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Program implementer perspectives replicating evidence based sexual reproductive health programs.

Jenita Parekh1, Robert Blum2, Valerie Caldas3

  • 1The Department of Population, Family and Reproductive Health, The Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States; The Johns Hopkins Center for Child & Community Health, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Suite 4200, Mason F. Lord Building, Center Tower, Baltimore, MD 21224, United States; Child Trends, Inc., 7315 Wisconsin Ave, Suite 1200W, Bethesda, MD 20814, United States.

Evaluation and Program Planning
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Summary
This summary is machine-generated.

Program implementers found challenges in delivering evidence-based adolescent sexual and reproductive health programs. Flexibility in curriculum is needed to better meet diverse adolescent needs and improve program effectiveness.

Keywords:
AdolescentsEvidence-Based programProgram implementationProgram implementation fidelitySexual and reproductive health programs

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Area of Science:

  • Public Health
  • Adolescent Health
  • Program Implementation Science

Background:

  • Adolescent sexual and reproductive health (ASRH) programs are crucial for young people's well-being.
  • Effective implementation of evidence-based ASRH programs faces various contextual challenges.
  • Understanding implementer perspectives is key to optimizing ASRH program delivery.

Purpose of the Study:

  • To explore factors influencing the implementation of evidence-based adolescent sexual and reproductive health programs.
  • To identify challenges and successful strategies from the viewpoint of program implementers.

Main Methods:

  • Conducted in-depth interviews with 18 program implementers.
  • Programs targeted 2698 adolescents (primarily African American and Hispanic) in school and community settings.
  • Utilized iterative coding and thematic analysis of interview transcripts by trained experts.

Main Results:

  • Implementers identified curriculum weaknesses, scheduling constraints, and adolescent questions as implementation challenges.
  • Relationship-building and addressing adolescent queries were noted as effective implementation strategies.
  • Implementers desired curriculum flexibility to tailor programs but felt restricted by perceived adherence requirements.

Conclusions:

  • Evidence-based ASRH programs require greater flexibility to allow implementers to customize content for diverse adolescent needs.
  • Programming should account for the varied life experiences, knowledge, and relationships of adolescents aged 10-19.
  • Reducing perceived restrictions on facilitators can enhance their ability to meet student needs effectively.