Our project has two connected outcomes (i) appropriate evidence generation and (ii) research uptake on what works to improve the implementation of contraceptive and safe abortion services for adolescents in the 3 countries (Ethiopia, Malawi and Zambia).
Our work will have the following objectives over the 3 countries:
- To understand why contraceptive and safe abortion services are not used more fully by adolescents.
- To understand why adolescents use unsafe abortion in contexts where safe abortion is legal and available for some indications.
- To understand the opportunities and barriers to scaling up the most effective implementation strategies for meeting adolescents’ needs for contraception and SA services.
- To maximise the uptake of the research findings by decision-makers, practitioners and service providers.
The research objectives will be met by answering a series of linked implementation research questions:
RQ1: How, and to what extent, does context (legal and service provision) affect the implementation of contraception and
safe abortion services for adolescents?
RQ2: Which implementation strategies are most acceptable and effective at facilitating adolescent access to contraception
and safe abortion services?
RQ3: What are the projected effects, and feasibility, of scaling up adolescent access to contraception and safe abortion
a. What are the main obstacles to/opportunities for scaling-up provision of services for adolescents?
b. What barriers and solutions do key stakeholders perceive to scaling up of services for adolescents?
c. What are the projected costs of scaling up services for adolescents?