AdLAB – Adolescent Learning, Action, and Benchmarking

AdLAB – Adolescent Learning, Action, and Benchmarking

Learning how to implement what works to help adolescents thrive!

For questions or collaboration inquiries, please contact the AdLAB team at adlab@worldbank.org

Overview

AdLAB – Adolescent Learning, Action, and Benchmarking – is an initiative for learning and action focused on adolescent health and wellbeing. Created by the Global Financing Facility and the Development Economics Research Group at the World Bank, AdLAB is a learning and implementation research platform designed to strengthen how adolescent health priorities are integrated, financed, and delivered within country systems. AdLAB supports countries to move from policy commitment to effective, measurable implementation. AdLAB brings together implementation research, measurement, and cross-country learning to generate practical evidence on what works, how it works, and under what conditions to improve adolescent health outcomes.

AdLAB directly supports the GFF’s mission to accelerate progress toward RMNCAH-N outcomes by working to close persistent implementation gaps in adolescent health. While adolescent priorities are increasingly reflected in national plans and investment cases, countries continue to face challenges translating these commitments into high-quality, adolescent-responsive services at scale. By embedding learning and accountability into implementation, AdlAB enables the GFF to invest not only in what to fund for adolescents, but how to deliver results that last.

AdLAB is supported by a multidisciplinary team of health researchers, implementation scientists, economists, and youth advocates. Our team brings a wealth of expertise in adolescent health, implementation and evaluative research, and policy analysis. AdLAB operates through four key functions:

Priority Setting: Identifying country driven evidence needs and Implementation science priorities 

Evidence Generation: Conducting implementation research 

Evidence Dissemination and Translation: Supporting the sharing and understanding of the evidence 

Evidence Use: Supporting the use of evidence in policies and programs

AdLAB’s Priority Thematic Areas:

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AdLAB conducts implementation research through two distinct yet complementary tracks:

  • Nimble IR Track – Focused on rapid, adaptive studies that respond to emerging needs and evolving contexts.
  • Institutionalized IR Track – Embedded within World Bank operations to drive long-term, system-level impact.

Both tracks can be immediate, addressing current implementation challenges, or forward-looking, generating insights to shape future programming.

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Research Portfolio

Our work focuses on three core areas: strengthening adolescent integrated and essential services, building robust feedback, measurement, and accountability systems, and fostering youth engagement, leadership, and capacity building to empower young people as active agents of change.

Adolescent and Youth Health Services Policy Review

Objectives

This policy analysis assesses how adolescent- and youth-friendly health services (AYFHS) policies are defined, implemented, and monitored across 18 GFF partner countries. The analysis is presented through country-specific Policy Fact Sheets that review existing national AYFHS policies and assess their alignment with WHO quality standards, offering governments practical insights for strengthening adolescent health service policy frameworks.

Proposed Use

These policy briefs are designed to provide a concise overview of each country’s AYFHS policy alignment with global standards. Specifically, the policy fact sheets can offer government and partners clear insights to strengthen adolescent health service delivery and enable the GFF AdLAB initiative to more effectively prioritize and allocate resources for AYFHS policy implementation.

Methods

The analysis was based on a desk review of publicly available national adolescent health policies sourced from the WHO SRMNCAH National Policy Document Repository. We first identified indicators from the WHO Global Standards for Quality AYFHS, of which 278 indicators were excluded because they could not be assessed through a desk review. The remaining assessable indicators were consolidated into a final set of 52 indicators under seven quality standards:

  • Adolescent Participation and Empowerment
  • Inclusive, Safe, and Respectful Care
  • Adolescent-Centered Service and Care Coordination
  • Family and Community Engagement
  • Facility Characteristics
  • Providers’ Competencies, and Data and Quality Improvement

The policy fact sheets present a detailed breakdown of the 52 indicators, showing for each whether it is “fully described,” “partially described,” or “not described” in the national policy.

The policy review was carried out as part of a service-learning project by students from the University of Toronto: Gabrielle MacPherson, Emilia Patalita, Anna Serabian, and William Wang.

Quality AYFHS Policy Documents Codebook
Summary of country policy alignment with Global AYFHS standards
Note:

To view country-specific policy briefs, please click on the respective country names.

Resources and Tools

Adolescent Health Data and Tools

This curated list brings together adolescent health and well-being indicators, key data sources, and globally recognized tools and guidance to support evidence-informed decision-making across policy, programming, and implementation. The selection emphasizes alignment with global standards, comparability across countries, and practical use for national and sub-national decision-making.

The indicators and data sources highlighted, drawing from frameworks such as GAMA and platforms like MICS, provide a harmonized foundation for monitoring outcomes and tracking progress across adolescent health domains. Complementing this, global tools and guidance help translate data into action, from national strategy and implementation (AA-HA! 2.0, Technical guidance on prioritizing adolescent health) to service quality improvement (Global Standards for Adolescent-Friendly Health Services) and scalable mental health and psychosocial interventions (HAT, EASE).

Together, these resources enable policymakers, program managers, and implementers to navigate the adolescent health landscape more coherently, strengthening planning, measurement, and accountability for adolescent-responsive systems.

ADOLESCENT HEALTH INDICATORS AND DATA SOURCES

Adolescent Demographics

IndicatorLikely Portal/Data Source
Adolescent populationWHO MNCAH portal. UNICEF Adolescent Data portal

Adolescent Health Determinants and Risks

IndicatorLikely Portal/Data Source
Substance use (alcohol use, tobacco use)UNICEF country profiles/data dashboard. WHO MNCAH portal
Nutrition (thinness, obesity)UNICEF country profiles/data dashboard
Physical activityUNFPA Dashboard
Intimate partner violenceUNICEF country profiles/data dashboard
Out of school / NEETUNICEF country profiles/data dashboard. UNFPA Dashboard
Child Marriage (before age 18 or 15)UNFPA Dashboard. UNICEF Adolescent Data Portal

Adolescent Health Service Coverage

IndicatorLikely Portal/Data Source
Use of contraception among adolescentsUNFPA Dashboard
Unmet need for family planningUNFPA Dashboard
Percentage of 15yr old girls received recommended dose of HPVWHO MNCAH data portal
Comprehensive knowledge of HIVDHS. UNAIDS Datasheet

Adolescent Health Outcomes

IndicatorLikely Portal/Data Source
Mortality (all cause) among adolescentsUNICEF country profiles/data dashboard
Cause Specific Mortality (e.g. road injuries, HIV, Suicide, NCDs)UNICEF country profiles/data dashboard. WHO MNCAH portal
Adolescent birth rate (15–19) / Adolescent pregnancyWHO MNCAH portal. UNFPA Dashboard. UNICEF Adolescent Data Portal
Adolescents living with HIVUNAIDS data sheet
New HIV infections (adolescents)UNAIDS data sheet

ADOLESCENT HEALTH GLOBAL TOOLS AND GUIDANCE

Comprehensive Adolescent Health Frameworks and Multi-sectoral guidance

Tool / Guidance / FrameworkYearDomains coveredBest Used for
AA-HA! 2.0 (Global Accelerated Action for the Health of Adolescents)2023 (2nd edition)Adolescent Health programming; multisectoral coordination; implementation planning; indicators.Designing and aligning adolescent health strategies and implementation plans
Guidance for countries to assess adolescent health and well-being2025Outlines seven key domains for assessing adolescent health and wellbeing.A diagnostic and planning tool for governments to identify gaps, inform policy and financing decisions, and strengthen coordinated, evidence-based adolescent health strategies
Technical guidance on prioritizing adolescent health2017Policy prioritization; Investment planning; country health strategy alignment. Also compliments AA-HA!National policy dialogue and investment planning
Competency and outcomes framework for adolescent health and well-being2025Health worker competency domains for the achievement of UHCPrimarily for health workforce educators to develop competency-based curricula and assessments.
Plan International Adolescent Programming Toolkit (Crisis Settings)Plan International 2020Adolescent programming in humanitarian and fragile contexts.Programming in humanitarian/emergency settings.

Measurement, Indicators and Monitoring Frameworks

Tool / Guidance / FrameworkYearDomains coveredBest Used for
GAMA Adolescent Health Indicators2024Measurement of adolescent health and wellbeing; 47 core indicators across 6 domainsSelecting, harmonizing, and reporting adolescent health indicators for national monitoring
Measuring Mental Health Among Adolescents and Young People at the population level (MMAPP) Brochure IndicatorsUNICEF / MICS 2023Measurement of adolescent mental health at population level. standardized for cross-country comparisonNational surveys capturing adolescent mental health indicators

Quality of Care and Health Service Delivery Standards

Tool / Guidance / FrameworkYearDomains coveredBest Used for
Global Standards for Quality Health-Care Services for Adolescent Health2025Adolescent-friendly health services; quality improvement; facility-based service delivery. Includes tools, measures and indicatorsAssessing and improving the quality of adolescent health services
Global Standards for Quality Health-care services for adolescent health2015Adolescent-friendly health services; quality improvement; facility-based service deliveryAssessing and improving the quality of adolescent health services
Implementation Guide2015Assessing, improving and institutionalizing adolescent responsive-health servicesA guide to translate the 2015 standards into practical actions for adolescent-responsive health services.

Sexual and reproductive health and gender education

Tool / Guidance / FrameworkYearDomains coveredBest Used for
International Technical Guidance on Sexuality Education (ITGSE)2018Comprehensive sexuality education; SRH literacy; life skillsSchool-based adolescent SRH and life-skills programming

Mental Health and Psychosocial Well-being tools

Tool / Guidance / FrameworkYearDomains coveredBest Used for
Helping Adolescents Thrive (HAT) Toolkit2021Mental health promotion; prevention of mental disorders; caregiver and school interventionsMental health promotion and prevention in schools and communities

Digital Health, Youth Engagement and Innovation Frameworks

Tool / Guidance / FrameworkYearDomains coveredBest Used for
EASE (Early Adolescent Skills for Emotions)2023Psychological interventions for early adolescents and caregiversCommunity-based or school-based psychosocial support
Youth-Centered Digital Health Framework2023Digital health interventions co-designed with young peopleDesigning digital interventions targeting adolescents