Optimising the implementation of adolescent-friendly health services and its effects on contraceptive uptake and adolescent pregnancy in rural Mozambique: an implementation research study of the S-NICE intervention

BackgroundDespite national policies promoting adolescent- and youth-friendly health services, implementation gaps hinder improvements in adolescent sexual and reproductive health outcomes in Mozambique. S-NICE is a structured, participatory decision-support intervention designed to strengthen delivery through routine data use, multisectoral coordination, and local action planning. This study evaluates the implementation and effectiveness of S-NICE in rural Sofala Province.MethodsA mixed methods