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The world is now sustaining the largest number of youth in human history; today there are nearly 900 million 10–19-year-olds and their health and livelihood issues are becoming increasingly important to policymakers worldwide. In Zambia, as in many other countries, young people face severe problems, including limited access to jobs, secondary education, and health care. The social, economic, and peer pressures that youth face often lead to high levels of sexual activity, often with subsequent negative impacts on their sexual and reproductive health. In spite of the magnitude of the reproductive health problems facing youth, they still have limited access to effective programs and services to address these problems. In an effort to address this need, CARE Zambia, in collaboration with the Planned Parenthood Association of Zambia and Makeni Ecumenical Center, with technical assistance and funding from the Population Council’s Africa Operations Research and Technical Assistance Project II, have conducted a study to test community-based approaches for improving adolescent sexual and reproductive health. As noted in this report, the study followed a pre-post test design to assess the impact of the interventions and to make comparisons between the different interventions.






Africa OR/TA Project II