Promoting contraceptive use through evaluation and evidence (PROCEED)

In Senegal, MET is evaluating the effect of the Informed Push Model (IPM) on the availability of family planning stock in health facilities. We are also examining the effect of the intervention on Modern Contraceptive Prevalence Rates among women of reproductive age in Senegal. Our multi-dimensional approach examines the key elements of IPM, how it was implemented and how it changed. We aim to understand its acceptability within all levels of the health system and to determine the cost and cost-effectiveness of the model. We will also examine the wider family planning context and activities within which this intervention is being implemented.

Photo: Jonathan Torgovnik

As part of the evaluation, we aim to fully characterise the family supply chain model, which uses performance-based contracting. We are working with key stakeholders, implementers, private operators, funders and the Ministry of Health to develop the theory of change for the intervention. In doing so, we hope to understand how the model is expected to work and what are the underlying assumptions behind the intervention. We will do this multiple times throughout the lifetime of the evaluation to document changes in the intervention and the reasons for those changes.

We also want to understand the broader context in which the supply chain is being implemented. We will use qualitative research methods, including in-depth interviews, observations and clinic diaries, to examine what happens when the supply chain model interfaces with the health system within which it operates. We will also look more broadly at the reproductive health landscape in Senegal and explore ways of measuring the implementation intensity of family planning programmes.

Finally, it is critical to understand how much these models might cost and their overall cost-effectiveness. Therefore, we are measuring costs at all levels of the health system, comparing IPM to the current supply system.

MET is collaborating with a research consortium made up of the Institute for Health and Development (ISED) and the Department of Sociology at the Université Cheikh Anta Diop de Dakar, and the Convergence Santé pour le Développement (CSD).

For more information, please contact Dr Caroline Lynch.