Country: South Africa
Sector: Mental Health, Adolescents, Urban Health
Background:
An international NGO launched a program in Johannesburg and Cape Town to expand adolescent access to mental health services through school-based counselling, peer support clubs, and digital helplines.
A monitoring system was needed to track usage patterns, identify service gaps, and evaluate early-stage outcomes.
Approach:
We developed a mixed-methods M&E framework, including weekly digital tracking via mobile apps, monthly session logs by counsellors, and quarterly SMS surveys to adolescents (n=500). Data was disaggregated by gender, school, and age bracket. A feedback mechanism using anonymous suggestion boxes helped collect qualitative insights from youth.
Findings:
Service uptake was highest among girls aged 13–16, while boys showed low engagement. Anxiety and exam stress were the most commonly reported issues. Peer clubs had stronger participation than hotline services. Students recommended more after-school availability and sessions in local languages.
