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Third Party Monitoring (TPM) for Women’s Integrated Sexual Health (WISH)

Verifying results and informing programme improvements for FCDO's primary sexual and reproductive health program.

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The Women’s Integrated Sexual Health (WISH) programme is FCDO’s flagship sexual and reproductive health (SRH) program. This £238 million programme, operating in 27 countries in sub-Saharan Africa and Asia over a period of three years, will deliver up to 20% of the UK’s overall commitment to improving global SRHR by ensuring equitable access to family planning (FP) and sexual and reproductive health and rights (SRHR) to women and girls across the global, particularly the vulnerable and marginalised populations.

OPM, in partnership with Itad, conducts monitoring of WISH results and support for WISH evidence and learning in order to provide FCDO with assurance that the programme has the intended impact and to inform programme adaptation to maximise performance.

As of 2019, 218 million women of reproductive age in low and middle-income countries have an unmet need for family planning—that is, they want to avoid pregnancy but are not using a modern contraceptive method. Unmet need is higher for vulnerable and marginalised populations, such as those living in poverty, those living with a disability and young people. The WISH programme aims to improve access to and use of family planning and sexual and reproductive health services in sub-Saharan Africa and south Asia, with a particular focus on reaching underserved populations. This is being done through:

  • Increasing demand and uptake for FP by improving knowledge and community support;
  • Improving access to quality, voluntary FP and other SRH services; and
  • Promoting an enabling legal, financial and policy environment for sustainable FP and other SRH services;
  • Sharing globally evidence-based innovations and practice to increase women’s choice and access to SRHR services.

As part of the WISH consortium, FCDO contracted a TPM to verify results and inform programme improvements.

3. Our Approach

We take a three-pronged approach to assessing programme impact and informing programme adaptation:

  1. verification and triangulation of results reported by WISH implementing partners;
  2. generation of evidence of results through discrete studies; and
  3. facilitation of learning among WISH implementing partners and FCDO to analyse progress, discuss course correction, identify good practice, and adapt programme implementation as needed, and to spread evidence of best practice.

This work supports our overall objective of providing an ongoing critical constructive review of the WISH implementers and recommend improvements for course correcting and improving the overall delivery of WISH.

This work supports our overall objective of providing an ongoing critical constructive review of the WISH implementers and recommend improvements for course correcting and improving the overall delivery of WISH.

Our verification work is providing FCDO with a critical eye on implementers’ data and data systems, giving FCDO confidence in the results reported. In addition, we are enhancing programme learning by generating new evidence on programme interventions, facilitating greater collaboration across implementers, and helping implementers to strengthen the systems that generate routine programme data and support evidence-based decision-making.

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