Supporting Measurement and Replication Techniques for Family Planning High Impact Practices: As Assessment of the Scale, Reach, Quality and Cost of Implementation in Uganda (R4S study #2.6)

A phased cross-sectional observational study was conducted in Uganda, between 2021 & 2024. We conducted a formative indicator inventory to document the indicators used to monitor HIPs by the implementing partners. Subsequently, three Key informant interviews were conducted with the Ministry of Health (MoH) officials to understand the vertical scale (institutionalisation of the IPPFP, CHWs and Drugshops within the broader health system), and a review of the Health Management Information System (HMIS) forms to understand the horizontal scale (expansion/replication, geographic coverage in terms of service availability) and reach (extent to which IPPFP, CHWs and Drugshops are used by different population sub-groups). Key informant interviews with 11 implementing partners were conducted to assess the policy-level intention for the structural quality of IPPFP implementation and vertical scale. Eight Key informant interviews were conducted with implementing partners to assess the policy-level intention for the structural quality of CHWs implementation and vertical scale. Five Key informant interviews were conducted with implementing partners to assess the policy-level intention for the structural quality of Drugshops implementation and vertical scale. Data from KIIs and indicator inventory are not included in these data. A survey of 96 health facilities and 179 providers from 5 districts (Mukono, Kyenjojo, Tororo, Gulu and Kampala Capital City Authority) were conducted to understand the readiness of the health facilities to implement the IPPFP HIP in accordance with the quality standards. A survey of 78 CHWs from 5 districts were conducted to understand the readiness of the health facilities to implement the CHW HIP in accordance with the quality standards. A survey of 110 Drug shops supported by IPs in five selected districts to assess the drug shop’s structural readiness to implement the HIP. Using Activity based costing approach, we interviewed 11 implementing partners supporting IPPFP HIP, 8 implementing partners supporting CHWs HIP and 5 implementing partners supporting drugshops HIP to understand the costs for establishing and sustaining the implementation of IPPFP, CHWs and Drugshops in Uganda. The costing data are not included in these data. This work is made possible by a grant from the the generous support of the American people through the U.S. Agency for International Development (USAID), provided to FHI 360 through Cooperative Agreement 7200AA19CA00041. Partners for this work included MaKSPH, MoH and FHI360.