Can a comprehensive voucher programme prompt changes in doctors’ knowledge, attitudes and practices related to sexual and reproductive health care for adolescents? A case study from Latin America

This study confirmed provider related barriers that adolescents in Nicaragua may face and reinforces the importance of focusing on the quality of care and strengthening doctors' training. Participation in the voucher programme resulted in increased knowledge, improved practices and, to a lesser extent, in changed attitudes. A competitive voucher programme with technical support for the participating doctors can be a promising strategy to prompt change.