Optimising the Implementation of Adolescent-Friendly Health Services and Its Effects on Contraceptive Uptake and Adolescent Pregnancy in Rural Mozambique: An Implementation Research Study of the S-NICE Intervention - Takeaways - MDSpire

Optimising the Implementation of Adolescent-Friendly Health Services and Its Effects on Contraceptive Uptake and Adolescent Pregnancy in Rural Mozambique: An Implementation Research Study of the S-NICE Intervention

  • By

  • Chilundo, Baltazar

  • Xinavane, Laura

  • Huo, Luisa

  • Abacassamo, Fatima

  • Veken, Luc Vander

  • Matsinhe, Benigna

  • Morgado, Paula

  • Lopes, Claudia Abreu

  • May 12, 2026

  • 0 min

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  • 1

    The S-NICE intervention aimed to enhance adolescent-friendly health services in rural Mozambique through data use and local action planning.

  • 2

    Implementation of S-NICE led to an increase in new modern contraceptive users among girls aged 15–19 from 5.45% to 10.12%.

  • 3

    Adolescent pregnancy rates declined from 13.76% to 11.64% in facilities implementing S-NICE, indicating positive trends in health outcomes.

  • 4

    S-NICE demonstrated moderate-to-high fidelity and strong acceptability among stakeholders, despite barriers like infrastructure constraints.

  • 5

    The study suggests that structured, data-driven strategies may improve adolescent health service delivery in low-resource settings.

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