Include the role of peers, adults, family members and community norms when doing research on adolescent decision-making. Look at reasons. Find out why adolescents do not avail of services in existing health centres. Findings will help in developing strategies to stimulate demand for health services. On programme impact Find ways to expand the impact of programmes in terms of scale and target audiences.
Many organisations undertake pilot projects with limited impact.
Similarly, many reproductive health projects are limited to adolescent girls and are not designed to accommodate adolescent boys. There is lack of knowledge on how to scale up programmes and implement strategies that cater to a larger number of adolescents. On parent and community support Involve parents and communities in the process of designing programmes. Findings of NGOs suggest that parents and communities are generally supportive of adolescent programmes if they have a full understanding of the contents and benefits of these programmes and perceive themselves as stakeholders. On designing curricula Be flexible in designing a reproductive health curriculum.