1. Advocating at Every Level An Introduction to Advance Family Planning Duff Gillespie January 21, 2016 1

2. Miscellaneous Thoughts Importance of local ownership –Decisions more likely to reflect local needs and solutions –Greater probability of sustainability Learning from each other No universal template The workshop is a beginning AN EVIDENCE-BASED ADVOCACY INITIATIVE 2 2 Advocating at Every Level

3. Adapting to Decentralization Decentralization has fundamentally changed the way governments make decisions and set priorities Subnational officials have increasing authority over budgetary and programmatic decisions These decisions directly impact a country’s ability to achieve its FP2020 goals AN EVIDENCE-BASED ADVOCACY INITIATIVE 3 Advocating at Every Level Global Agenda Setting—Millennium Development Goals, FP2020, Sustainable Development Goals Global Support and Funding—UNFPA, USAID, DFID, DFAT, World Bank/Global Financing Facility Regional—Ouagadougou Partnership, African Union National—Governments of India, Kenya, etc. Subnational— Large—Regions, States, Provinces, Counties Mid-Level—Districts, Blocks, Municipalities Small—Towns, Villages, Local Government Authorities

4. Overview Developing an effective strategy requires understanding. Key advocacy terms and concepts –Goal: Long-term outcome to describe the overall mission or purpose of a project, usually supported by several objectives –Objective: Brief statement of intent describing the specific outcome sought –Quick Win: Discrete, critical policy or funding decision that must occur in the near term to achieve a broader goal –SMART: A SMART objective increases the likelihood of achieving a Quick Win The 3 phases essential to ensuring success AN EVIDENCE-BASED ADVOCACY INITIATIVE 4 Phase 1 Build Consensus Phase 2 Focus Efforts Phase 3 Achieve Change Specific Measurable Attainable Relevant Time-bound

5. Types of Quick Wins Advocating at Every Level AN EVIDENCE-BASED ADVOCACY INITIATIVE 5 Image, chart, etc. Funding District budget for village and workplace family planning interventions increases by 54% from $190,000 to $293,000 Policy National family planning guidelines are amended to allow community-based distribution of contraceptive injectables Visibility Government announces Family Planning 2020 (FP2020) commitment at the International Conference on Family Planning

6. Progress Accelerates, 2009-2015 Advocating at Every Level AN EVIDENCE-BASED ADVOCACY INITIATIVE 6 Image, chart, etc.

7. Funding for Family Planning Family planning budget increases compare 2013 and 2014 data for the specific budget categories targeted by AFP advocacy in 2013: $4,017,852 was budgeted to these categories at the national level. $2,384,026 was budgeted at the commune/county/district level. The amount budgeted at the village level prior to the 2014 family planning allocations is unknown. Most villages did not have a family planning budget prior to AFP advocacy Expenditure tracking is a current focus. Advocating at Every Level AN EVIDENCE-BASED ADVOCACY INITIATIVE 7 Image, chart, etc. *9 countries made financial commitments in 2014 that were linked to AFP advocacy priorities. 5 focus countries: Burkina Faso, Indonesia, Senegal, Tanzania, Uganda. 4 Opportunity Fund countries: Benin, Malawi, Mauritania, Zambia

8. Advocating at Every Level AN EVIDENCE-BASED ADVOCACY INITIATIVE 8 Image, chart, etc.

9. Diffusing Our Approach Advocating at Every Level AN EVIDENCE-BASED ADVOCACY INITIATIVE 9 Image, chart, etc. Advance Family Planning Reaches Women of Reproductive Age Country End of Project Year 2, October 2014End of Project Year 3, October 2015End of Project Year 6, October 2018 GeographiesCatchment Pop. WRAGeographiesCatchment Pop. WRAGeographiesCatchment Pop. WRA BangladeshNone0 0 6 Districts in 2 Divisions5,266,074 Burkina Faso19 Communes753,36519 Communes754,40820 Communes756,475 DRCNone03 Provinces1,938,95511 Provinces6,686,140 IndiaNone0 9 Districts in 2 States5,952,235 78 Districts in 6 States51,395,057 Indonesia 11 Districts in 5 Provinces4,258,526 17 Districts in 7 Provinces4,866,335 53 Districts in 8 Provinces9,452,413 Kenya5 Counties1,051,6959 Counties1,730,49318 Counties3,713,224 NigeriaNone07 States3,678,50318 States9,099,764 Senegal2 Communes59,338 13 Communes, 1 Department266,012 14 Communes, 4 Departments531,719 Tanzania5 Districts707,768 39 District Councils in 5 Regions2,339,322 57 District Councils in 8 Regions4,201,428 Uganda6 Districts478,6089 Districts775,37923 Districts1,869,587 Total:537,309,30014022,301,64232692,971,880

10. Jhpiego Advocacy Experience and Future Plans Sam Mulyanga, Senior Advocacy Advisor, Jhpiego/Kenya Advocacy Workshop-Bali Indonesia January 21, 2016

11. Policy & advocacy permeate our work but are a new Jhpiego implementation approach  Overcoming policy formulation and implementation barriers  Recognizing that programs only succeed in a supportive policy environment  Essential to sustain local, regional and global visibility, issue prioritization and ownership 11

12. Best practices for this new Policy & Advocacy implementation approach Diplomatic and evidence based devoid of activism and lobbying Advocate:  Diplomatic  Informed by evidence  Flexible and strategic  Mobilizes  Patient but persistent Activist:  Dramatic/confrontational  Sometimes ad hoc  Rigid  Mobilizes  Impatient-here or now 12

13. 13

14. 14 Use of tested advocacy tools and approaches Institutional capacity building on advocacy

15. 15 Investing in S.M.A.R.T. advocacy informed by felt needs Diffusion of advocacy knowledge and best practices S = Specific M = Measurable A = Attainable R = Relevant T = Time-bound

16. JHPIEGO/KENYA’S POLICY & ADVOCACY EXPERIENCE WITH FAMILY PLANNING (FP) 16

17. Task-shifting services: Community-based distributors allowed to provide injectable contraceptives 17

18. Domestic financing opportunities: Treasury issues a budget template that includes a line item for FP 18 REPUBLIC OF KENYA THE NATIONAL TREASURY TREASURY CIRCULAR NO. 10/2014 TO: ALL ACCOUNTING OFFICERS GUIDELINES FOR THE PREPARATION OF THE MEDIUM TERM EXPENDITURE FRAMEWORK (MTEF) BUDGET FOR THE PERIOD 2015/16 – 2017/18

19. Subnational budget forecasting: County governments develop FP Costed Implementation Plans (CIPs) 19

20. Subnational budget allocations: Four target counties allocate a combined US$246,279 for FP in their 2015/16 budgets 20

21. Global financing: Ensuring FP prominence in the Global Financing Facility (GFF) country plan 21

22. Decentralization: Governors Council establishes a Health Advisory Committee that includes FP champions 22

23. Subnational messengers: First Ladies (County Governors’ wives) champion FP in their counties 23

24. Future Plans  Community of practice-Strengthening newly launched J-PAWG  Expanding advocacy portfolio across Jhpiego country offices  Supporting country teams to apply tested advocacy approaches and tools 24

25. Workshop Expectations Applying your lessons to AFP Establishing a partnership Concrete next steps Advocacy initiatives started within a year AN EVIDENCE-BASED ADVOCACY INITIATIVE 25 Image, chart, etc. 25

26. DISCUSSION 26