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The problem
Intervention: Girl-centered contraceptive programs focusing on enhancing contraceptive knowledge, building self-efficacy, increasing perceived relevance, and shifting descriptive norms
Who it was tested with: Sexually-active adolescent girls aged 15-19 years in Kenya and Nigeria (n=2,327; 81.5% married or living as married).
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"Six psychosocial determinants (contraceptive knowledge, perceived self-efficacy, contraceptive relevance and reproductive control, future aspirations and descriptive norms) were fitted into generalized linear mixed-effects models against the study outcomes." The study identifies specific psychosocial factors associated with contraceptive desire and use that could guide program design, though the cross-sectional design cannot establish that programs changing these factors would improve outcomes.
Cross-sectional design prevents causal inference; high proportion of already-married girls and those with prior births limits generalizability; preference-aligned contraceptive use metric is nascent and requires further validation
Across countries and designs
1 study · 2 countries
