Detailed cost-related information

Detailed cost-related information is available from a study undertaken to estimate the annual costs of the multifaceted
Mema Kwa Vijana young people’s sexual health intervention in Tanzania.56 This study is the fi rst detailed cost
analysis of a large-scale multi-component, multi-year young people’s sexual and reproductive health intervention.
Costs were assessed by input (capital and recurrent), component (in-school, community activities, youth-friendly
health services, condom distribution), and phase (development, start-up, trial implementation, scale-up). The inschool
component consisted of the development and implementation of a teacher-led and peer-assisted reproductive
health curriculum for Standard Five to Seven in all primary schools in the intervention communities. Overall,
15,000 students were reached in a total of 62 schools, 432 teachers and 1,124 peer educators were trained. The
curriculum comprised ten to fi fteen classroom sessions per year. Teachers from each school received an annual
week-long training in the delivery of a participatory curriculum, including the use of drama, games and stories. In
each school, six pupils per school year were elected to act as class peer educators. Their main role was to perform

short drama discussion starters during the classroom sessions, for which they received two days’ training each
year. Two or three slightly older young people from each community were elected by the advisory committee and
trained for three weeks to act as Trainers of Peers (TOP). They were responsible for training the class peer educators
in the fi rst two years of the programme and for supporting the class peer educator during after-school Mema
Kwa Vijana clubs. These clubs provided a more informal forum for addressing young people’s sexual and reproductive
health issues.