América Latina y el Caribe tienen la segunda tasa más alta de embarazo adolescente en el mundo, con la pandemia y cierre de escuelas esta situación ha empeorado.  
Ante la falta de educación sexual en la juventud y de acceso al sistema de salud, desde 2018, Úsala Bien, un proyecto de PSI en Centroamérica y el Caribe, trabaja para lograr satisfacer la necesidad de salud sexual reproductiva y brindar mayor acceso al uso de Métodos anticonceptivos a jóvenes por medio de un canal efectivo: las redes sociales.
 El programa mediante el uso de redes sociales como Instagram, Facebook y desde este año TikTok, busca informar sobre salud sexual reproductiva (SSR) y métodos anticonceptivos de forma amigable y divertida para que la juventud tome decisiones informadas, responsables y mejoren su calidad de vida.
Dentro de la estrategia de comunicación digital y de cambio de comportamiento se crean mensajes orgánicos y de pauta utilizando "memes", "newsjacking" y formatos exitosos como "TiKToks".
La terminología médica es compleja y muchas veces no le interesa a la juventud, pero gracias a la comunicación clara, juvenil y con humor, solo durante el 2021, se alcanzaron los 8,9 M de jóvenes, con un "engagement" de 348 K.
Debido al contexto de la pandemia se estima que 12 millones de mujeres en la región se vieron obligadas a interrumpir el uso de anticonceptivos. Durante ese período, el contenido se adaptó para resolver las necesidades más urgentes de los jóvenes e impulsar las intervenciones en línea de cambio de comportamiento.

The COVID-19 pandemic caused significant disruption to sexual and reproductive healthcare (SRH), partially or completely disrupting delivery services. Governments across the world established national emergency and response committees and rolled out lockdown measures to prevent and manage the spread of the disease. The pandemic required SRH programs to rapidly adapt service delivery models to respond. Government and non-governmental organizations alike adapted quickly to utilize telehealth, community, and home-based care, promoting the use of mobile phone applications and call centers to seek more information. 
The Women's Integrated Sexual Health 2 (W2A) Programme, funded by FCDO and led by International Planned Parenthood Federation (IPPF) supports integrated sexual and reproductive health and rights (SRHR) services in countries across Africa and Asia. This abstract documents W2A's implementation of Interactive Voice Response (IVR) to reach young people living in poverty in Malawi with edutainment information on family planning (FP). While Malawi has seen tremendous growth in the mobile phone sector, most of the population own simple phones. A baseline assessment to inform the IVR content, found that almost half of respondents hadn't received information on FP but condoms are a popular contraceptive method. Use of edutainment spots resonated with youth as did the use of SMS and a social media influencer to promote the IVR platform. A clinic locator menu to provide information on where young people can locate a service provider, worked well to link potential SRH clients, demonstrating marginal increases in youth accessing SRH services at W2A Malawi clinics.

Literature demonstrates that complementary investments in family planning are required for prioritizing job creation and employment among youth, in achieving a demographic dividend. Nonetheless, barriers to family planning persist towards development goals in most low- and middle-income countries. In Uganda, this has resulted in unmet need for spacing and limiting, including a proportion of 30.4% of married adolescent girls (15-19 years). The USAID Social Behavior Change Activity (SBCA) used digital platforms to address individual and social barriers to service uptake among young women and young men. Digital platforms were within a supportive channel mix of initiatives intended to cause a tipping point among young women and men for spacing and limiting.

The young married couples are largely underserved due to challenges of ensuring equitable access to quality reproductive and sexual health services and social norms guiding fertility choices resulted in low use of Family Planning (FP) for spacing. YUVAA, the flagship FP program aims to scale approaches to increase use of modern reversible contraceptives among currently married women aged 15-24 with zero or one parity and their Husband through community-based entrepreneur (YUVAAKAAR-YC) as social change agent and use of innovative digital medium in state of Bihar and Maharashtra. 
Men are more aware of modern reversible contraceptives, importance of FP, value birth spacing which provide developmental support and enhanced financial planning than their spouse. The program focused men as agents of change within community to challenge barriers and socio-cultural norms that prevent couples from using modern FP methods and their place in families, communities, and society. Men act as supportive partners, actively engaged in communicating, negotiating fertility desires and contraceptive choices with their partners. 


Men are more inclined to use digital medium. Half of men in program areas own a mobile phone (54.5%) and 41.1% uses social networking sites. SBCC strategy approaches men through innovative digital medium and building the 'Safal Couple' (Successful couple) concept, focuses on gender perspective by highlighting women's role in FP decision making process and couple communication. Program addresses these through digital behaviour modelling tools, IVR platform and smart phone platforms as the media channel.