{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:19:02Z","timestamp":1787167142032,"version":"build-2736575974"},"reference-count":22,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007729","name":"Dutch Ministry of Foreign Affairs","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007729","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Amref Health Africa in Ethiopia"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Adolescent sexual and reproductive health and rights (SRHR) challenges, including gender inequality, child marriage, female genital mutilation\/cutting and sexual and gender-based violence remain pervasive globally, particularly in Ethiopia. The Power to You(th) programme was designed to address these issues by centering youth voices and fostering transformative community change. This evaluation applied Outcome Harvesting, drawing on mixed quantitative and qualitative data, and employed a participatory approach that engages youth and stakeholders in identifying and verifying programme outcomes between 2021 and 2023. The findings revealed substantial improvements in youth participation in decision-making platforms, advocacy capacity, and awareness of SRH rights. Community attitudes shifted positively, particularly among religious and traditional leaders, who increasingly advocate against harmful practices. Youth-led networks emerged as powerful agents of change, contributing to policy shifts such as increased youth representation in health governance bodies. The evaluation also captured unexpected yet influential changes in community dynamics and institutional responsiveness. These findings highlight the value of participatory approaches in capturing complex social transformations and underscore the role of youth as active agents in reshaping SRHR outcomes. Outcome Harvesting proved effective in documenting both intended and emergent changes, offering valuable insights for scaling inclusive, youth-driven interventions.<\/jats:p>","DOI":"10.3390\/ijerph22111659","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:47:58Z","timestamp":1762177678000},"page":"1659","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Empowering Youth Through Evidence: Applying Outcome Harvesting to Evaluate Sexual Reproductive Health and Rights (SRHR) Advocacy in Ethiopia"],"prefix":"10.3390","volume":"22","author":[{"given":"Mihret","family":"Ayele","sequence":"first","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6779-800X","authenticated-orcid":false,"given":"Makida","family":"Birhan","sequence":"additional","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sintayehu","family":"Abebe","sequence":"additional","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mesfin","family":"Ayeta","sequence":"additional","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dessie","family":"Kassa","sequence":"additional","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muluken Dessalegn","family":"Muluneh","sequence":"additional","affiliation":[{"name":"Amref Health Africa, Addis Ababa P.O. Box 20855, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendemagegn","family":"Enbiale","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar P.O. Box 78, Ethiopia"},{"name":"Collaborative Research and Training Center for Neglected Tropical Diseases, Arba Minch University, Arba Minch P.O. Box 21, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,1]]},"reference":[{"key":"ref_1","unstructured":"UNICEF (2022). Ending Child Marriage: Progress and Prospects, UNICEF."},{"key":"ref_2","unstructured":"WHO (2017). 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We Want Project Outcome Harvesting Evaluation Report, ActionAid International."},{"key":"ref_19","unstructured":"Johns Hopkins University, and Breakthrough ACTION (2024). Outcome Harvesting Evaluation\u2014Reducing Child Marriage in Nepal, Johns Hopkins University."},{"key":"ref_20","unstructured":"Smith, R., Aziz, H., and Sutcliffe, J. (2025, July 26). Outcome harvesting evaluation of OIKKO (Unity): Bangladesh, South Asia. Oxfam. Available online: https:\/\/outcomeharvesting.net\/wp-content\/uploads\/2020\/02\/OIKKO-Outcome-Harvest-evaluation_final.pdf."},{"key":"ref_21","unstructured":"Swiss Agency for Development and Cooperation (2021). Three Learnings on Outcome Harvesting, Swiss Agency for Development and Cooperation."},{"key":"ref_22","unstructured":"Results in Health (2021). PITCH End-Term Evaluation, Results in Health."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/11\/1659\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T05:27:06Z","timestamp":1762234026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/11\/1659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,1]]},"references-count":22,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["ijerph22111659"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22111659","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,1]]}}}