In this systematic review the meausres to monitor and improve mental health outcomes in particpants taking part in SRHR/HIV interventions were assessed in sub-Saharan Africa. The authors show that interventions to improve adolescent SRHR, HIV, and mental health are relatively understudied, with mental health outcomes often the least commonly assessed outcomes. this study highlights the need to look beyond HIV care and keep in mind other equally important aspects of health and wellbeing.