“I’m saving money to make some changes in my life”: A qualitative study of a combined economic empowerment and SRH program for married girls in Ethiopia
Mary Phillips, Grace Jaworski, Jenna Grzeslo, Angelica Mercado, Abednego Musau, Andenet Haile, Ruth Asfaw First published: 26 November 2025 | “I’m saving money to make some changes in my life”: A … | VeriXiv This article published as a preprint in the Gates Foundation gateway on VeriXiv. Abstract Background Addressing the intersecting needs of married […]
Impactful Adolescent Family Planning Programs at Scale: Navigating the Trade-Offs
Despite clear evidence on what works to support improvements in ASRH outcomes, taking impactful programming to scale is rarely straightforward. This brief draws on experiences from the A360 and Connect projects in Ethiopia, Nigeria, Kenya, Bangladesh, and Tanzania to explore the difficult—but necessary—trade-off questions implementers face when designing for both impact and scale: Do we […]
Practical Implementation Approaches for Contraceptive Continuation Among Adolescents
While many adolescent sexual and reproductive health (SRH) programs have traditionally focused on uptake – supporting young people to start using a method, continuation ensures that those who wish to avoid pregnancy can do so reliably, without unintended gaps. Evidence from the Adolescents 360 (A360) project shows that without deliberate strategies to support continuation, early […]
Shifting norms, expanding access: Culturally adapted Key Influencer Engagement strategies to support adolescent contraceptive uptake in Kenya, Nigeria, and Ethiopia
This technical brief highlights key influencer engagement strategies used in A360’s implementation across Kenya, Nigeria, and Ethiopia to support adolescent contraceptive access, illustrating how culturally and context-adapted approaches can create supportive environments for adolescents to exercise decision-making power to pursue their fertility preferences and aspirations.
Pathways to Empowerment: A Qualitative Exploration of the Effects of Income Generating Activities on Economic and Contraceptive Empowerment and Decision-Making among Adolescent Girls in Nigeria
Roselyn Odeh, Mary Phillips, Grace Jaworski, Alhaji Bulama, Jenna Grzeslo, Margaret Chat Michael, Abednego Musau, Joy Ede, Mohammed Kabir, Farouk Umar Abdullahi, Angelica Mercado, Olusesan Ayodeji Makinde First published:17 July 2025 | Pathways to Empowerment: A Qualitative Exploration of the … | VeriXiv This article published as a preprint in the Gates Foundation gateway on […]
Adolescent Girls’ Agency in an Integrated Sexual and Reproductive Health and Economic Empowerment Intervention Pilot
Meghan Cutherell, Roselyn Odeh, Seyoum Atlie, Jenna Grzeslo, Mary Phillips, Olusesan Ayodeji Makinde, Kehinde Atoloye, Andenet Haile, Albert Tele, Joy Ede, Simileoluwa Ashimolowo, Aderaw Anteneh, Claire W. Rothschild, Fifi Ogbondeminu, Abednego Musau First published: 25 June 2025 | https://doi.org/10.1002/jad.70015
Data-driven program adaptation and continuous improvement: A case study of the Adolescents 360 (A360) project in Ethiopia, Nigeria, and Tanzania
Interventions benefit from ongoing continuous quality improvement during implementation to refine and strengthen them in response to changing contexts and emerging opportunities. This article reflects on the experience from the Adolescents 360 (A360) project in implementing user-centered, adaptive programming across Tanzania, Ethiopia, and Nigeria from 2018 to 2020. During this implementation period, A360 progressed through […]
Supporting Contraceptive Continuation Among Adolescent Girls: A Case Study from the A360 Project
Continued contraceptive use among adolescent girls and young women helps to prevent unintended pregnancies and also reduces unmet need among this age group. Within A360’s first investment phase (2016-2020), the project focused on the design and implementation of interventions aimed at supporting contraceptive uptake among adolescent girls aged 15-19. However, a key lesson from this […]