RESEARCH GAPS IN SCALE UP OF FAMILY PLANNING AND REPRODUCTIVE HEALTH PROGRAMMING

Transcription

1 RESEARCH GAPS IN SCALE UP OF FAMILY PLANNING AND REPRODUCTIVE HEALTH PROGRAMMING Luigi Jaramillo Senior Monitoring and Evaluation Advisor December, 2014

2 Table of Content 1. Meeting Objectives 2. Panel Presentations: Implementing Scale Up How research did or could help the scale up process and outcomes? 3. Working Groups discussion and research questions raised around scale up 4. Next Steps

3 1. Meeting Objectives 1. Provide valuable input to help guide USAID s OPRH research strategy 2. Discuss scale up experiences and the role research and monitoring for strengthening programs at scale 3. Identify research gap related to scale up 4. Prioritize the scale up research gaps for OPRH 5. Identify next steps for addressing priority research gaps

4 2. Panel Presentations

5 2. Panel Presentations

6 3. Working Groups Discussion and Research Questions 1. Need to Identify and document bottlenecks in the process of scale up Lack of commitment by government or stakeholder for scale up Divergent priorities difficult scale up of evidence based interventions Limited availability of funds to support the scale up phase Weak health systems (HR, LMIS, Leadership, physical infrastructure, M&E and Supervision) Ineffective policies to support the scale up of interventions

7 3. Working Groups Discussion and Research Questions 1. Need to Identify and document bottlenecks in the process of scale up 2. Proof of concept vs. proof implementation & the need for an adaptation phase There is need for research, linked with M&E throughout the process of scale up When does the research come? Before and/or during scale up? Different research methods for each phase should focus on looking at processes as well as to changes in use and health outcomes There is a need for an adaptation phase which includes testing different elements of the model, are those done simultaneously? What does it mean to start with the end in mind? 2 votes!

8 3. Working Groups Discussion and Research Questions 1. Need to Identify and document bottlenecks in the process of scale up What characteristics of implementation foster its success for scale up? 7 votes! 2. Proof of concept vs. proof implementation & the need for an adaptation phase 3. Learning from past scale up experiences What do we know about the components of scaling up process? What elements stuck and which ones didn t? 1 vote! How long and how much resources does it take to scale up the intervention in different contexts? How to best lay the groundwork for scale during the pilot stage?

9 3. Working Groups Discussion and Research Questions 1. Need to Identify and document bottlenecks in the process of scale up 2. Proof of concept vs. proof implementation & the need for an adaptation phase 3. Learning from past scale up experiences What are the factors that facilitate and those that hinder scale up? What has been tested? What have been the drivers of adaptation? 7 votes! 4. Identifying facilitating factors in Scale Up

10 3. Working Groups Discussion and Research Questions 5. Assessing system readiness for Scale Up What system elements and contextual factors are essential for scaling up? 9 votes How do we assess local system readiness? How can policy be strengthened for enabling scale up? How do weak health system pillars affect scale up and to what degree? Assessment tools are needed to guide the process of scale up

11 3. Working Groups Discussion and Research Questions 5. Assessing system readiness for Scale Up 6. Implementing M&E systems linked to research How to best develop capacity to systematically implement and monitor scale up? 4 votes! While we realize the importance of M&E during the scale up, it is often not done due to lack of time and money There is a need for M&E systems that look beyond program outputs and outcomes, more focus on processes is needed How do we show that donors need to invest in M&E and research of scale up? Do we just earmark 10% of all projects for these activities?

12 3. Working Groups Discussion and Research Questions 5. Assessing system readiness for Scale Up 6. Implementing M&E systems linked to research 7. Other important questions raised by participants Need to develop scale up plans that are in balance with available resources What can we learn from the private/commercial sector experience in scaling up services? Which of the systematic approaches to scaling up work best? Would having a framework organized around WHO health systems building blocks help?

13 4. Next Steps Topics for additional meetings, discussions, and work emerged around a number of topics, including: Better knowledge management around experience with scale up Retrospective case studies on scale up experience Implementation research on improving the efficiency of scale up Linking implementation research and M&E of scale up, and the best metrics for measuring scale up, among others.

14 Thank You The Evidence Project is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of cooperative agreement no. AID- OAA-A The contents of this presentation are the sole responsibility of the Evidence Project and Population Council and do not necessarily reflect the views of USAID or the United States Government. The Evidence Project seeks to expand access to high quality family planning/reproductive health services worldwide through implementation science, including the strategic generation, translation, and use of new and existing evidence. The project is led by the Population Council in partnership with the INDEPTH Network, the International Planned Parenthood Federation, Management Sciences for Health, PATH, and the Population Reference Bureau.