Adolescents 360 (A360) is a four-year, $30 million initiative (2016 – 2020) to increase adolescent girls’ access to and demand for modern contraception in developing countries, beginning with Nigeria, Ethiopia and Tanzania. The project is implemented by a Population Services International (PSI)-led consortium and co-funded by the Bill & Melinda Gates Foundation and the Children’s Investment Fund Foundation. Itad is working in collaboration with the London School of Hygiene and Tropical Medicine and Avenir Health to independently evaluate and distil lessons from A360. This brief draws out lessons from the Mid-Term Review, on evaluating a program developed through human-centred design.
The A360 approach has drawn on six disciplines to develop country-specific adolescent and youth sexual and reproductive health solutions: human-centred design (HCD), public health, adolescent developmental neuroscience, socio-cultural anthropology, youth engagement and marketing. The HCD-led design process posed challenges to the evaluation in both design and implementation. Two years into the evaluation process, we reflect on the lessons learned, and issues for other evaluators, implementers and commissioners to consider.