High Impact Practices (HIPs) in Family Planning (FP): A qualitative assessment of quality and scale of implementation for three service delivery HIPs in Bangladesh and Tanzania

High Impact Practices (HIPs) in Family Planning (FP): A qualitative assessment of quality and scale of implementation for three service delivery HIPs in Bangladesh and Tanzania
Citation: Pietrzyk, S., Pantazis, A., Roy, J., and Kahabuka, C. (2023). High Impact Practices (HIPs) in Family Planning (FP): A qualitative assessment of quality and scale of implementation for three service delivery HIPs in Bangladesh and Tanzania. Chapel Hill, NC, USA: Data for Impact.
Abstract: High impact practices (HIPs) in family planning (FP) are a collection of evidence-based practices identified by global experts that have demonstrated impact on contraceptive uptake and other related outcomes in varied settings. This assessment focused on the extent that three HIPs are implemented and monitored across several United States Agency for International Development (USAID)-funded health service delivery projects in Bangladesh and Tanzania.

The specific HIPs covered in this assessment relate to community health workers, mobile outreach service delivery, and immediate postpartum family planning. Prior to this assessment, no implementation standards for HIPs had been established beyond the HIP technical briefs. As such, HIP core components were developed for this assessment with core components referring to an established standard for implementation. Data collection included the administration of core component checklists to rank individual core component implementation using a scale of 1 (limited) to 4 (foundational) and key informant interviews. A total of 156 individuals (83 male and 73 female) participated in data collection.

The results from the two data collection activities are, to an extent, the opposite. The self-assessed ranking through the core component checklists suggests that the projects are implementing the core components and thus, the HIPs. However, the interviews with the project staff and district FP experts point to challenges around implementing what is laid out in the core components. The results of this assessment indicate the need for USAID to further clarify how HIPs implementation is defined as part of laying the groundwork to establish a HIPs measurement framework.

Additional Resources:

High Impact Practices (HIPs) in Family Planning Summary Brief: Assessing HIP Core Components

High Impact Practices (HIPs) in Family Planning: Methodological Brief on Monitoring HIPs Implementation with Core Components

High Impact Practices (HIPs) in Family Planning: Measuring and Monitoring HIP Implementation with Core Components: Example HIP Core Component Checklists
Shortname: TR-23-515 D4I
Author(s): Susan Pietrzyk, Athena Pantazis, Joyanta Roy, Catherine Kahabuka
Year: 2023
Language: English
Region(s): BANGLADESH, TANZANIA