Growing Up GREAT! Leadership

Achieving sustained change requires strong multi-sectoral partnerships amongst committed leaders. Recognizing this, Growing Up GREAT! (GUG) developed strategies to engage and build partnerships with experts at program inception—including a local youth advisory committee, a local technical and government advisory board, and a consortium of global implementation, research, and scale-up experts. In addition to the collaborative process of adapting, learning, and scaling, GUG was funded jointly by the Bill & Melinda Gates Foundation and the U.S. Agency for International Development.

Growing Up GREAT! Consortium

The GUG consortium, also referred to as the “project team” was established in 2015. Led by the Institute for Reproductive Health (IRH) at Georgetown University and subsequently the Center on Gender Equity and Health at the University of California San Diego (GEH/UCSD), the GUG consortium coordinated partner efforts and resource mobilization and ensured GUG’s focus on sustainability and scale, strategic collaboration across sectors, and the cultivation of a culture of learning. The global consortium comprised implementation, research, and scale-up partners.

A group facilitator explains how to use the Growing Up GREAT! game
(photo credit: Save the Children 2017)

Implementation and Scale-Up Partners

Save the Children led the development, implementation, monitoring, and scale up of the GUG intervention. Nine youth-focused community-based organizations (CBOs) carried out the various components of the multi-level intervention with technical support from Save the Children. Four* of these CBOs later supported scale-up.

  • L’Association pour le Bien Etre Familial/Naissances Désirables (ABEF-ND)*
  • Actions Chrétiennes Pour la Défense des droits de l’enfant défavorisé et de la fille mère (ACHREDDEF)
  • Associations des Défenseurs des Droits Humains pour le Développement Communautaire (ADDHDC)
  • Alliance Communautaire pour la Promotion des Droits Fondamentaux (APDF)*
  • Groupe El Dorado (GE)
  • Réseau des Adolescents et Jeunes Congolais en Population et Développement (RAJECOPOD)*
  • Réseaux communautaires de protection des enfants (RECOPE)
  • Union Féminine du Millénaire (UFEM)*
  • Union des Jeunes Cadets (UJCA)

In later phases of GUG, Congolese Ministry partners led institutionalization (vertical scale-up) of different components of the GUG intervention:

  • Ministry of Primary, Secondary, and Technical Education, Family Life Education Directorate (EPST/DEVC): Led scale-up of school-based activities. This scale-up included integration of the GUG toolkit into classroom-based lessons of the Congolese Family Life Education (FLE) program. In addition, Save the Children and EPST/DEVC partnered in advocacy efforts for development of a policy that formalized the GUG very young adolescents (VYA) club approach within schools.
  • Ministry of Health, National Adolescent Health Program (MOH/PNSA): Led scale-up of health exchange activities for school- and community-based clubs and supported community health workers to facilitate activities with parents and community members. PNSA also collaborated on a number of health system strengthening activities including trainings and joint supervision visits with provincial-level officials and health zone supervision teams.
  • Ministry of Social Affairs, Urban Department of Social Affairs (MOSA/DUAS): Supported integration of GUG into educational programming for out-of-school adolescents via remedial education institutions centers (known as Centres de Rattrapage).

Evaluation Partners

The Global Early Adolescent Study (GEAS), a research collaboration led by the Johns Hopkins Bloomberg School of Public Health, conducted the outcome evaluation in partnership with the University of Kinshasa School of Public Health (KSPH). The GEAS-Kinshasa study site is the first and longest-running longitudinal cohort of the GEAS with five waves of data collection as of 2023. The GUG consortium partners coordinated on the development of a quasi-experimental evaluation design using the GEAS survey platform to interview adolescents in both intervention and control groups across all five waves of data collection.

Experts SARL, a research organization based in the Democratic Republic of Congo (DRC), conducted a rapid qualitative study in 2022 to examine necessary conditions for GUG’s sustainability and institutionalization, including the transfer of skills from CBOs to ministry partners for continued implementation of GUG approaches.

Aimée M. Lulebo (L) and Eric Mafuta (R) at the University of Kinshasa School of Public Health
(photo credit: Global Early Adolescent Study 2023)

The Growing Up GREAT! Stakeholder Reference Group

The Stakeholder Reference Group (SRG) is a local advisory group comprised of nearly 50 members from government and civil society organizations. The SRG members guided GUG from intervention design to pilot and scale-up. Co-chaired by the MOH/PNSA and the EPST/DEVC, the SRG validated content and approaches, provided technical oversight, and fostered scale-up.

 

Following successful pilot and refinement of GUG approaches, the SRG made the decision to scale GUG. During scale-up activities, key members of the SRG joined representatives from two CBOs to form the Resource Team—a continuation of the SRG focused on guiding scale-up efforts. The Resource Team included individuals from the following organizations:

  • Ministry of Health, represented by the National Adolescent Health Program (MOH/PNSA) and the National Reproductive Health Plan (PNSR)
  • Ministry of Primary, Secondary, and Technical Education (EPST), represented by the Director of Family Life Education (FLE)
  • Ministry of Social Affairs
  • Ministry of Women, Families, and Children
  • Ministry of Youth
  • United Nations Agencies, including representatives of UNFPA and UNICEF
  • International and local resource non-governmental organizations (NGOs) (ABEF and RAJECOPOD)
Members of the SRG during a quarterly learning meeting
(photo credit: Save the Children 2019)

The Growing Up GREAT! Youth Advisory Council

A Youth Advisory Council (YAC) was formed during the pilot phase of GUG to ensure that the GUG consortium was inclusive of and accountable to adolescents and youth. Throughout the project, YAC members provided substantial and meaningful feedback on program implementation, monitoring, and evaluation efforts. Additionally, with guidance from IRH, KSPH and Save the Children, and in collaboration with local youth-led research organization La Pepiniere, the YAC led two qualitative participatory evaluation studies in 2018 and 2021. Recognizing the group’s importance, youth members sought to formalize the YAC and obtained NGO status in 2022 and joined the GEAS Global Youth Advisory Board. With its start in GUG, the YAC continues to elevate the voices and perspectives of youth in their communities.

New members of the YAC pose for a photo during a meeting in Kinshasa, DRC
(photo credit: Save the Children 2020)

Acknowledgements


This website was developed by Kathryn M. Barker, Rebecka Lundgren, Francine E. Wood, Sarah Smith, and Princess Luna at the Center on Gender Equity and Health at the University of California San Diego (GEH/UCSD), Jennifer Gayles at Save the Children International, and consultants Heidi Worley and Mariam Diakité. Thank you to Kara Hunersen and Trevor Arnett of the Johns Hopkins Bloomberg School of Public Health for their guidance and critical input. This website was designed by Areli Alvarez and Scott Blair at Qualcomm Institute at the University of California San Diego.

Phases of Growing Up GREAT!: Adapting, Learning, and Scaling

  • 2016

    Laying the Groundwork

    Conduct rapid formative research, build partnerships
  • Early 2017

    Adaptation

    Develop locally relevant, scalable intervention approach and materials
  • 2017-2018

    Pilot

    Implement the GUG intervention in two Kinshasa communes
  • 2018-2019

    Preparing to Scale

    Assess program impact, identify needed changes, develop scale-up approach
  • Late 2019-2022

    Scale-Up & Sustainability

    Implement and institutionalize strategies for GUG’s scale-up