BACKGROUND
STIS, HIV INFECTIONS, SEXUALLY TRANSMITTED INFECTIONS
Adolescents show disproportionately poor sexual and reproductive health (SRH) outcomes compared to other age groups, with high rates of unintended pregnancy and sexually transmitted infections (STIs), including HIV infections.Schools can provide a safe, equipped, and conducive educational environment in which to reach adolescents through both classroom-based and after-school extramural activities.Schools provide an appropriate platform where adolescents can participate in SRH interventions that improve knowledge, risk management, and self-efficacy before and after sexual debut, maximizing the potential to improve SRH outcomes.We report on implementation lessons learned from an evidence-based sexual health education program in Cape Town, South Africa, called SKILLZ for Girls (SKILLZ), which showed poor program attendance despite high acceptability and intervention support.