Table 1

The likely final A360 package of interventions in each setting

A360 countryTarget populationIntervention
Nigeria
(North)
Married girlsUnder design at the time of writing.
Due to security issues during the design phase, it was not feasible to develop a context specific programme. A rapid assessment based on insights and prototypes from the other contexts is underway to determine the programme to rollout in Northern Nigeria.
Nigeria
(South)
Unmarried girls 9ja Girls
  • Mobilisation of girls aged 15–19 to attend 9ja Girls events by emphasising vocational skills and life planning.

  • Sensitisation sessions in the community with mothers.

  • Community launches involving key community influencers (eg, local government, religious leaders).

  • Physical (eg, in a public health centre) and digital (eg, online forums) safe spaces for girls.

  • Public health centre-based vocational skills classes focusing on job skills and life planning, including opt-out one-to-one counselling sessions with adolescent friendly providers to address fears, dispel myths and highlight benefits of contraception. Opt-out means that girls will be counselled by a service provider unless they decline.

  • Public health centre-based delivery of family planning products and/or referral to adolescent friendly providers.

9ja Girls will use clusters of public health centres, private social-franchise clinics and stand-alone clinics in facilities donated by the Ministry of Health.
EthiopiaMarried girls Smart Start
  • Community-based financial planning linked to family planning counselling sessions for newly married or soon to be married couples/girls to enable informed choice and decision making.

  • Delivered in partnership with the national Health Extension Programme via Health Extension Workers and augmented by the existing community infrastructure of the Women’s Development Army and a PSI-recruited ‘Smart Start’ team and local Youth Champions.

  • Delivery of family planning products through local service providers.

TanzaniaUnmarried and married Kuwa Mjanja (Be Smart)
  • Mobilisation of girls aged 15–19 to attend ‘Kuwa Mjanja’ events by emphasising vocational skills, learning about body changes and/or planning for life goals.

  • Community and clinic-based events for mothers to sensitise them to their daughters’ developmental stages associated with the desire to use contraception to prevent unwanted pregnancy in adolescent girls.

  • Pop-up and clinic-based events focusing on vocational skills and life planning for girls, including opt-out one-to-one counselling sessions with adolescent friendly providers to address fears, dispel myths and highlight benefits of contraception. Opt out means that girls will be counselled by a service provider unless they decline.

  • Community-based and clinic-based delivery of family planning products.

  • Sustained interaction and engagement through ‘Kuwa Mjanja’ branded clubs and social media forums.

  • Club-based events focusing on vocational skills, learning about their bodies, reproductive health and contraception.

Kuwa Mjanja will use both public and private social-franchise clinics in partnerships with the Ministry of Health, NGOs and community-based organisations.
  • A360, Adolescents 360; PSI, Population Services International.