ArticleEvaluation and program planning2016
Lessons learnt from the CERCA Project, a multicomponent intervention to promote adolescent sexual and reproductive health in three Latin America countries: a qualitative post-hoc evaluation.
Article in Evaluation and program planning, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- How Sexuality Education Programs Have Been Evaluated in Low-and Lower-Middle-Income Countries? A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- How and by whom are multiple language-related issues managed in transnational qualitative research using content analysis? A scoping review.International journal of nursing studies advances · 2026Article
- Evaluation of the contextualized sexual and reproductive health educational strategy "Rurankapak": a mixed-methods quasi-experimental study among adolescents and young people in Ecuador.Frontiers in reproductive health · 2026Article
- Long-acting injectable antiretroviral treatment: experiences of people with HIV and their healthcare providers in Uganda.BMC infectious diseases · 2024Article
- Factors influencing adoption of sexual and reproductive health intervention for adolescents in Ebonyi, Nigeria.BMC health services research · 2024Article
- Female genital mutilation: trends, economic burden of delay and basis for public health interventions.International journal for equity in health · 2024Article
- Just in case: undergraduate students identifying and mitigating barriers to their sexual and reproductive health needs.BMC women's health · 2024Article
- Promoting equity in adolescent health in Latin America: designing a comprehensive Sex education program using Intervention Mapping. A mixed methods study.Frontiers in reproductive health · 2024Article
- Review
- Structural Interventions to Enable Adolescent Contraceptive Use in LMICs: A Mid-Range Theory to Support Intervention Development and Evaluation.International journal of environmental research and public health · 2022Review
- Which Structural Interventions for Adolescent Contraceptive Use Have Been Evaluated in Low- and Middle-Income Countries?International journal of environmental research and public health · 2022Review
- The Need for Implementation Research for Community-based Interventions: Scientific Evidence Is Needed.International journal of community based nursing and midwifery · 2022Article
- Building evidence on what works (and what does not): practical guidance from the World Health Organization on post-project evaluation of adolescent sexual and reproductive health projects.Health policy and planning · 2021Article
- Exploring the Use of Technology for Sexual Health Risk-Reduction among Ecuadorean Adolescents.Annals of global health · 2019Article
- Applying the results based management framework to the CERCA multi-component project in adolescent sexual and reproductive health: a retrospective analysis.Reproductive health · 2018Article
- Looking back and moving forward: can we accelerate progress on adolescent pregnancy in the Americas?Reproductive health · 2017Article
- Measuring adolescent friendly health services in India: A scoping review of evaluations.Reproductive health · 2016Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 6 countries.
Funding
Abstract
The Community-Embedded Reproductive Health Care for Adolescents (CERCA) Project was implemented in Bolivia, Ecuador and Nicaragua (2011-2014) to test the effectiveness of interventions preventing teenage pregnancies. As the outcome evaluation showed limited impact, a post-hoc process evaluation was carried out to determine if and how CERCA's design, implementation, monitoring and evaluation affected the results. We did a document analysis and conducted 18 in-depth interviews and 21 focus group discussions with stakeholders and beneficiaries. Transcripts were analyzed using directed content analysis. Data showed that CERCA sensitized stakeholders and encouraged the discussion on this sensitive issue. In terms of design, a strong point was the participatory approach; a weak point was that the detailed situation analysis was completed too late. In terms of implementation, a strong point was that multifaceted activities were implemented; a weak point was that the activities were not pilot tested for feasibility/acceptability and evolved substantially throughout the Project. In terms of monitoring, strong points were that regular monitoring kept the Project on track administratively/financially; a weak point was that monitoring indicators did not change as the intervention package changed. In terms of evaluation, weak points were the substantial attrition rate and narrow focus on adolescents. This study provides recommendations for future projects.
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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.