全球智库信息集成服务系统

PMA2020

• PMA2020 household surveys could be fielded every 12 months instead of every six months.
• Stakeholders would like data from the service delivery points more frequently than annually.
• Stakeholders want more geographically granular data.

Track20

• The program is on target to achieve most of its original objectives.
• Monitoring and evaluation (M&E) officers are often stretched very thin, and there is a need for continued capacity-building among decisionmakers to facilitate data use.

Data Use

• Gates Foundation staff felt that the demand for data had come from the global level, making it more difficult to integrate data needs arising at the country level.
• Nonetheless, in-country stakeholders asserted that the data were invaluable for a variety of uses, including program planning and forecasting commodity needs.

Data Maturity

• In-country respondents noted the inadequate capacity of some decisionmakers in their country to interpret data.
• PMA2020 and Track20 fell into the developing level of data maturity in most countries. Data management, data analysis, organizational readiness, institutionalization, ownership, and data use can be improved.

Sustainability

• Financial sustainability is critical for PMA2020 because of the resource intensity of launching surveys.
• Technical sustainability ratings highlighted the need to ensure hardware and software maintenance, and interview data highlighted the need for more well-trained M&E personnel.
• Operational sustainability is enabled by leadership buy-in and cultural acceptability and impeded when key stakeholders do not understand or use the data, policymaker needs are not met, and local communities are not consulted with regard to survey planning and implementation.
• Data culture is enabled when data use impacts outcomes and is impeded when there are inadequate numbers of data professionals with sufficient technical capabilities.

In 2013, the Bill & Melinda Gates Foundation launched two programs to help monitor progress toward a new global goal to increase modern contraceptive use by 2020. The Performance Monitoring and Accountability 2020 (PMA2020) program aimed to support annual, rapid-turnaround, nationally representative surveys of households and service delivery points in nine countries. Track20 was designed to support global standardization of key family planning indicators and country-level monitoring and capacity-building in 22 countries. This evaluation of both programs is based on interviews with more than 260 stakeholders in the United States and 15 program countries, statistical analysis of the PMA2020 survey, and analysis of stakeholder ratings of data maturity and sustainability.

Stakeholders felt that PMA2020 has successfully conducted annual, rapid-turnaround surveys with high-quality data. However, it has not fully achieved its original objectives of promoting data use, meeting local data needs, or integrating PMA2020 into country data systems. The team's statistical analysis of PMA2020 surveys identified opportunities for modifications in survey frequency, design, and content. Stakeholders felt that Track20 is on target to achieve most of its objectives. Monitoring and evaluation officers are the core of Track20 in program countries: They are highly skilled personnel, typically embedded within ministries of health, giving them ready access to decisionmakers. The RAND research team recommended that both programs promote country-driven agendas for data collection, use, and ownership; intensify focus on data use; and plan for and measure data maturity and data system sustainability. The research team also recommended a new program — Data for Action Training Activity for Family Planning (DATA-FP) — to increase country capacity for data system management.

• Chapter One

  Introduction

• Chapter Two

  Background

• Chapter Three

  Methods

• Chapter Four

  Assessment Frameworks

• Chapter Five

  Stakeholder Views on Family Planning Data Needs

• Chapter Six

  PMA2020 Goals, Accomplishments, and Challenges

• Chapter Seven

  Statistical Properties of PMA2020

• Chapter Eight

  PMA2020 Survey Design

• Chapter Nine

  Track20 Goals, Accomplishments, and Challenges

• Chapter Ten

  Interactions Between PMA2020 and Track20

• Chapter Eleven

  Data Use

• Chapter Twelve

  Data Maturity

• Chapter Thirteen

  Sustainability

• Chapter Fourteen

  Conclusions and Recommendations

• Appendix A

  Details of PMA2020 Sampling Procedures

• Appendix B

  Indicators Collected by PMA2020, FP2020, and DHS

• Appendix C

  Comparison of Selected Family Planning Data Sources

• Appendix D

  Additional Background on Logic Models

• Appendix E

  Additional Background on Data Maturity Models

• Appendix F

  Additional Background on Sustainability Enablers

• Appendix G

  Contextual Information on the 15 Countries Evaluated

• Appendix H

  Additional Detail on Statistical Methods and Country-Specific Analyses