Clinic Assessment of Youth-Friendly Services



This tool helps program managers and clinicians determine the extent to which current reproductive health services are youth-friendly. Results from the tool can be used to tailor services to better meet the needs and preferences of young people.


This tool is designed to help assessment teams, project managers, trainers, supervisors, and others collect detailed information on the range and quality of services provided to adolescents at a given facility or within a given program in order to make services more youth-friendly. The assessment process facilitates the development of action plans for quality improvement that can help clinics address policy, operations, training, and other program areas needing adjustments and change.

The tool also provides essential baseline information, allowing for repeated applications to examine changes and the impact of program interventions. Although the tool is primarily for use by a team, it may also be used by an individual. Determining minimum requirements for youth-friendly services is a difficult task.

The tool consists of spreadsheets and questionnaires and is organized into four sections:

  • General Background Information
  • Client Volume and Range of Services Provided
  • Personnel and Supervision
  • Assessment of Youth-Friendliness

These sections each begin with an introduction about why the information is being collected, why the topic is important, and how the observations/data collection should be carried out. The assessment includes a review of youth-friendly program characteristics and an action plan template for improvements.

Intended users:

NGOs, international agencies, MOH; anyone working in adolescent sexual and reproductive health and service delivery: program managers, technical staff, clinic managers or supervisors, service providers and M&E staff.

Developed by:

Pathfinder International, 2001


Tanzania, Botswana, Ghana, Uganda, 2001; Vietnam.


The tool is easy to use. The assessment can be completed in less than one day. It is based on a participatory process that includes staff from the facilities being assessed. The tool can be applied at different intervals during the project implementation to monitor improvements and identify additional needed interventions. It uses a variety of methods to collect the data, and can identify training needs as well as needed improvement in service delivery.


Because it is qualitative in nature, it tends to be a bit more subjective. However, the Certification Tool for YFS has been developed and when used along side the assessment it can provide a quantitative score for each facility assessed.

Recommendations for users:

People carrying out the assessment need to have basic interview, observation, and data collection skills.

Given the great differences in contexts and availability of resources, there is no simple means for quantifying quality of care and services. This assessment tool can help determine what each facility or program needs in order to improve the quality of adolescent reproductive health services and design appropriate alterations or interventions.

Reports and Publications:

Senderowitz, J., Hainsworth, G., and Solter, C. 2003. Conducting a rapid assessment of youth-friendly services for reproductive health. Technical Guidance Series. Watertown: Pathfinder International.


English, Vietnamese

Contact: Gwyn Hainsworth, ARH and Training Associate
Pathfinder International
9 Galen Street, Suite 217
Watertown, MA 02472