Thinking outside the separate space (TOSS): A decision-making tool for designing youth-friendly services

TOSS is a decision-making tool to guide program designers in selecting and adapting appropriate youth-friendly service delivery model(s) based on the country context, target population, desired behavioral and health outcomes, SRH services to be offered, and needs and objectives for scalability and sustainability. The tool outlines seven different YFS models and seven steps for selecting and planning the scale-up of appropriate YFS models. This tool is primarily focused on supply-side interventions. It is not designed to help program designers plan and implement demand-generation activities or interventions for fostering an enabling environment. However, users are encouraged to keep demand-side and broader enabling environment interventions in mind when working through the steps of this guide.

Developed by E2A

The Evidence to Action Project (E2A) project was the US Agency for International Development’s (USAID) global flagship for strengthening family planning and reproductive health service delivery. The project aimed to address the reproductive healthcare needs of girls, women, and underserved communities around the world by increasing support, building evidence, and leading the scale-up of best practices that improve family planning services. A five-year Cooperative Agreement awarded in September 2011, E2A was led by Pathfinder International in partnership with the African Population and Health Research Center, ExpandNet, Intrahealth International, Management Sciences for Health, and PATH.