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Data are most ample (10 initiatives demonstrating weak but positive effects and one randomized controlled trial demonstrating strong positive results on some outcome measures) for approaches that use a combination of health worker training, adolescent-friendly facility improvements, and broad information dissemination via the community, schools, and mass media.

We found a paucity of evidence on out-of-facility–based strategies, except for those delivered through mixed-use youth centers that demonstrated that SRHS in these centers are neither well used nor effective at improving SRH outcomes.

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This study is a descriptive review of the effectiveness of initiatives to improve adolescent access to and utilization of sexual and reproductive health services (SRHS) in low- and middle-income countries.

We examined four SRHS intervention types: (1) facility based, (2) out-of-facility based, (3) interventions to reach marginalized or vulnerable populations, (4) interventions to generate demand and/or community acceptance.

cover story noted, nearly half of all respondents to a 2014 Federal Reserve study said that they wouldn’t have enough cash on hand. Most told the Fed they would try for a bank loan, use a credit card, or make a potentially embarrassing request to family and friends.

Two percent of respondents said they would take out a payday loan.

Findings from 17 of 21 initiatives assessing demand-generation activities demonstrated at least some association with adolescent SRHS use.

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Johnson says her daughter was fondled in an elementary school bathroom by other students.

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