Results Cascade REFRESHER

Transcription

1 Results Cascade REFRESHER Documet, Moitor, Evaluate March 27, 2017 SKILLS-BUILDING SESSION Beth Fredrick, Bill & Melida Gates Istitute for Populatio ad Reproductive Health James Mlali, Advace Family Plaig Tazaia, Health Promotio Tazaia

2 Sessio Overview Demystify the Results Cascade Really, it s easy Remid you how it s doe Process, outputs, ad outcomes (Quick Wi) Result or impact from quick wis (Results Cascade) Make it worth your while Documet results Replicate success Adapt to success ad setbacks

3 Seve Habits of Highly Effective People 1. Be proactive 2. Begi with the ed i mid 3. Put first thigs first 4. Thik wi-wi 5. Seek first to uderstad, the to be uderstood 6. Syergize 7. Sharpe the saw (make sure you ca do it) Steve R. Covey, 1989

4 Seve Habits of Highly Effective People 1. Be proactive 2. Begi with the ed i mid 3. Put first thigs first 4. Thik wi-wi 5. Seek first to uderstad, the to be uderstood 6. Syergize 7. Sharpe the saw (make sure you ca do it) Steve R. Covey, 1989

5 Seve Habits of Highly Effective People 1. Be proactive 2. Begi with the ed i mid 3. Put first thigs first 4. Thik wi-wi 5. Seek first to uderstad, the to be uderstood 6. Syergize 7. Sharpe the saw (make sure you ca do it) Steve R. Covey, 1989

6 Results Cascade Overview SMART Objective Formative activities ad dates Process Activities ad dates Associated Outputs Quick Wi Descriptio of the QW Date achieved Other importat itervetios / Outcomes towards the Broad Goal Other actors / players BROAD GOAL / IMPACT

7 Happy Retiremet for Beth & James

8 HAPPY RETIREMENT FOR BETH & JAMES Do ad Adela agreee to sig a cotract with a architect by Jauary 2017 Oe-o-oe discussios with Do ad Adela to itroduce the idea 30 September, 2016 BUDGET & PLAN 30 September, 2016 A ice quiet dier with Do ad Adela 31 October, 2016 Develop iitial budget ad pla 30 September, 2016 Reserve a room ad a table at Mediteraeo 15 October, 2016 Order their favorite foods 31 October, 2016 REALLY GOOD DINNER & DISCUSSION 31 October, 2016 DON AND ADELA ENTHUSIASTICALLY AGREE TO SIGN A CONTRACT WITH AN ARCHITECT BY JANUARY October, 2016

9 HAPPY RETIREMENT FOR BETH & JAMES QDON AND ADELA ENTHUSIASTICALLY AGREE TO SIGN A CONTRACT WITH AN ARCHITECT BY JANUARY October, 2016 Outcome 1 Outcome 2 Outcome 3 *Sources of data for validatio: Happiess for both couples

10 AFP M&E Theory of Chage Attaiig a Quick Wi is just the first i a series of steps to achieve impact Quick Wi Likig advocacy actios to impact is extremely difficult ad costly; however, Ivestig i quick wis kow to ifluece impact produces a credible associatio with the impact AFP Credible Associatio Impact

11 Why is it worth it? Orgaizig a SMART advocacy strategy Idetifyig ad overcomig obstacles/setbacks Refiemet of advocacy activities Project maagemet Fulfills reportig obligatios Coects process, quick wis, ad impact

12 Why is the Results Cascade useful for advocates? To record ad share the work ad what happeed To replicate the strategies ad tactics used To demostrate strategic expertise to doors ad others To show that policies fulfill their itet To esure that idividual efforts lead to log-term chage

13 Miistry of Health (MOH) Addresses Cotraceptive Stock-outs Example Results Cascade MOH report o reproductive health commodity security says the log procuremet process is a critical cause of cotraceptives stock-outs (September 2012) Pledge Guaratee proposed as a advocacy optio to cushio delays i procuremet Jue 2013 OUTPUTS Further assessmet fids Framework Cotract more relevat tha the Pledge Guaratee September 2013 Agreemet by the Cotraceptive Security Committee to work o a Framework Cotract October 24, 2013 Dialogue iitiated with the Cotraceptive Security Committee October 24, 2013 OUTPUTS Meetig with MOH expert proposes iclusio of Implao i the Framework Cotract Oct July 2014 Agreemet o proposal to iclude three FP commodities i the Framework Cotract Jue 28, 2014 QUICK WIN MOH approves iclusio of Implao i the Framework Cotract procuremet model Date of Accomplishmet: July 22, 2014

14 QUICK WIN Date AFP Results Cascade Outcome 1 Outcome 2 Outcome 3 Impact *Sources of data for validatio: See Table 1, Example Data Sources

15 QUICK WIN MOH approves iclusio of Implao i the Framework Cotract procuremet model Date of Accomplishmet: July 22, 2014 AFP Results Cascade OUTCOME 1 MOH aouces iclusio of Implao i cotract OUTCOME 2 Implao stock delivered o time startig 2013 OUTCOME 3 Improved availability of Implao i 2014 GOAL Icreased use of cotraceptio i respose to icreased availability Data Source: Procuremet ad stock status data at facility level with the atioal Cotraceptive Security Committee

16 Visibility of cotraceptive issues Demad geeratio - Media attetio - IEC/BCC programs Demad - Positive persoal ad commuity attitudes towards cotraceptive use AFP SMART advocacy to support FP2020 goals Policy agedas use evidece to prioritize cotraceptio Political will/coutry owership (atioal & subatioal) Fiacial commitmets for cotraceptio Better policies, better implemeted More fudig, better spet Easy, equitable access to quality, volutary services Traied service providers Uptake of quality cotraceptive services Users of moder cotraceptio Uwated pregacies 4/14/17 Govermets, decisio makers, ad implemeters held accoutable Cotraceptive security - Adequate supply - Access to more effective methods Cotraceptive choice - Broad method mix

17 AFP s Theory of Chage 1. Regulatio chage or budget allocated 2. Policies chage & resources icrease & improve FP 3. Chage i provisio of FP services 4. Chage i quality & use of FP services At each step Idetify barriers ad opportuities with AFP SMARTs Documet ad commuicate quick wis Evaluate the decisios eeded to cotiue progress toward impact Examie data to iform ext steps i advocacy Evaluate the feasibility of takig the ext step AN EVIDENCE-BASED ADVOCACY INITIATIVE 17

18 Step 1 FP Policy Chage/Allocatio of Resources Keya Quick Wi Siaya, Kakamega, Tharaka Nithi ad Kitui couties allocate a combied total of $246,279 to FP Fiscal Year 2015/2016 Documetatio Couty budgets ad aual reports What additioal documetatio could be provided? Is it feasible to move to Step 2? If ot, why ot? 1. Policy chage or budget allocated 2. Policy chage & resources improve FP access 3. Chage i provisio of FP services 4. Chage i quality & use of FP services AN EVIDENCE-BASED ADVOCACY INITIATIVE 18

19 Step 2 Policy Chage & Resources icrease ad improve FP DRC Quick Wi After DRC s commitmet to FP2020, the govermet purchases S$300,000 worth of cotraceptives Documetatio Programme Natioal de Saté de la Reproductio (PNSR) What additioal documetatio could be provided? Is it feasible to move to Step 3? If ot, why ot? 1. Policy chage or budget allocated 2. Policy chage & resources icrease & improve FP access 3. Chage i provisio of FP services 4. Chage i quality & use of FP services AN EVIDENCE-BASED ADVOCACY INITIATIVE 19

20 Step 3 Chage i Provisio of FP Services Zazibar Quick Wi After refresher traiigs for forecastig FP commodities for key staff i 10 districts, reduced stock outs ad icreased availability ad access to FP commodities Documetatio Reports from the Tazaia health system What additioal documetatio could be provided? Is it feasible to move to Step 4? If ot, why ot? 1. Regulatio chage or budget allocated 2. Policy chage & resources icrease & improve FP access 3. Chage i provisio of FP services 4. Chage i quality & use of FP services AN EVIDENCE-BASED ADVOCACY INITIATIVE 20

21 Step 4 Chage i Quality & Use of FP Services Idoesia I Karagayar district, after fuds are disbursed, provisio of log-actig cotraceptive methods improves ad use icreases (32,4%-34,2%) Documetatio Reports from village FP teams. District service statistics from the govermet (BKKBN) What other data do you eed to move forward? Are they ready to scale-up? Why or Why ot? 1. Policy chage or budget allocated 2. Policy chage & resources icrease & improve FP access 3. Chage i provisio of FP services 4. Chage i quality & use of FP services

22 I Summary Results Cascade are helpful & should ot be itimidatig They documet how quick wis lead to impact They help others uderstad our success

23 For More Iformatio AFP Advocacy Portfolio:

24 Thak You! AFP aims to icrease the fiacial ivestmet ad political commitmet eeded to esure access to high-quality family plaig through evidece-based advocacy. advacefamilyplaig.org

25 Defiitios ad Key Cocepts Broad Goal/Impact Log-term outcome that describes the overall missio or purpose Example: 120 millio more wome use cotraceptio Objective Brief, SMART statemet of itet describig the result beig pursued SMART: specific, measurable, attaiable, relevat, time-boud Example: Govermet budget for cotraceptives icreases by 10% by Jue

26 Defiitios ad Key Cocepts Quick Wi/Outcome Discrete, critical policy or fudig decisio that must occur i the ear term to achieve a broad goal Example: Govermet allocates 10% more for cotraceptives i Jue Process Activities ad Outputs Key activities required to achieve the Quick Wi; activities result i outputs Example: Family plaig stakeholders meet with members of Parliamet to solicit their support for a FP fudig allocatio

27 What is the Results Cascade? Clearly ad simply presets Advocacy activities/outputs Outcomes/quick wis Iteded impact Pathways that ifluece actio ad impact Is a way to Assess results ad opportuities to refie strategy Documet the actors ad activities that geerate chage Track policy implemetatio ad cotributios to impact

28 Usig the Decisio Tree Look ahead see how oe Quick Wi will ifluece aother or chage the strategy Put advocacy i cotext which data ca you moitor to track that advocacy is havig a impact? Focus o follow-through moitor how well policies are kow ad beig implemeted Look beyod your ow efforts which activities do others eed to take up? Photo by Joh Schiker