Table 2.

RAISE assessments for six TCI cities and actions taken leading to improvements.

Location	RAISE scores by round	Program activities
		Key areas contributing to increases	Coaching activities contributing to increases
KENYAMombasa	Round 1: 80% Round 2: 92% (+12%)	• Financial commitment for AYSRH • Supportive supervision • Coaching • Community involvement • Adolescent and youth-friendly services	• Continuous political engagement • Continuous advocacy for more resources • Procure adequate tools • Referral and linkages • Follow up of coaches • Avail and print guidelines for volunteers
TANZANIAUbungo	Round 1: 81% Round 2: 89% (+8%)	• Advocacy • TCI-U access and utilization • Coaching • Supportive supervision • Public-private partnership	• Use of FP champions for advocacy • Enroll and orient more TCI-U users • Conduct supportive Supervision • Partnership with private sector, i.e., pharmacies and other NGOs providing FP/AYSRH services
UGANDAMukono	Round 1: 48% Round 2: 88% (+40%)	• Financial documentation and management • Family planning /AYSRH strategies/approaches • Coaching • Supportive supervision	• Non-technical coaching on financial management and documentation • Disseminate family planning/AYSRH best practices at all levels • Sisi-kwa-sisi coaching • Supportive supervision
FWAZiguinchor, Senegal	Round 1: 43% Round 2: 74.5% (+31.5%)	• Strengthened collaboration between municipality and health system • AYSRH effectively layered onto TCI family planning program • Strong landscaping to identify gaps and needs • Strong political and health system commitment to AYSRH	• Supportive supervision for AYSRH • Implementation and monitoring of AYSRH best practices, including reduction of provider bias, whole-site orientation, comprehensive sexual education, home visits by community health workers, youth associations, social media, and the transformational youth leaders • Adolescent and youth-friendly checklist operationalized
INDIASaharanpur	Round 1: 66% Round 2: 73% (+7%)	• Improved leadership for AY interventions • Youth participation in key meetings • Review of AY program at city coordination committee meetings • City leading AYFHS assessments • Improved referral system • Frontline health workers map and list adolescents and refer to UPHCs • Advocacy for inclusion of AY indicators and data from HMIS in review meetings	• Management coaching facility staff for timely upload of AY data on HMIS portal • Coaching LG to review data from facility and community at monthly review meetings • Follow up of master coaches • Re-stock and supplies (condoms, OCP, and EC) • Supportive supervision of AY counselors at District Hospitals and District Women's Hospitals • Partnership with private sector, including pharmacies
NIGERIAEdo State	Round 1: 53% Round 2: 69% (+16%)	• State adoption and scale up of best practices • Increased social mobilization and referrals for AY services • Improved provider behavior and increased availability of AYFHS	• Sensitizing policymakers on need for dedicated AYSRH programming and funding • Advocacy to create a budget line for AYSRH • Coach state team on scale up of best practices and train providers in AYFHS