Among adolescent girls across developing countries, there remains a persistent unmet need for modern contraception. Despite major investments, scalable solutions remain elusive.
Adolescents 360 (A360) was a four and a half year initiative (2016 – 2020) to increase adolescent girls’ access to and demand for modern contraception in developing countries, beginning with Nigeria, Ethiopia and Tanzania.
A360 was implemented by Population Services International (PSI) and worked 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.
Itad worked 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:
- A Cost-Effectiveness Analysis – led by Avenir Health
- An Outcome Evaluation – led by LSHTM
- A Process Evaluation – led by Itad
- An Engagement and Research Uptake Strategy – led by Itad
A360 evaluation components
The evaluation was 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
- Process evaluation: visual summary of key findings
- Process evaluation: final report (synthesis of key lessons and insights)
- Process evaluation: country annex (detailed data and analysis for each of the four A360 solutions, disaggregated by country)
- Process evaluation: methodology annex
- Cost-effectiveness study: forthcoming
- Outcome evaluation: forthcoming
- 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
- Webinar – Daring girls to dream: Lessons from the Adolescents 360 evaluation
- A360 Evaluation Findings Synthesis: No. 3 (The A360 Journey: Ethiopia and Nigeria, 2020)
- A360 Evaluation Findings Synthesis: No. 2 (Nigeria, 2019)
- A360 Evaluation Findings Synthesis: No. 1 (Ethiopia, 2018)
- 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)
- 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)