SynthesisReproductive health2015
Programa Geração Biz, Mozambique: how did this adolescent health initiative grow from a pilot to a national programme, and what did it achieve?
Synthesis in Reproductive health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries.BMC public health · 2022Pooled it
- Financing intersectoral action for health: a systematic review of co-financing models.Globalization and health · 2019Pooled it
- From intervention studies to national programs, what are the favoring and hindering factors? a scoping review.BMC public health · 2025Article
- Qualitative evaluation of the multilevel influences on mental health and barriers and facilitators to care among Mozambican adolescents with HIV.SSM. Mental health · 2025Article
- Evaluating for learning and sustainability (ELS) framework: a realist synthesis.BMC health services research · 2025Article
- Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review.International journal of adolescent medicine and health · 2024Article
- A conceptualisation of scale-up and sustainability of social innovations in global health: a narrative review and integrative framework for action.Global health action · 2023Review
- A qualitative approach to interrogating the age and gender divide in digital SRHR platforms in Kenya.Sexual and reproductive health matters · 2023Article
- Time to First Sexual Experience and Its Determinants among Female Youths in Ethiopia: Survival Analysis Based on EDHS 2016.BioMed research international · 2022Article
- Young People's Experiences Using an On-Demand Mobile Health Sexual and Reproductive Health Text Message Intervention in Kenya: Qualitative Study.JMIR mHealth and uHealth · 2021Article
- Multisectoral Programming for Adolescent Health and Well-being in Sub-Saharan Africa-Insights From a Symposium Hosted by UNICEF and the Bill & Melinda Gates Foundation.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020Article
- Scaling Up a Strengthened Youth-Friendly Service Delivery Model to Include Long-Acting Reversible Contraceptives in Ethiopia: A Mixed Methods Retrospective Assessment.International journal of health policy and management · 2020Article
- Article
- Adult and young women communication on sexuality: a pilot intervention in Maputo-Mozambique.Reproductive health · 2019Article
- The feasibility and acceptability of collaborative learning in improving health worker performance on adolescent health: findings from implementation research in Moldova.BMC health services research · 2019Article
- Scaling-up Normative Change Interventions for Adolescent and Youth Reproductive Health: An Examination of the Evidence.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019Review
- Scaling Up Misoprostol to Prevent Postpartum Hemorrhage at Home Births in Mozambique: A Case Study Applying the ExpandNet/WHO Framework.Global health, science and practice · 2019Article
- A never-before opportunity to strengthen investment and action on adolescent contraception, and what we must do to make full use of it.Reproductive health · 2017Article
- "It is challenging… oh, nobody likes it!": a qualitative study exploring Mozambican adolescents and young adults' experiences with contraception.BMC women's health · 2016Article
- Feasibility and acceptability of delivering adolescent health interventions alongside HPV vaccination in Tanzania.Health policy and planning · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Adolescent sexual and reproductive health gained particular traction in Mozambique following the 1994 International Conference on Population and Development leading to the inception of Programa Geração Biz (PGB), a multi-sectoral initiative that was piloted starting in 1999 and fully scaled-up to all provinces by 2007. We conducted a systematic review of the literature to gather information on PGB and analyzed how it planned and managed the scale-up effort using the WHO-ExpandNet framework. PGB's activities comprised a clear and credible innovation. Appropriate resource and user organizations further facilitated national scale-up. Challenges relating to the complex nature of the multi-sectoral approach and resistance due to norms about adolescent sexual and reproductive health hindered scaling-up in some geographic areas. The national government exhibited commitment and ownership to PGB through budgetary support and integration into multiple policies. This study adds to the documentation of successful scaling-up strategies that can provide guidance for policy makers and programme managers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.