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We examine the impacts of a multicomponent intervention targeted to Tanzanian adolescents on their sexual behaviors and reproductive health. The intervention comprised livelihood and life skills training, mentoring, and health facilities\u2019 strengthening. Data come from a cluster randomized controlled trial, where one study arm received the intervention and the other was randomized to control, but both arms participated in a government cash transfer program. Among 1,933 adolescents interviewed over three rounds, we found increases in contraceptive and HIV knowledge. The program also increased health seeking and HIV testing among boys, but slightly reduced age at sexual debut among girls. There were no impacts on contraceptive use, number of sexual partners, or pregnancy. Findings support the value of an adolescent intervention, and the fact that it was delivered within a social protection platform suggests a potential for scalability. Additional efforts are required to delay sexual debut and reduce the number of sexual partners and pregnancy, possibly through addressing supply\u2010side barriers and social norms, or through additional linkages to economic opportunities.<\/jats:p>","DOI":"10.1111\/sifp.12190","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T01:48:59Z","timestamp":1647913739000},"page":"233-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["A \u201cPlus\u201d Model for Safe Transitions to Adulthood: Impacts of an Integrated Intervention Layered onto A National Social Protection Program on Sexual Behavior and Health Seeking among Tanzania's Youth"],"prefix":"10.1111","volume":"53","author":[{"given":"Jennifer","family":"Waidler","sequence":"first","affiliation":[{"name":"UNICEF Office of Research\u2010Innocenti, Via degli Alfani 58 50121  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Gilbert","sequence":"additional","affiliation":[{"name":"UNICEF Tanzania  Karume Road, Dar es Salaam United Republic of Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aroldia","family":"Mulokozi","sequence":"additional","affiliation":[{"name":"Tanzania Commission for AIDS (TACAIDS), Dar es Salaam  United Republic of Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tia","family":"Palermo","sequence":"additional","affiliation":[{"name":"Department of Epidemiology at Environmental Health, University of New York at Buffalo  Buffalo NY 14214\u20108001 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.31899\/pgy11.1018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.31899\/pgy9.1005"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2014.08.012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2888-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2888-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.31899\/pgy14.1026"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.1569"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)61709\u20101"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","unstructured":"Baird Sarah EphraimChirwa CraigMcIntosh andBerk\u00d6zler.2015. \u201cWhat Happens Once the Intervention Ends? 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