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Evaluating the Impact of Sexual and Reproductive Health Interventions in Africa

The Sexual Reproductive Health Project by the INDEPTH Network seeks to assess the demographic and health impacts of reproductive health (RH) and family planning (FP) interventions across various African sites. Utilizing a Health and Demographic Surveillance System (HDSS) platform, the project leverages both existing and new data to evaluate RH and FP programs. Key workshops have led to focused areas for research, including adolescent reproductive behavior and the determinants of unwanted pregnancies, aimed at reorienting interventions for maximum efficacy.

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Evaluating the Impact of Sexual and Reproductive Health Interventions in Africa

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  1. Sexual Reproductive Health Project INDEPTH Network

  2. Background • Several RH and FP interventions have been implemented in Africa • Yet not much is understood about the demographic and health impact of these interventions • Project aims to utilize HDSS platform to evaluate impact of SRH programmes in Africa

  3. Methods • Use both existing / new data to examine the impact of RH and FP interventions in a few African sites • Use these evaluations to reorient or reconfigure their interventions to yield maximum impact

  4. Processes • Pune brainstorming workshop • Presentation of concept paper • Broad areas agreed • Second workshop organized in Accra in mid December 2009 • Focused areas agreed. • Call issued

  5. Selection of Proposal • SAC subcommittee constituted to review proposal • A representative from Hewlett also reviewed • Proposals were scored • Reviews discussed with Hewlett Team in Dallas • Five proposals selected

  6. Projects • Trends and determinants of Sexual and Reproductive Behavior of Adolescents in Magu HDSS, Tanzania • Adolescent reproductive Behavior and Fertility in Rakai HDSS • Prevalence And Determinants Of Unwanted Or Mistimed Pregnancies Among Hiv Negative Versus Positive Women In Western Kenya

  7. Projects… • Fertility, Family Planning, Child Health and Survival, and Househould Economic Outcomes: What can we learn from the Nairobi Urban Health and Demographic Surveillance System? • An investigation of the relationship between fertility and economic well being in the Kassena-Nankana District of Ghana

  8. Implementation Status • Rakai - IRB clearance. Field work started in August – qualitative data being collected to supplement quantitative data • Navrongo – implementation in progress – two papers to be presented at AGM • Kisumu – developed questionnaires (qual & quant): going through IRB clearance • Nairobi – Implementation in progress – draft paper in progress • Magu- Implementation in progress

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