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 the challenges service providers face in delivering quality contraceptive services to girls.
Changing the attitudes of service providers is viewed as key to increasing the availability of services. Where service providers do not view adolescent girls as potential clients – for example, because they believe that adolescent girls should not be having sex or assume that young married girls will start families straight away – this can prove a major barrier to access.