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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Lessons learnt from the CERCA Project, a multicomponent intervention to promote adolescent sexual and reproductive health in three Latin America countries: a qualitative post-hoc evaluation

TitleLessons learnt from the CERCA Project, a multicomponent intervention to promote adolescent sexual and reproductive health in three Latin America countries: a qualitative post-hoc evaluation
Publication TypeJournal Article
Year of Publication2016
AuthorsIvanova, O, Pozo, KC, Segura, ZE, Vega, B, Chandra-Mouli, V, Hindin, MJ, Temmerman, M, Decat, P, De Meyer, S, Michielsen, K
JournalEval Program Plann
Volume58
Pagination98-105
Date PublishedOct
ISBN Number0149-7189
Accession Number27347640
Keywordsadolescents, Complex intervention, Latin America, Post-hoc evaluation, Sexual and Reproductive Health
Abstract

The Community-Embedded Reproductive Health Care for Adolescents (CERCA) Project was implemented in Bolivia, Ecuador and Nicaragua (2011-2014) to test the effectiveness of interventions preventing teenage pregnancies. As the outcome evaluation showed limited impact, a post-hoc process evaluation was carried out to determine if and how CERCA's design, implementation, monitoring and evaluation affected the results. We did a document analysis and conducted 18 in-depth interviews and 21 focus group discussions with stakeholders and beneficiaries. Transcripts were analyzed using directed content analysis. Data showed that CERCA sensitized stakeholders and encouraged the discussion on this sensitive issue. In terms of design, a strong point was the participatory approach; a weak point was that the detailed situation analysis was completed too late. In terms of implementation, a strong point was that multifaceted activities were implemented; a weak point was that the activities were not pilot tested for feasibility/acceptability and evolved substantially throughout the Project. In terms of monitoring, strong points were that regular monitoring kept the Project on track administratively/financially; a weak point was that monitoring indicators did not change as the intervention package changed. In terms of evaluation, weak points were the substantial attrition rate and narrow focus on adolescents. This study provides recommendations for future projects.

PMCID

PMC4987454