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Reprod Health. 2015 Feb 17;12:12. doi: 10.1186/1742-4755-12-12.

Programa Geração Biz, Mozambique: how did this adolescent health initiative grow from a pilot to a national programme, and what did it achieve?

Author information

1
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland. chandramouliv@who.int.
2
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. sgibbs@jhu.edu.
3
Pathfinder International, Maputo, Mozambique. rbadiani@pathfinder.org.
4
Government of Mozambique Ministry of Health, Maputo, Mozambique. quinhasf@yahoo.com.br.
5
Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland. svanemyrj@who.int.

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.

PMID:
25971669
PMCID:
PMC4429477
DOI:
10.1186/1742-4755-12-12
[Indexed for MEDLINE]
Free PMC Article

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