PRB

The Challenge

PROPEL Health aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation; health financing; government stewardship, transparency, and accountability; and the use of evidence-based advocacy approaches at the global, national, and subnational levels. The project focuses on family planning/reproductive health (FP/RH) and the integration of FP/RH with HIV and maternal and child health (MCH).

To enhance resilience and sustainability, PROPEL Health prioritizes local solutions for policy, advocacy, financing, and governance leadership, technical assistance, and capacity development.

The project’s core team includes Palladium, African Economic Research Consortium (AERC), Avenir Health, Population Reference Bureau (PRB), RTI International, Samasha Medical Foundation, and White Ribbon Alliance (WRA). It is led by Palladium and funded by USAID.

Our Approach

We bring expertise in key areas, including:

• Providing high-quality, up-to-date estimates on key indicators on population, family planning and reproductive health (FP/RH), environment, and gender for countries around the world.
• Supporting advocates to design and use evidence-based, politically smart advocacy approaches to advance their own FP/RH policy priorities.
• Equipping youth to drive change by identifying gaps in implementation of youth-friendly policies and leading advocacy campaigns to overcome them.
• Strengthening local media’s capacity in reproductive health reporting.

PROPEL Health website

The Work

HP+ focuses on strengthening and advancing health policy priorities in family planning and reproductive health, HIV/AIDS, and maternal and newborn health at global, national, and subnational levels, expanding the efforts of prior U.S. Agency for International Development (USAID) investments from the Health Policy Project (HPP).

HP+ works in more than 17 countries and aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary health programs, and by strengthening in-country partners’ capacity to navigate complex environments for effective policy design, implementation, and financing. Taken together, evidence-based inclusive policies, more sustainable health financing, improved governance, and stronger global leadership and advocacy will lead to improved health outcomes worldwide.

HP+ is funded by USAID and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). It is implemented by a multidimensional, complementary team led by Palladium.

Our Approach

PRB brings our core strengths in communicating technical health information to the project. Specifically, we work to:

• Train decisionmakers, advocates, and researchers on how to better understand, communicate, and use health data in decisionmaking.
• Create easy-to-understand, compelling communication materials for national and subnational decisionmakers and implementers to ensure awareness of and prompt action on national policies addressing sexual and reproductive health (SRH). Materials have included videos, social media clips, factsheets, media toolkits, ENGAGE multimedia presentations, and reports.
• Train and mentor journalists with an aim to increase and improve news coverage on the links between family planning and development, and hold governments accountable for their commitments to family planning.
• Work with youth advocates and youth journalists to strengthen their capacity to participate in the decisionmaking processes as champions, raise community awareness about youth-related SRH policies, and hold governments and providers accountable for providing high-quality, youth-friendly SRH services.

Explore HP+

Impact

Building the Capacity of Young Leaders in Malawi

After training from HP+, youth reporters and radio listening club members produced weekly radio programs about youth reproductive health topics in several districts across Malawi. In one example, in 2020 a program on Nkhotakota Radio urged pregnant teenagers to get an HIV test to reduce the risk of transmitting the virus to their babies. Within two weeks of the program airing, an additional 40 pregnant teenagers had visited the District Health Office for HIV tests. Since receiving their training, some youth participants have led youth organizations that lobby local and regional leaders on issues important to youth, including health and education.

Policy and Advocacy Training for Young People in Malawi

In 2018, HP+ conducted policy and advocacy training in Malawi to amplify the voices of young adults working on issues related to youth-friendly health services. A short video presents the voices of three youth champions (also featured in the HP+ 2019 World Population Day blog) who attended the training and are continuing to work in various ways to inspire and educate youth in their communities.

Effectively Communicating Health Data on Women in Mali

Although Mali has ratified most major international and regional human rights treaties, and its constitution defends women’s rights, the country has yet to formally pass a law criminalizing gender-based violence (GBV). HP+ worked with Mali’s Ministry for the Promotion of Women, Children, and Families and its National Control Program Against Excision to develop advocacy tools, including infographics, for key decisionmakers and the media to spur political will to pass the GBV law. The advocacy materials (in French) include key data and information on GBV, child marriage, and female genital cutting in Mali. They also provide actions that policymakers and the media can take to advocate for a stronger legal and regulatory environment to support voluntary, equitable, rights-based programs.

Understanding and Communicating Young People’s Needs for Malawi’s Decisionmakers

In Malawi, strategic and multisectoral investments in youth are critical pieces of national growth and development. Growing Together: Multisectoral Investments in Malawi’s Youth is an ENGAGE™ multimedia presentation that describes the necessary investments in young people’s health, education, employment opportunities, and participation in governance that can create a window of opportunity for accelerated economic development. The presentation’s goal is to build awareness of the overlapping needs and priorities of multiple sectors and increase support for cross-sectoral investments in Malawi’s young people. To achieve this goal, the presentation is designed to boost individuals’ understanding of the links between and among young peoples’ health, education, employment, and meaningful participation in governance, and how investments in each of these sectors can contribute to Malawi’s growth and development. The ENGAGE is available in English and Chichewa.

The Challenge

Thousands of women in sub-Saharan Africa die each year from pregnancy-related causes. Unsafe abortions account for one in seven maternal deaths in Africa, and more than 1.5 million women are treated each year for complications from unsafe abortion. Young African women are especially affected: More than half of unsafe abortions in the region are among women under age 25. Reducing deaths from unsafe abortion requires a policy environment that supports women to equitably access comprehensive prevention and treatment services—contraception, safe abortion, and postabortion care.

Our Approach

The four-year SAFE ENGAGE project is implemented in countries across sub-Saharan Africa, including Burkina Faso, Côte d’Ivoire, the Democratic Republic of Congo, Lagos state in Nigeria, and Zimbabwe. SAFE ENGAGE also contains a rapid response mechanism through which other national and regional partners can request creative, data-driven communications materials to support specific advocacy objectives.

SAFE ENGAGE

• Advances policy dialogue for safe abortion by creating compelling evidence-based multimedia presentations and other materials for policymakers, advocates, and journalists.
• Builds country-level individual and institutional capacity to use evidence for policy advocacy to promote safe abortion and reduce unsafe abortion.
• Works with journalists to increase the quality and quantity of evidence-based news coverage on safe abortion through in-country media training and journalists’ engagement.

Impact

SAFE ENGAGE established four country-level task forces that brought together demographers, economists, medical professionals, women’s health and rights proponents, policymakers from government ministries, and parliamentarians for discussions about abortion. These task forces created spaces for collaboration and information sharing that broadened dialogue to include new perspectives, created consensus around objectives and messages, and renewed a focus on evidence. Each task force produced and disseminated ENGAGE multimedia presentation packages. This process strengthened the capacity of task force members to use data and messaging effectively in their own presentations and materials, strengthened collaboration and consensus among safe abortion champions, and generated important policy conversations that are continuing today.

SAFE ENGAGE also supported an intensive media training effort to equip a cadre of journalists in each country to accurately report on the policies and laws surrounding abortion and the determinants, incidence, and consequences of unsafe abortion. Each country setting required its own context-specific focus, and this tailored approach has reaped the reward of high-quality reporting across diverse news outlets.

During the second phase of the project, SAFE ENGAGE built on the work of the task forces by conducting policy communication training and regional learning exchanges to strengthen Task Force members’ ability to communicate with policy audiences and foster collaboration across neighboring countries. The regional learning exchanges also allowed participants to learn from each other’s successes and brainstorm approaches to overcoming shared challenges. SAFE ENGAGE also produced a guide to policy dialogue for safe abortion, which synthesized learning from the first phase of the project.

The Challenge

Over the last two decades, many countries have realized remarkable increases in the use of modern contraception. More women and couples are using effective methods to choose when and how many children to have—benefiting their health, their children’s health, and their families’ economic prospects. However, this progress varies regionally and within countries, and demand for voluntary family planning is not fully satisfied in many USAID priority countries. To meet this need, development partners and national advocates are mobilizing to ensure that governments honor the policy, financial, and other commitments made through the Sustainable Development Goals (SDGs), Family Planning 2020 partnership, and other initiatives.

Funded by the United States Agency for International Development (USAID), the PACE Project—Policy, Advocacy, and Communication Enhanced for Reproductive Health—ensures these commitments are met at the global, national, and decentralized levels by strengthening capacities in advocacy, policy communication, and negotiation; building bridges between sectors with integrated approaches such as population, health, and environment and efforts to amplify understanding of the benefits of age-structure change across development sectors; and analyzing, distilling, and disseminating evidence and data to engage policy and advocacy audiences to act. PACE integrates the cross-cutting themes of gender, youth, and equity throughout all activities.

Impact

PACE’s Budget Advocacy Drives Adoption of Family Planning Line Item and Increases in Samburu County’s Health Budget Allocations

For family planning advocates, no greater success exists than a dedicated and adequately funded line item in the health budget. PACE’s strategic approach to budget advocacy has paid off in Samburu County, Kenya, where concerted advocacy activities led to a first-ever budget line item for family planning, as well as an increased percentage of the county’s budget allocated to health in FY 2020/21. Over a period of months, PACE facilitated workshops to support the county health management team (CHMT), sector working groups, and departmental representatives to identify priorities for county budgeting. This continuous engagement with the CHMT has enabled them to effectively advocate to the Finance Department and County Assembly for increased funding for health and a new budget line valued at approximately $112,000 for family planning.

PACE-Trained Youth Advocates Achieve Policy Pledges in Nigeria

Nigerian youth advocates trained by PACE secured policy commitments from local leaders by creating videos focused on ending child marriage and increasing access to family planning services. BCAI, a youth-led organization launched with support from PACE, aided local youth advocates to widely disseminate the videos across popular social media platforms and in community-level policy dialogues with seven influential leaders from both the traditional and political governing structures in northern Nigeria. Following their outreach, the governor of Kano State made a public declaration to end child marriage by committing his support to the Child Protection Bill. While the legislation is still pending, sections of the bill that provide for compulsory schooling for all children as a method to reduce child marriage have been adopted into a state-level policy.

View More Success Stories

Through global, regional, and country-level programs, we work with journalists in developing countries to build their competence, understanding, and commitment to providing effective and high-profile coverage of health, gender, and population issues. Our work with journalists includes sponsoring seminars on these issues, providing support for reporters to attend and cover relevant regional and international conferences, providing travel reporting grants, and individual mentoring.

Our work enables journalists to produce print and online articles and broadcast programs that inform citizens and policymakers with up-to-date media coverage of important issues affecting citizens’ health and well-being and countries’ social and economic development. Through seminars and workshops, we strengthen journalists’ abilities to work with data and produce stories that can help to shape public discourse and bring about needed changes in health systems, programs, and policies.

Women’s Edition

Women’s Edition brings together senior-level women editors, reporters, and producers from influential media organizations in developing countries to examine and report on pressing issues affecting women’s health and status. By providing information directly to millions of women in developing countries on issues important to them, Women’s Edition arms women with information that allows them to take control of their lives and informs policymakers on needed programs and policy reforms.

Explore the PACE Project Media Training Toolkit

With funding from the U.S. Agency for International Development, IDEA—Informing Decisionmakers to Act—increases support among policy audiences for effective health and population programs around the world.

In implementing IDEA, PRB brings a fresh vision to policy communication. By increasing the flow of accurate, understandable information about population, family planning, and reproductive health to policy audiences, IDEA enhances efforts carried out by civil society, the public sector, the development community, and donors. IDEA develops materials on priority issues in cutting-edge formats; trains and supports media to influence policy change; builds the communications capacity of institutions, researchers, and advocates; and nurtures a community of policy champions.

To strengthen advocacy and communication targeted to decisionmakers, IDEA highlights these program activities:

• Creating multimedia presentations to support family planning and reproductive health. IDEA engages decisionmakers in priority countries to develop state-of-the-art multimedia presentations, featuring Trendalyzer, thus broadening support and stimulating new commitment to family planning and reproductive health.
• Reaching policymakers through improved media coverage. IDEA influences decisionmakers by training journalists to better understand population, family planning and reproductive health, and gender issues; sponsoring study tours and participation in conferences; and building networks and providing ongoing support for news stories. IDEA also works with journalism schools to strengthen future editors’ and reporters’ understanding of population and health issues.
• Building capacity and nurturing new champions. IDEA broadens the knowledge and skills base of advocates about family planning and other key development issues—including gender, youth, and the environment. Key strategies include training researchers, program managers, and advocates in effectively communicating data and research to decisionmakers; sharing information through communities of practice; and live and online events that promote global dialogue.
• Expanding user-friendly data resources. IDEA empowers advocates and decisionmakers through print and electronic information, highlighting the policy relevance of current data and research; the impact of population growth on development; and the links between reproductive health, gender, the environment, and youth.