Sexual and reproductive health interventions for adolescents in Niger: Historical overview and stakeholder profile Health

Abstract Background In many developing countries such as Niger, a variety of interventions have been implemented to improve adolescent sexual and reproductive health. Nevertheless, the reality is that the levels of adolescent sexual and reproductive health (ASRH) indicators remain critical in these countries. Unfortunately, very few studies have examined the reasons why these interventions fail. This study aimed to improve the knowledge on this topic. Specifically, it described the history of ASRH interventions and examined the profile of the actors who contributed to the emergence of these interventions in Niger. Methods A literature review was first conducted covering the period 1975–2021. Then, individual interviews were conducted with 46 actors involved in the process of designing, financing, and implementing ASRH interventions in Niger. For the data analysis, a descriptive historical approach was carried out using an analysis grid to exploit the information collected. Qualitative data were transcribed and coded using Nvivo 12 software, and a content analysis was carried out. Conclusion Several interventions have been implemented to improve the sexual and reproductive health of adolescents in Niger since 1994, but their impact is questionable.