The Advancing Partners & Communities (APC) Project is a five-year USAID cooperative agreement with the John Snow, Inc. Research & Training Institute, in collaboration with FHI 360, funded from October 2012, with a two-year extension until September 2019. This evaluation assessed the extent to which APC has achieved its objectives and identified community-based family planning (CBFP) activities that might warrant future investment. The evaluation questions examined APC’s global leadership and advocacy for CBFP, its sub-grant program, and its efforts to strengthen the capacity of private voluntary organizations/nongovernmental organizations to implement effective programs. USAID will use the evaluation to inform future programming.
The evaluation team visited APC projects in Benin and Uganda, conducting 114 key informant interviews, online surveys of Missions and grantees, and group discussions with health workers and clients. Key APC achievements included global- and country-level support for family planning (FP) and CBFP in 16 FP projects and implementation of HIV/AIDs, post-Ebola, and other health initiatives in 38 countries. CBFP advocacy focused on the global and country levels, where it promoted innovative CBFP programs, networking with local partners to advocate for changing policy/regulations in several African countries to allow community health workers to inject depot medroxyprogesterone acetate (DMPA), to improve drug shops’ provision of injectable contraceptives, and ensure links to FP within broader community health policy agendas.
Testing the efficacy of self-injection of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) was a major achievement; however, global advocacy for CBFP was not as focused. Key recommendations include improving monitoring and evaluation of sub-grants and related activities and continuing to collaborate with USAID and global partners to ensure wide and effective CBFP advocacy.