SLIDE 1 Impact 2 An innovative tool for estimating the impact of reproductive health programmes Short overview

SLIDE 2 Outline 1. Background and overview 2. Examples of using Impact 2 3. Additional resources

SLIDE 3 How it works Impact Impact goal to services provision Past and/or planned future

SLIDE 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

SLIDE 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

SLIDE 6 Estimated Family Planning Users Pregnancies averted Births averted Abortions averted Miscarriages and stillbirths averted 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) Child deaths averted (Due to improved birth spacing) CPR contribution Family planning services/products provided Apply continuation and mortality rates to past LAPM clients Count backwards Products provided Units needed per year Long acting & Permanent methods Short-term methods Market share

SLIDE 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

SLIDE 8 Using Impact 2

SLIDE 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

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

SLIDE 11 Monitoring (2) How unsafe abortions have our services averted over the past 5 years?

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

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

SLIDE 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.

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

SLIDE 16 Helpful handouts

SLIDE 17 More information All available online at: 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: