Abstract This study is a process evaluation of an adolescent-focused intervention of the USAID Communication for Healthy Communities program, in Uganda. We used mixed methods including observation, consultations and review of program documents to collect data on program coverage, reach and factors influencing implementation. Findings show that program activities were successfully implemented through collaborative partnerships with service partners and the community. Interpersonal communication complemented by mass-media messaging was effective in reaching and empowering adolescents with health information to make informed choices for behavior change. The program used theoretical frameworks to guide targeted interventions through audience segmentation and community empowerment. Targeted mass-media messaging and placement was found to be pertinent for program reach. Working through existing community structures is important for an effective reach of health promotion programs. Lessons identified for scaling-up adolescent health programs include the need to harmonize training and deployment of community champions by development partners, recruit audience-specific influential champions and link income-generating activities to health education interventions. There is thus need to collaboratively develop and institutionalize effective monitoring and evaluation strategies during program inception and design phases for appropriate accountability, ownership and a continuation of gains.

中文翻译：

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乌干达“健康社区交流”青少年健康计划的过程评估。

摘要这项研究是对美国国际开发署在乌干达进行的以社区为中心的青少年干预计划的过程评估。我们使用混合方法，包括观察，咨询和审查计划文件，以收集有关计划覆盖率，范围和影响实施的因素的数据。调查结果表明，通过与服务合作伙伴和社区的合作伙伴关系，计划活动得以成功实施。人际交流与大众传播媒介信息相辅相成，可以有效地使青少年获得健康信息并赋予他们健康信息，从而为行为改变做出明智的选择。该计划使用理论框架通过受众细分和社区授权来指导目标干预措施。发现有针对性的大众媒体消息传递和放置与节目的传播有关。通过现有的社区结构开展工作对于有效开展健康促进计划至关重要。为扩大青少年保健方案而确定的经验教训包括需要协调发展伙伴对社区倡导者的培训和部署，招募针对特定受众的有影响力的倡导者以及将创收活动与健康教育干预措施联系起来。因此，有必要在方案开始和设计阶段就制定有效的监测和评估战略并将其制度化，以实现适当的问责制，所有权和收益的持续增长。为扩大青少年保健方案而确定的经验教训包括需要协调发展伙伴对社区倡导者的培训和部署，招募针对特定受众的有影响力的倡导者以及将创收活动与健康教育干预措施联系起来。因此，有必要在方案开始和设计阶段就制定有效的监督和评估战略，并将其制度化，以实现适当的问责制，所有权和收益的持续增长。为扩大青少年保健方案而确定的经验教训包括需要协调发展伙伴对社区倡导者的培训和部署，招募针对特定受众的有影响力的倡导者以及将创收活动与健康教育干预措施联系起来。因此，有必要在方案开始和设计阶段就制定有效的监测和评估战略并将其制度化，以实现适当的问责制，所有权和收益的持续增长。