Summary

• Poor mental health, including high levels of stress, is associated with increased risk behaviours resulting in negative sexual and reproductive health (SRH) outcomes amongst adolescent girls and young women (AGYW)
• We explored South African AGYW’s narratives of stressors,  coping strategies, and impacts of participating in an intervention on mental well-being.
• We found intersecting factors across individual, interpersonal, microlevel and structural levels that are salient mental health stressors experienced by AGYW
• Respondents who had participated in the Imagine Programme reported improved mental health and well-being due to increased access to psychosocial support.

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