{{It Takes a VillageIt Takes a Village

Outcomes-Driven AdvocacyOutcomes-Driven Advocacy

Beth FredrickRMNCH Advocacy Global Grantee MeetingFebruary 28, 2013

 Reflects the limited research capacity found in the countries

in which AFP works, especially at the district level

Tracks process, outcome and, when possible, impact variables

Provides continuous feedback to advocates in order to improve advocacy outcomes

Is simple and inexpensive to use

Helps to determine post-project sustainability of advocacy efforts

 

M&E ApproachM&E Approach

 Establishes a baseline and benchmarks for assessing progress

Places evidence in a policy context

Incorporates the Smart Chart™ in sharing advocacy priorities

Includes leadership profiles

Will be updated quarterly

Can be adapted to a dashboard presentation

Landscape AssessmentLandscape Assessment

 Focuses on a specific “Quick Win”

Supports ongoing monitoring of advocacy efforts and decision-making

Graphically captures key inputs, outputs and outcomes

Is designed to contribute to and use other FP2020 accountability mechanisms

Helps to determine and share effective tactics and messages

Acknowledges contributions of multiple actors, including policymakers

Can be easily updated as the policy environment changes or policies are implemented

Follows the Smart Chart™

 

Results CascadeResults Cascade

 Provide more context and qualitative information on advocacy

“Quick Wins”

Support the Results Cascades

Can include graphic presentation of evidence and/or photographs

Enable full attribution to advocacy partners and policymakers

 

Case StudiesCase Studies

Nakaseke, Uganda Field Visit—July Nakaseke, Uganda Field Visit—July 20102010

II want to see it for myself.

How can we translate

evidence to action?

What next?

Family Health International (FHI 360), Advance Family Planning (AFP), Partners in Population and Development African Region (PPD ARO) lead development of strategy with objective of convening MOH Senior Management Team (SMT) for guidelines review

Government officials engaged at district and central government level to gain support and prepare for SMT presentation on feasibility and effectiveness (June 2010)

MOH SMT meets on guidelines (September 2010)

Quick win: MOH guidelines authorize the approximately 200,000 VHWs to provide injectables (March 2011)

Director General, Health Services validates the operations research with his own field visit and interviews with VHWs) Clinical Officers and women (July 2010)

Evidence on safety and feasibility of community-based distribution of injectables collected and policy brief prepared (May 2010)

Uganda: Quick Win – Community Access to Uganda: Quick Win – Community Access to InjectablesInjectablesMinistry of Health (MOH) guidelines enable village health workers (VHWs) to provide contraceptive Ministry of Health (MOH) guidelines enable village health workers (VHWs) to provide contraceptive injectablesinjectables

Policy Task Force approves guidelines (November 2010)

MOH Issues guidelines(January 2011)

QUICK WIN: Community-based distribution of contraceptive injectables incorporated into the policy guidelines

Disseminate New Policy

Guidelines Train Village Health

Workers to Provide Injectables

Increased Contracepti

ve Use

Increase Availability

of Injectables from VHTs

Results Cascade Results Cascade

Established District Working Group (DWG) in Pontianak. (November 2010)

DWG partners with BKKBN and Bappeda to design programs/budgets to be discussed at district budget planning meeting. (April 2011)

The Mayor, the most critical champion for the district budget increase, expresses full support for family planning, hoping that Pontianak City will win the family planning top award (based on number of acceptors). (May 2011)

QUICK WIN: 2012 Pontianak district budget increases by more than 30% over 2011 level (45,000 USD in 2011 to 59,000 USD). (November 2011)

DWG holds round table discussion with Mayor, Bappeda, and other stakeholders to build confidence to invest in family planning. (May 2011) .

DWG develops advocacy strategy with Smart Chart™, Netmapping, Spitfire, and reproductive health costing. (November 2010)

Indonesia Quick WinIndonesia Quick WinPontianak government increased the 2012 FP budget Pontianak government increased the 2012 FP budget 31% for over the 2011 budget 31% for over the 2011 budget

QUICK WIN: 2012 Pontianak district budget increases by more than 30% over 2011 level (45,000 USD in 2011 to 59,000 USD). (November 2011)

Increased use of LAPMs in Pontianak

Increased use of LAPMs in Pontianak

Results CascadeResults Cascade

Increase funds for community mobilization, promotion

and advocacy (1)

Increase funds for community mobilization, promotion

and advocacy (1)

Improve services for FP including a dedicated room

for sterilization (2)

Improve services for FP including a dedicated room

for sterilization (2)

Increase budget for sterilizations (3)Increase budget

for sterilizations (3)

Data will be collected to measure increased availability of methods and FP adoption and switching

The 2012 World Development Report (WDR) neglected to include a reproductive health strategy under its gender empowerment section (July 2011)

AFP partners met with the U.K. World Bank Executive Director, Suzanna Moorhead (facilitated by the Bretton Woods Project, August 2011)

The Bank Executive Directors called an emergency meeting with Bank staff requesting inclusion of family planning in the WDR (August 2011)

The 2012 WDR published and the emphasis on increasing women’s control over fertility now threads through the WDR 2012 (October 2011)

IPPF engaged in advocacy with the World Bank – holding them accountable for their commitments in the Reproductive Health Action Plan (August 2011)00

AFP partners sent letters to the World Bank’s Executive Directors and President emphasizing the links between family planning and economic development and gender empowerment (July 2011)

 The “Quick Win” is a misnomerThe “Quick Win” is a misnomer

Proper attributionProper attribution

The “cause and effect conundrum”The “cause and effect conundrum”

Taking the long viewTaking the long view

More work needed to evaluate networks and ongoing activitiesMore work needed to evaluate networks and ongoing activities

Taking time to documentTaking time to document

Keeping momentum goingKeeping momentum going

ChallengesChallenges

A Final Thought A Final Thought on the Value of Advocacyon the Value of Advocacy

Advance Family PlanningAdvance Family Planningwww.advancefamilyplanning.orgwww.advancefamilyplanning.org

Beth Fredrick—Bfredric@jhsph.eduBeth Fredrick—Bfredric@jhsph.edu

For More InformationFor More Information