ZANZIBAR, Dec. 4 -- THE late afternoon sun settles gently over the narrow streets of Unguja as groups of teenagers stream out of a university hall, their conversations animated and hopeful.

Just an hour earlier, many of them sat through a youth friendly reproductive health session, the kind that didnt exist for their parents, and which until recently, many young Zanzibaris could only imagine.

Today, however, these sessions are becoming part of a growing movement across Zanzibar, a movement that is empowering young people with the information, services and support they need to take charge of their sexual and reproductive health.

At the center of this transformation is Start Small, a youth-focused initiative led by MSI Tanzania in partne...