Led by EngenderHealth, the USAID Tanzania Responding to the Need for Family Planning
through Expanded Contraceptive Choices and Program Services (RESPOND) Project was
implemented as a five-year project, from November 2012 through October 2017, with a budget
ceiling of US$ 42 million. Working in 110 districts in four regional areas (Mwanza, NW; Arusha,
NE; Iringa, SW; and Coast, SE), the purpose of RESPOND was to increase the use of family
planning (FP) and reproductive health services, with a focus on long-acting and reversible
contraceptives/long-acting and permanent methods (LARCs/LAPMs) to meet the reproductive
intentions of Tanzanian women, men, and adolescents.
The overall purpose of this evaluation was to review RESPOND’s achievement of results related
to: 1) increasing FP uptake in program-supported areas; 2) improving service delivery through
integration; and 3) strengthening systems by applying a district-centered approach.
The evaluation was conducted between June 12 and July 26, 2017 by an eight-member
Evaluation Team comprised of two expatriate and six host country evaluation and subject
matter experts. The 12 districts, 17 facilities, and more than 200 key informants from which
evaluation information was gathered (including 92 in-depth interviews, 55 trainees, and eight
focus group discussions) were selected purposively by EngenderHealth based on criteria
provided by USAID. Key RESPOND achievements included evidence of a significant uptake of
contraceptive methods (especially for implants) with a three-fold increase in the Arusha Zonal
area, improved contraceptive accessibility, and improved method choice.
Key recommendations included: continue capacity building until most facilities start providing
LARCs/LAPMs and maternal and child health services as routine services; scale up integration of
services within the context of the follow-on project, Boresha Afya, with a focus on better
equipped and staffed facilities; and adapt the district-targeted approach by integrating key
indicators under Boresha Afya.