Qualitative Assessment of High Impact Practices (HIPs) in Family Planning

High impact practices (HIPs) in family planning (FP) are a collection of evidence-informed practices identified by global experts that have demonstrated impact on contraceptive uptake and other related outcomes in varied settings. D4I conducted a qualitative assessment of the extent to which 3 of 8 service delivery HIPs are being implemented across several USAID-funded projects in Bangladesh and Tanzania.

The D4I assessment sought to understand the extent that 3 service delivery HIPS—community health workers, mobile outreach service delivery, and immediate postpartum FP—follow implementation standards or core components. The D4I HIPs assessment was implemented in collaboration with local research partners—Capacity Building Service Group (CBSG) in Bangladesh and CREMES International in Tanzania.

D4I developed step-by-step guidance for FP projects to conduct a self-assessment of HIPs implementation, including core components checklists used by the data collections teams. The assessment’s conclusions and recommendations include suggestions for both USAID and projects implementing service delivery projects with HIP-related activities.

D4I participated in cross-project collaboration and a working group that produced the HIP key implementation components. D4I collaborated with the Research for Scalable Solutions (R4S) project and The Challenge Initiative to harmonize the core components. D4I was also a member of a steering committee to plan global dissemination on HIPs measurement that included USAID, the Bill & Melinda Gates Foundation, the United Nations Population Fund (UNFPA), the World Health Organization (WHO), FP2030, and R4S along with Ministry of Health staff from Burkina Faso, Mozambique, Nepal, Nigeria, and Uganda. A series of webinars in 2024 shared new insights and tools on advancing measurement of HIP implementation to support strategic decision making.