{ it takes a village outcomes-driven advocacy beth fredrick rmnch advocacy global grantee meeting...
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{{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—[email protected] Fredrick—[email protected]
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