ARTÍCULO
Lessons learnt from the CERCA Project, a multicomponent intervention to promote adolescent sexual and reproductive health in three Latin America countries: a qualitative post-hoc evaluation
Fecha
2016Registro en:
0149-7189
10.1016/j.evalprogplan.2016.06.007
Autor
Ivanova, Olena
Cordova Pozo, Kathya
Segura, Zoyla Esmeralda
Vega Crespo, Bernardo José
Chandra Mouli, Venkatraman
Hindin, Michelle
Temmerman, Marleen
Decat, Peter
De meyer, Sara
Michielsen, Kristien
Institución
Resumen
The Community-Embedded Reproductive Health Care for Adolescents (CERCA) Project was implemented
in Bolivia, Ecuador and Nicaragua (2011–2014) to test the effectiveness of interventions preventing
teenage pregnancies. As the outcome evaluation showed limited impact, a post-hoc process evaluation
was carried out to determine if and how CERCA’s design, implementation, monitoring and evaluation
affected the results. We did a document analysis and conducted 18 in-depth interviews and 21 focus
group discussions with stakeholders and beneficiaries. Transcripts were analyzed using directed content
analysis.
Data showed that CERCA sensitized stakeholders and encouraged the discussion on this sensitive issue.
In terms of design, a strong point was the participatory approach; a weak point was that the detailed
situation analysis was completed too late. In terms of implementation, a strong point was that
multifaceted activities were implemented; a weak point was that the activities were not pilot tested for
feasibility/acceptability and evolved substantially throughout the Project. In terms of monitoring, strong
points were that regular monitoring kept the Project on track administratively/financially; a weak point
was that monitoring indicators did not change as the intervention package changed. In terms of
evaluation, weak points were the substantial attrition rate and narrow focus on adolescents.
This study provides recommendations for future projects.
ã 2016 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND