providers – the battle to serve

Process Evaluation

• Webinar – Daring girls to dream: Lessons from the Adolescents 360 evaluation
• A360 Evaluation Findings Synthesis: No. 3 (The A360 Journey: Ethiopia and Nigeria, 2019)
• A360 Evaluation Findings Synthesis: No. 2 (Nigeria)
• A360 Evaluation Findings Synthesis: No. 1 (Ethiopia)

Outcome Evaluation

• Summary report of the baseline survey in Ethiopia
• Summary report of the baseline survey in Nigeria
• Summary report of the baseline survey in Tanzania
• Sexuality, fertility and family planning characteristics of married women aged 15 to 19 years in Ethiopia, Nigeria and Tanzania: a comparative analysis of cross-sectional data
• Modern contraceptive use among unmarried girls aged 15–19 years in South-Western Nigeria: results from a cross-sectional baseline survey for the Adolescent 360 (A360) impact evaluation (open access journal article)

Don’t have time to read the full reports? Discover the key findings with our summary infographics for North Nigeria, South Nigeria, Ethiopia and Tanzania.

Methodology

• BMJ Open: Evaluating the impact of an intervention to increase uptake of modern contraceptives among adolescent girls (15–19 years) in Nigeria, Ethiopia and Tanzania: the Adolescents 360 quasi-experimental study protocol
• Adolescents 360 Evaluation Process Evaluation Methodology: Updated
• A360 Cost-Effectiveness Analysis Methodology

Other A360 outputs

• A360’s Learning and Growth since the 2018 Mid-Term Evaluation (A technical brief describing learnings since the evaluation’s Mid Term Review and reflecting on how evaluation findings have fed into program learning).

For more information on the project, visit the A360 website.

Image © Abuja Street Portrait. Photo Credit: Mark Fisher (CC BY-SA 2.0)