This report examines the findings of an external assessment of the A+ programme, an innovative IPPF youth-led programme funded by Danida. The A+ programme was implemented by IPPF’s Member Associations in 16 countries across Sub-Saharan Africa, South Asia and Central America. Its overriding goal was to increase access to sexual and reproductive health services and comprehensive sexuality education for young people, and to promote their sexual and reproductive health and rights. It is hoped this report, guided by the unique insights of young people themselves, will contribute to shared learning on how best to implement a youth-centred approach across IPPF and beyond.