ReviewThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019
Scaling-up Normative Change Interventions for Adolescent and Youth Reproductive Health: An Examination of the Evidence.
Review in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis.BMJ sexual & reproductive health · 2024Pooled it
- Some Interventions to Shift Meta-Norms Are Effective for Changing Behaviors in Low- and Middle-Income Countries: A Rapid Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Entertainment Media and Gender Norm Transformation Interventions for Young Women and Girls in Sub-Saharan Africa: A Systematic Review.Behavioral sciences (Basel, Switzerland) · 2025Review
- User-centered adaption ofAIDS care · 2025Article
- Adolescent abortion care trajectories and safety in Ethiopia, Malawi, and Zambia: A comparative mixed methods study.PLOS global public health · 2025Article
- Gender-transformative programmes: a framework for demonstrating evidence of social impact.BMJ global health · 2024Review
- Maintaining Program Fidelity in a Changing World: National Implementation of a School-Based HIV Prevention Program.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Use of contraceptives and associated factors among male adolescents in rural secondary schools, Coast Region, Tanzania: a school-based cross-sectional study.Contraception and reproductive medicine · 2024Article
- Trends and determinants of unmet need for modern contraception among adolescent girls and young women in Tanzania, 2004-2016.PLOS global public health · 2024Article
- Blesser relationships among orphaned adolescent girls in contexts of poverty and gender inequality in South African townships.PloS one · 2024Article
- Disparity in spectrum of infectious diseases between in-school and out-of-school children, adolescents, and youths in China: findings from a successive national surveillance from 2013 to 2021.The Lancet regional health. Western Pacific · 2023Article
- Accelerated institutionalization of an adolescent sexual and reproductive health (ASRH) intervention in Tanzania: Findings from a mixed-methods evaluation.Frontiers in global women's health · 2023Article
- Understanding how social norms influence access to and utilization of adolescent sexual and reproductive health services in Northern Nigeria.Frontiers in sociology · 2023Article
- Development of the SPREAD framework to support the scaling of de-implementation strategies: a mixed-methods study.BMJ open · 2022Review
- Exploring and Monitoring Privacy, Confidentiality, and Provider Bias in Sexual and Reproductive Health Service Provision to Young People: A Narrative Review.International journal of environmental research and public health · 2022Review
- Breast and Cervical cancer disparities in Alabama: current scenario, ongoing efforts to reduce the disparity gaps, and what more we could be doing.Cancer health disparities · 2022Article
- Supporting the implementation of guidelines to prevent mother-to-child-transmission of HIV in Malawi: a multi-case study.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Delaying sexual onset: outcome of a comprehensive sexuality education initiative for adolescents in public schools.BMC public health · 2021Article
- Correlates of Sexual Risky Behaviours, HIV Testing, and HIV Testing Intention among Sexually Active Youths in Northern Tanzania.The East African health research journal · 2021Article
- "Spoiled" girls: Understanding social influences on adolescent contraceptive decision-making in Kenya.PloS one · 2021Article
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 at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Adolescent and youth reproductive health (AYRH) outcomes are influenced by factors beyond individual control. Increasingly, interventions are seeking to influence community-level normative change to support healthy AYRH behaviors. While evidence is growing of the effectiveness of AYRH interventions that include normative change components, understanding on how to achieve scale-up and wider impact of these programs remains limited. We analyzed peer-reviewed and gray literature from 2000 to 2017 describing 42 AYRH interventions with community-based normative change components that have scaled-up in low/middle-income countries. Only 13 of 42 interventions had significant scale-up documentation. We compared scale-up strategies, scale-up facilitators and barriers, and identified recommendations for future programs. All 13 interventions addressed individual, interpersonal, and community-level outcomes, such as community attitudes and behaviors related to AYRH. Scale-up strategies included expansion via new organizations, adapting original intervention designs, and institutionalization of activities into public-sector and/or nongovernmental organization structures. Four overarching factors facilitated or inhibited scale-up processes: availability of financial and human resources, transferability of intervention designs and materials, substantive community and government-sector partnerships, and monitoring capacity. Scaling-up multifaceted normative change interventions is possible but not well documented. The global AYRH community should prioritize documentation of scale-up processes and measurement to build evidence and inform future programming.
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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.