To date, our pilot is going fairly well, but one of the biggest learnings we've had so far is that multiple actors and societal forces exert their unique influences on the lives and decision-making strategies of young mothers. Targeting one single factor is not enough. Instead, we have witnessed the value in meeting girls where they are individually and addressing unique concerns for each mother. For example, the lived experiences of girls who give birth and go back to school are very different than those that are forced to drop out of school permanently. As such, we must not only target the adolescent mothers themselves but contact caretakers, neighbors, peers, religious and school leaders, etc. to really get to the heart of the forces that influence their decisions around healthcare and motherhood.
We have worked closely with the District Health Office in Luwero for more than 10 years now. They offer a variety of support mechanisms including our data collection tools, capacity building for our health workers and administrators, important linkages to government and nongovernment actors, and distribution of vaccination supplies. We work hand-in-hand to share knowledge and ensure we're augmenting local and national efforts.