Elsevier

Contraception

Volume 90, Issue 3, September 2014, Pages 211-225
Contraception

Review
Interventions to improve adolescents' contraceptive behaviors in low- and middle-income countries: a review of the evidence base

https://doi.org/10.1016/j.contraception.2014.04.017Get rights and content
Under a Creative Commons license
open access

Abstract

Objective (s)

Many adolescents in developing countries have an unmet need for contraception, which can contribute to poor reproductive health outcomes. Recent literature reviews have not adequately captured effective contraceptive services and interventions for adolescents in low- and middle-income countries (LMICs). This study aims to identify and evaluate the existing evidence base on contraceptive services and interventions for adolescents in LMICs that report an impact on contraceptive behavior outcomes.

Study Design

Structured literature review of published and unpublished papers about contraceptive services and interventions for adolescents in LMICs that report an impact on contraceptive behavior outcomes.

Results

We identify common elements used by programs that measured an impact on adolescent contraceptive behaviors and summarize outcomes from 15 studies that met inclusion criteria. Effective programs generally combined numerous program approaches and addressed both user and service provision issues. Overall, few rigorous studies have been conducted in LMICs that measure contraceptive behaviors. Few interventions reach the young, the out of school and other vulnerable groups of adolescents.

Conclusion (s)

Though the evidence base is weak, there are promising foundations for adolescent contraceptive interventions in nearly every region of the world. We offer recommendations for programmers and identify gaps in the evidence base to guide future research.

Keywords

Sexual and reproductive health
Developing countries
Service provision
Young adult
Pregnancy
Contraception behavior

Cited by (0)

No funding was received to conduct this study. The open access fee will be paid by the United Nations Population Fund.

1

Conflicts of Interest: None.