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Monitoring the Scale-up of
Family Planning Practices and
Interventions
Bridgit Adamou
MEASURE Evaluation Population and
Re...
Objectives
 Discuss the concept of scale-up and the importance
of monitoring and evaluating it
 Introduce the monitoring...
What does “scale-up” mean?
ExpandNet’s definition: ““deliberate efforts to increase
the impact of health service innovatio...
Benefits of M&E of Scale-up
 Gain a better understanding of what it takes to scale up
the main elements of the practice
...
Guide to Monitoring Scale-up of
Health Practices and Interventions
Goal: To assist country
stakeholders with identifying
i...
The guide is a practical “how to”
resource which includes:
 Rationale for monitoring scale-up
 Readiness assessment
 Te...
Rationale
The two key elements for successful scale-up:
institutionalizing the practice and replicating it
Another way to look at scale-up…
Readiness Assessment
 Evidence exists that the scaled-up practice will likely
have a positive impact on health outcomes
...
Ten Considerations to Monitoring
Scale-up
1. Define objectives and
scope of scale-up plan
2. Create a framework
3. Identif...
Appendices
 IRH’s Defining the Innovation, with accompanying
worksheet
 Case Studies:
- PROGRESS Project: Monitoring the...
Using GIS to Monitor Scale-up
GIS tools help to add an additional
component to data analysis — space.
The expansion aspect...
Thank you
MEASURE Evaluation PRH is a MEASURE project funded by the United
States Agency for International Development (US...
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Monitoring the Scale-up of Family Planning Practices and Interventions

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Presented by Bridgit Adamou at the International Conference on Family Planning in November 2013.

Published in: Education, Technology
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Monitoring the Scale-up of Family Planning Practices and Interventions

  1. 1. Monitoring the Scale-up of Family Planning Practices and Interventions Bridgit Adamou MEASURE Evaluation Population and Reproductive Health (PRH) Project
  2. 2. Objectives  Discuss the concept of scale-up and the importance of monitoring and evaluating it  Introduce the monitoring scale-up guide  Present what information is included in the guide  Highlight key components of the guide
  3. 3. What does “scale-up” mean? ExpandNet’s definition: ““deliberate efforts to increase the impact of health service innovations successfully tested in pilot or experimental projects so as to benefit more people and to foster policy and program development on a lasting basis” Scale-up entails the process of reaching more people with a proven practice, more quickly, and more effectively in a particular context.
  4. 4. Benefits of M&E of Scale-up  Gain a better understanding of what it takes to scale up the main elements of the practice  Identify if there is essential information for continued replication and sustainability  Help to systematically plan for and manage scale-up beyond routine implementation  Determine if the core components of the practice are being maintained  Point to where more attention is needed  Identify if the country ownership is being established
  5. 5. Guide to Monitoring Scale-up of Health Practices and Interventions Goal: To assist country stakeholders with identifying if scale-up is happening as intended and if the scale-up efforts can be sustained to achieve the desired impact.
  6. 6. The guide is a practical “how to” resource which includes:  Rationale for monitoring scale-up  Readiness assessment  Ten considerations to monitoring scale-up  “Defining the Innovation” guidance and worksheet  Selected frameworks and approaches for scale-up  Monitoring scale-up case studies  GIS for monitoring expansion
  7. 7. Rationale The two key elements for successful scale-up: institutionalizing the practice and replicating it
  8. 8. Another way to look at scale-up…
  9. 9. Readiness Assessment  Evidence exists that the scaled-up practice will likely have a positive impact on health outcomes  Experience from an evaluation of a local or comparable pilot is available  The scale-up adheres, to the extent possible, to existing health system structures, processes, and practices  The costs of scaling up have been identified and can be monitored  There is a strong level of interest/commitment  There is a commitment to monitoring the scale-up process
  10. 10. Ten Considerations to Monitoring Scale-up 1. Define objectives and scope of scale-up plan 2. Create a framework 3. Identify necessary resources to implement monitoring plan 4. Select indicators 5. Establish data sources and reporting systems 6. Develop a data use and dissemination plan 7. Collect data 8. Analyze data and determine if scale-up is progressing on track 9. Make program adjustments based on findings and recommendations 10. Continue the M&E process
  11. 11. Appendices  IRH’s Defining the Innovation, with accompanying worksheet  Case Studies: - PROGRESS Project: Monitoring the scale-up of FP/CCC integration in Kenya - FAM Project: Monitoring the scale-up of standard days method in five countries - Nutrition Communication Project: Monitoring vitamin A promotion in Niger
  12. 12. Using GIS to Monitor Scale-up GIS tools help to add an additional component to data analysis — space. The expansion aspect of scale-up is inherently geographic in scope, and therefore most any data that contains a geographic component can be imported into a GIS and mapped
  13. 13. Thank you MEASURE Evaluation PRH is a MEASURE project funded by the United States Agency for International Development (USAID) through cooperative Agreement GHA-A-00-08-00003-00 and is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill in partnership with Futures Group International, Management Sciences for Health, and Tulane University. Views expressed in this presentation do not necessarily reflect the views of USAID or the U.S. Government. MEASURE Evaluation PRH supports improvements in monitoring and evaluation in population, health and nutrition worldwide.

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