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

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

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

4. 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

5. 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

6. 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

7. 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

8. SLIDE 8 Using Impact 2

9. 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

10. 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

11. SLIDE 11 Monitoring (2) How unsafe abortions have our services averted over the past 5 years? 2007 2008 20092010 2011

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

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

14. 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.

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

16. SLIDE 16 Helpful handouts

17. SLIDE 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