Monitoring and Evaluating FP/RH Program Transition from Donor Support: A Proposed Conceptual Framework

Monitoring and Evaluating FP/RH Program Transition from Donor Support: A Proposed Conceptual Framework
Abstract: A Data for Impact activity—a review of the current body of work on the evaluation of global health programs—aims to develop a conceptual framework to be used by donors and governments to inform plans for family planning and reproductive health (FP/RH) program transition out of USAID’s support, to monitor the transition process, and to evaluate the sustainability of FP outcomes.

This brief was based on a review of 147 published and unpublished articles and documents, the latter including grey literature, reports, and presentations shared by USAID staff. The literature search was conducted using key words including “family planning,” “donor,” “funding,” “graduation,” and “transition,” on PubMed, Google Scholar, and Google. Most documents were in English. We created a proposed conceptual framework to evaluate FP program transitions following a framework proposed by Bao et al. (2015) for monitoring and evaluating the transition of global health programs. However, institutionalization, a domain in Bao et al.’s framework, was incorporated into all domains in our framework since it is a critical component of capacity strengthening and sustainable development.

Additionally, we proposed a list of indicators considered essential to measure each domain during three phases of the transition: pre-, during, and post-transition. We also included sub-domains that can be defined and operationalized in a specific context. An example includes the social behavioral change sub-domain. As it is a broad construct, specific activities and indicators can vary by context.

The conceptual framework is intended to guide donors and implementing partners in creating M&E plans prior to the transition, monitoring the transition process, and evaluating the extent to which FP outcomes are sustained post-transition. The domains and indicators were organized into these three phases of the transition. This brief shares more.
Shortname: SR-22-167-D4I
Author(s): Data for Impact
Year: 2022
Language: English