Shift the Status Quo: New Guide on Systems Approaches to Adolescent Health

How can small changes lead to big impact for young people in cities? The new HCA-II guide for practitioners, “Shift the Status Quo – Applying a Systems Approach to Adolescent Health and Wellbeing in Cities,” offers practical answers.

The guide is designed for project teams, youth workers, and partners who want to move beyond surface-level fixes and address the deeper conditions shaping adolescent wellbeing. It provides tools, methods, and real stories from across HCA projects.

  • In Ghana, the Adolescent Parliament successfully pushed city leaders to reopen a long-abandoned youth library – a modest but meaningful policy change driven by young voices.
  • In Colombia, lessons from the Vivo Mi Calle project were reimagined to create a “Healthy Route” bike path in Palmira, linking adolescent wellbeing with urban mobility and sporting events.
  • In Senegal, youth advocates influenced the mayor of Thiès to commit public funds to adolescent health and nutrition.

These examples show how small shifts in decision-making, resources, or partnerships can create ripple effects that last.

Download the guide here

Other News

HCA-II publishes MILE report, capturing key learnings to enhance programme impact

Phase II of the Healthy Cities for Adolescents (HCA-II) programme has published its Mid-term Internal Learning Exercise (MILE) report, a...

Our City. Our Say – Voices shaping the future of cities on World Cities Day

As Urban October comes to a close, adolescents, community members and local officials across six countries of the Healthy Cities...

Adolescents’ voices, leaders’ actions: How Da Nang’s Children’s Council is changing the way cities listen

In Da Nang, Vietnam, adolescents are making their voices count – influencing the decisions that shape their lives and communities....

If you are a project participant or work with us, visit to view additional materials