The Government of Uganda through the Ministry of Health with Support from the United Kingdom Department for International Development (DFID) through the International Initiative for Impact Evaluation (3ie), with overall coordination from the Office of the Prime Minister (OPM) commissioned Socio-economic Data Center (SEDC) to undertake an evaluation of family planning programmes particularly targeting young people 15-24. The Process Evaluation constituted the first phase of this assignment
PROJECT TITLE
Process Evaluation of GOU Uganda Family Planning Programs and Policies to Design Robust Impact Evaluations: Increasing Demand through Male Involvement and Promotion among Young People
To assess the extent to which the Government of Uganda has designed and implemented interventions to promote male involvement in family planning programmes and those that address the family planning needs of young people aged 15-24, identify the factors affecting program implementation with respect to these two target groups, and provide information for the design of an impact evaluation
1. To assess the extent to which the FP interventions in Uganda were delivered as planned (fidelity).
2. To assess the scope of the FP interventions delivered targeting young people and adult men, and the quality of these interventions (dose delivered).
3. To assess the extent to which target groups (male adults and young people aged 15-24), actively engage with and value or are satisfied with the on-going FP interventions (dose received).
4. To determine the proportion of the target audience (male adults, young people) that have come into contact with or participated in FP interventions.
5. To examine the procedures used to approach and attract the target groups, and their relevance (recruitment).
6. To assess other aspects of the larger social, political, and economic environment that influence FP programme implementation and uptake (context).
A cross-sectional design using a mix of qualitative and quantitative methods was used to undertake this process evaluation. The quantitative component measured in quantifiable terms, the Programme reach and uptake among young persons and male adults, knowledge, attitudes, perceptions and misconceptions, levels of access and acceptability, and extent of involvement of male adults in supporting their spouses to utilize Programme services. The qualitative component, on the other hand, generated a more in-depth understanding of the more complex, community and contextual aspects that have a bearing on young people's uptake of family planning services and involvement of male adults in Programme uptake.