Table 4 The refined PT

The refined programme theory of Passage

Bringing together the various actors involved in reproductive health for adolescents in a network can increase the access and the utilisation of appropriate social and health services by the adolescents and contributes to improving the reproductive health status of the adolescents if (1) it succeeds to bring together actors that cover the whole range of services required by adolescents, (2) creates a shared vision and (3) leads to integration of all ASRH services.

Active networking contributes to:

(1) a shared awareness that the current services are ineffectual because of gaps and redundancies in the provision

(2) better knowledge of partners with different backgrounds and thus to better informing adolescents and to more effective referrals, which in turn contributes to better continuity of care

(3) a shared vision among partners on ASRH, which contributes to better coordination and integration of services

(3) organisational learning, which enhances coordination and quality of care and services.

The underlying processes include increasing linking social capital and organisational social capital. The latter strengthens the relations between organisations, the former stresses the relations between organisations and public authorities. Partners need to perceive a win-win situation to continue to be active members and to experience a feeling of ownership. Existing networks can be mobilised to take on new tasks, inactive networks can be revitalised (but this requires more time and inputs), or completely new networks can be set up (the longest route).