PROGRESS End-of-Project Report - FHI 360

1 PROGRESS End-of-Project Report Meeting the Family Planning Needs of Underserved Populations Working in seven primary countries and providing global Capacity technical leadership, Building PROGRESS significantly improved access to family Evidence planning among underserved populations through research, utilization of existing and new research results, and capacity building. Work under Ownership PROGRESS focused on maximizing human resources through task-shifting, Health Systems expanding service delivery options, and expanding the contraceptive method mix. The Agency for International Development (USAID) awarded PROGRESS (Program Research for Strengthening Services) to Family Health International (now FHI 360) in 2008.

2 PROGRESS . End-of-Project Report : Meeting the Family Planning Needs of Underserved Populations provides an overview of the results and accomplishments of the five-year PROGRESS project . For additional information on particular activities or technical areas undertaken by PROGRESS , please see the PROGRESS website at Selected publications are listed within this publication and on pages 20 and 21. A longer final Report , which includes a description of each activity undertaken by PROGRESS , is available upon request. FHI 360, 2013. Photo credits: page 4, Rabiatu Abdulhadi/FHI 360.

3 Page 6, John Stanback/FHI 360. page 10, Rose Masaba/FHI 360. page 20, Angela Akol/FHI 360. page 21, Morrisa Malkin/FHI 360. PROGRESS : From Vision to Reality FHI 360's PROGRESS project sought In each technical area, PROGRESS . to improve access to family planning conducted research, evaluations, methods and services among and assessments. Capacity building underserved populations in developing and research utilization, including an countries through research, research emphasis on supporting scale-up and utilization and capacity building. institutionalizing research results and PROGRESS offered global technical high-impact practices, were both part leadership and undertook country- of a concerted effort within Legacy level activities in seven technical areas.

4 Area 4 as well as a cross-cutting effort, FHI 360 implemented the project in reaching all legacy and technical areas. collaboration with ministries of health;. global, regional, and local partners; and Operationalizing the Legacy and other stakeholders. Technical Areas The PROGRESS project had three main Legacy and Technical Areas Intermediate Results, which describe the type of activities undertaken: Research, To increase the potential impact of the Research Utilization, and Capacity project , the PROGRESS team made Building. These were designed to a deliberate effort to focus its work.

5 Overlap, so that few activities were solely With the goal of increasing access to research, but also involved research family planning, PROGRESS outlined utilization and/or capacity building four legacy areas. These are shown aspects as well. This meant that research in the blue boxes in the figure below. projects were designed to specifically As the project evolved, these legacy plan for future utilization and scale-up, areas were further focused into seven beginning with the end in mind.. technical areas. The technical areas are shown in the tan boxes. This approach to integrated research, research utilization, and capacity Technical Areas Organized by Legacy Area Legacy Area 1 Legacy Area 2 Legacy Area 3 Legacy Area 4.

6 Task-shifting & Expanding Service Expanding the Increasing Medical Barriers Delivery Options Method Mix Capacity Postpartum family planning, including Community- immunization based family planning, Capacity building Integration with Expanding the including and cross- non-health sectors family planning injectables cutting research method mix utilization Mobile health Family planning within drug shops Meet ing t he Fa m i ly P la nni ng Nee ds of U n d erser ved Po p u l at i o n s . building included specific elements Ownership: PROGRESS worked to such as having a research utilization build ownership of evidence through specialist on each research team.

7 Stakeholder engagement, champions, The research utilization specialist national family planning technical contributed to the research and working groups, global and regional intervention design, ensured networks, and among partners and stakeholder engagement from implementers. the earliest stages, tracked the implementation of the intervention, Health Systems: PROGRESS engaged disseminated results, and advocated for with health systems through analysis utilization of results locally and globally. of and improvements in policy, training, guidelines, monitoring, and financing.

8 The graphic below illustrates the Identifying challenges within the health integrated approach that PROGRESS systems also turned the cogs, leading used to institutionalize evidence- stakeholders to request evidence from based practices through its work. The PROGRESS . graphic shows three interconnected cogs : evidence, ownership, and health Capacity Building: Building capacity systems, as well as capacity building, was the oil can that kept the which is necessary to ensure that the interlocking cogs working together other elements work together smoothly. smoothly. PROGRESS capacity building focused on skills and abilities across Evidence: This cog represents the the other three elements, depending generating, strengthening, and on the needs of the recipient, to ensure packaging of evidence to meet the that evidence-based practices were needs of the audience.

9 It included institutionalized. PROGRESS research, synthesis of existing research evidence, and knowledge translation. The comparative Geographic Coverage size of this cog represents the role of PROGRESS conducted activities at a PROGRESS as a research project . global technical leadership level and in 13 countries. Seven countries had significant work portfolios, with a combination of core and field support Capacity funds: Ethiopia, India, Kenya, Rwanda, Building Senegal, Tanzania, and Uganda. PROGRESS received field support Evidence funds in four additional countries: Ghana, Malawi, Nigeria, and Zambia.

10 These countries also received some core funds, but the overall portfolio and diversity of work was smaller. Ownership Finally, individual core-funded research activities occurred in Pakistan and the Dominican Republic. Health Systems . 2 PP. RORO. GGRR En ESSEn ESS d -do- f- o f- Pro Pro j ec j ec t tRepor Reportt Partnerships PROGRESS also leveraged funds in more than 35 instances, including product Partnerships were central to the donations and contributions in time PROGRESS approach. To implement and resources from partners and other PROGRESS , FHI 360 was proud to donors.