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It Takes a Village

It Takes a Village. Outcomes-Driven Advocacy. Beth Fredrick RMNCH Advocacy Global Grantee Meeting February 28, 2013. Reflects the limited research capacity found in the countries in which AFP works, especially at the district level

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It Takes a Village

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  1. It Takes a Village Outcomes-Driven Advocacy Beth Fredrick RMNCH Advocacy Global Grantee Meeting February 28, 2013

  2. 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 Approach

  3. 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 Assessment

  4. 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 Cascade

  5. 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 Studies

  6. II want to see it for myself. How can we translate evidence to action? What next? Nakaseke, Uganda Field Visit—July 2010

  7. 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) 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) MOH SMT meets on guidelines (September 2010) Policy Task Force approves guidelines (November 2010) MOH Issues guidelines (January 2011) Uganda: Quick Win – Community Access to InjectablesMinistry of Health (MOH) guidelines enable village health workers (VHWs) to provide contraceptive injectables Quick win: MOH guidelines authorize the approximately 200,000 VHWs to provide injectables (March 2011)

  8. QUICK WIN: Community-based distribution of contraceptive injectables incorporated into the policy guidelines Disseminate New Policy Guidelines Train Village Health Workers to Provide Injectables Increase Availability of Injectables from VHTs Results Cascade Increased Contraceptive Use

  9. 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) 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) 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) Indonesia Quick WinPontianak government increased the 2012 FP 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)

  10. 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) Increase funds for community mobilization, promotion and advocacy (1) Improve services for FP including a dedicated room for sterilization (2) Increased use of LAPMs in Pontianak Increase budget for sterilizations(3) Results Cascade Data will be collected to measure increased availability of methods and FP adoption and switching

  11. 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) 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 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)

  12. The “Quick Win” is a misnomer • Proper attribution • The “cause and effect conundrum” • Taking the long view • More work needed to evaluate networks and ongoing activities • Taking time to document • Keeping momentum going Challenges

  13. A Final Thought on the Value of Advocacy

  14. Advance Family Planning www.advancefamilyplanning.org • Beth Fredrick—Bfredric@jhsph.edu For More Information

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