Evaluation of Family Planning Program Transitions in Selected Countries

Evaluation of Family Planning Program Transitions in Selected Countries
Abstract: The United States Agency for International Development (USAID) is the largest bilateral donor of family planning (FP) assistance, having provided financial support and technical assistance to countries around the globe for more than five decades. Such assistance has contributed to significant increases in modern contraceptive use and reductions in fertility in recipient countries. More than two dozen countries have since transitioned out of USAID’s financial support over the last three decades and demonstrated sustained programmatic achievements at the country level.

Despite the remarkable FP results and USAID’s emphasis on long-term sustainability, there have been only a handful of large-scale evaluations of the extent to which FP programs and outcomes have been sustained after the transition. Our exercise, therefore, was aimed to advance the work of strategic transition planning, implementation, and evaluation of large-scale global health programs by developing a guiding framework for this process.

The earlier phase of this activity involved the development of the FP program
transition framework to guide the planning and M&E of the FP/ reproductive health (RH) program transition through a thorough literature review. In this report, we discuss the application of the framework to the evaluation of FP programs in four selected countries after they transitioned out of USAID support. While the evaluation was still retrospective and focused on the post-transition period, we discussed how the framework could be useful in the future for the pre-transition assessments, planning, implementation, and evaluation of FP program transitions. Four countries— Honduras, Indonesia, Morocco, and Peru—were selected, in consultation with USAID, for two main reasons: (1) they presented different geographical regions and (2) distinct graduation periods.
Shortname: SR-24-232
Author(s): Mai Do, Molly Weber, Jennifer Racher, Layla Babahaji, and Shay Slifko
Year: 2024
Language: English
Region(s): HONDURAS, INDONESIA, MOROCCO, PERU