Country: Mozambique
Sector: Adolescent Health, Gender
Background:
A reproductive health program targeting adolescent girls needed third-party monitoring to ensure outreach quality, clinic accessibility, and service uptake. We were contracted to provide quarterly monitoring support over 18 months in Nampula and Zambézia provinces.
Approach:
We conducted spot checks in schools, youth centers, and health clinics.
Interviews with adolescent girls, SRHR providers, and parents helped track satisfaction, trust, and cultural barriers.
We also analyzed service data from district clinics to monitor trends.
Findings:
While outreach coverage was strong, only 48% of adolescent girls felt comfortable accessing services. Clinics reported increased demand for contraception, but privacy and judgmental staff were cited as major barriers. Cultural resistance was also reported in remote areas.
Impact:
The findings prompted youth-centered training for clinic staff and the introduction of female-only service hours. Program implementers also redesigned peer educator materials for better cultural sensitivity. Our quarterly briefs kept funders informed of evolving needs and adaptation progress.
