Human-Centered Design for Sexual and Reproductive Health in Rural Mozambique: A Mixed Methods Evaluation


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Vale a Pena (VAP) is an initiative to generate demand for sexual and reproductive health (SRH) services. Interventions were developed with rural adolescents in two provinces of Mozambique using a human-centered design (HCD) process that centered the voices and experiences of adolescents. A mixed methods endline evaluation was conducted to examine associations between exposure to VAP and differences in SRH knowledge, attitudes, and behaviors using a quantitative survey and qualitative interviews. Exposure to VAP was associated with increased family planning use and higher levels of SRH knowledge and attitudes for adolescent girls and key influencers. Qualitative narratives indicated direct attribution of change in key outcomes to the VAP program. Designing with adolescent girls and centering their experiences were key for generating context-specific insights so that the resulting tools were relevant and appropriate. The VAP tools are particularly useful for reaching rural audiences, who are often underserved by SRH programming. VAP is ideally positioned for scale-up to additional settings where rural adolescents could benefit from demand generation for SRH services.