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Outline

Impact 2 An innovative tool for estimating the impact of reproductive health programmes Short overview. Outline. Background and overview Examples of using Impact 2 Additional resources. service provision to impact. CPR. contribution. ,. service/product provision. Estimated users. m.

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Outline

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  1. Impact 2An innovative tool for estimating the impact of reproductive health programmesShort overview

  2. Outline • Background and overview • Examples of using Impact 2 • Additional resources

  3. service provision to impact CPR contribution , service/product provision Estimated users m arket share, maternal deaths averted , etc. How it works Past and/or planned future Impact Impact goal to services provision

  4. Unique factors • Runs off service provision data (i.e. # commodities) not CPR goals • Accounts for substitution (i.e. women changing from one provider to another) Increasing market share v. Increasing CPR

  5. Background Information • Excel-based • Transparent & simple to use for non-experts • Open-source • All tools & training available on MSI website late March 2012 • Pre-loaded with best data from UN, WHO, DHS etc for all developing countries • (Very little data entry required) • Expert collaboration & review • Presented at Global Family Planning Conference, Senegal 2011 • At least 8 organisations (inc DFID) using older Impact 1.2 • Peer review of methodology: DFID, UNFPA, Guttmacher, LSHTM, Population Council, Futures Institute, Futures Group, PSI, IPAS, IPPF, EngenderHalth

  6. Family planning services/products provided Count backwards Long acting & Permanent methods Short-term methods Apply continuation and mortality rates to past LAPM clients Products provided Units needed per year CPR contribution Estimated Family Planning Users Market share Pregnancies averted Miscarriages and stillbirths averted Births averted Abortions averted Child deaths averted (Due to improved birth spacing) Maternal deaths averted Unsafe abortions averted Costs saved to healthcare system (Direct treatment costs: ANC, delivery, PAC, pregnancy and birth complications) DALYs averted (maternal morbidity & mortality, child mortality)

  7. Limitations • Data availability • Infrequent • Often regional rather than national • Reliant on assumptions: LAPM discontinuation rates, mortality rates, pregnancy rates, method failure rates, etc. • Some rates/coefficients held constant over time due to limited data (i.e. unmet need, abortion rates) • Emphasise that all results are only estimates and don’t measure real life

  8. Using Impact 2

  9. Using Impact 2 • Examples of how Impact 2 can be used for: • Monitoring progress over time • Planning and designing programmes • Advocating for additional support

  10. Monitoring (1) • How has our programme contributed to increasing CPR over the past 5 years? Estimated percentage point contribution to increasing modern CPR

  11. Monitoring (2) • How unsafe abortions have our services averted over the past 5 years? 2007 2008 2009 2010 2011

  12. Planning (1) • How many maternal deaths will be averted by the services we plan to deliver over the coming 5 years?

  13. Planning (2) • How many services do we need to provide to increase CPR by 5% points over the next 5 years?

  14. Advocating (1) • How much more impact is there when women have access to LAPMs? By ensuring women have access to to more effective methods = avert 20,000 unintended pregnancies that would have happened due to method failure.

  15. Advocating (2) • How many more lives would be saved if we scaled up our services by 5% each year?

  16. Helpful handouts

  17. More information • All available online at: http://www.mariestopes.org-Impact 2 • Impact 2 model (Excel-based) • Longer training session (PPT and recorded webinar) • Practical training session on using results (PPT) • Step-by-step guides (PDF) • Other needs? Please get in touch with MSI’s Impact Analysis Team: research@mariestopes.org

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