Table 3.
Main outcomes in the three cases explored
| Los Barrios | Nueva Ciudad | Chambil | |
|---|---|---|---|
| Previous evaluation MoH (2007) | 95% Consolidated development All the components implemented effectively and a long time experience working with adolescents, with the support of an NGO. Adolescents participate actively during the entire consultation process, and staff is empowered. Recommended as centre of excellence for internships for other providers |
96% Consolidated development All components adequately implemented. They have their own model of care. All the staff have received 6 months of training and half of the staff involved in providing care for adolescents at least for 1 year. Recommended as centre of excellence for internships for other providers |
96% Consolidated development All components implemented efficiently, and with good quality. Recommended as centre of excellence for internships for other providers |
| Outcome 1 | High number of adolescents Diversity of adolescents’ profiles accessing the HC with a diversity of consultations |
Adolescents come to the health centre. Few consultations regarding SRH. Work with schools. There is an adolescents’ group |
Not highly accessed by adolescents; the majority are pregnant adolescents or adolescent mothers. Staff from the facility visits some schools located in the vicinity. There is an adolescents’ group that gathers periodically in the HC |
| Outcome 2 | Constantly adapting to respond to adolescents’ needs. Good reputation that attract many adolescents. No barriers for contraceptive access to adolescents. Referral system |
Confidentiality and privacy ensured. Variety of contraceptives not always available. Majority of adolescents get consultations that focus on ‘Growth and development’ and less on SRH. Psychological and social services. Referral system working |
Not many consultations from adolescents, besides the ones from pregnant adolescents and adolescent mothers. Contraceptives of different types are not always availableWarmth relationship between pregnant adolescents and midwife. Staff willing to smooth consultation process when adolescents’ arrive |
| Outcome 3 | Adolescent boys access the services. Gender perspective incorporated during consultation. Gender based violence and sexual violence assessed and referral system exist |
Gender approach not integrated. Direct strategies to attract boys not implemented. Part of a network against violence against women, but few cases detected. Homophobia is not addressed |
Access for young men was not perceived as relevant. Adolescents who attend the HC were pregnant girls or mothering girls. Violence against women not assessed during consultation with adolescents. Homophobic remarks |