RBFP In Uganda

I am a co-PI on several research projects in Uganda looking at how social accountability processes create citizen space and engagement in family planning programs and developing validated measurements for rights-based approaches to family planning programming (RBFP). I have presented on the RBFP research at multiple global forums, including at an extension session at the London 2017 FP2020 follow up meeting, for the WHO Taskforce on measurement of human rights in reproductive health, and at multiple conferences. This work has resulted in multiple publications, practical validation of instruments for implementing RBFP in service delivery contexts, and recommendations for adopting RBFP measurement practices (with The Evidence Project, Dr. Karen Hardee and Dr. Victoria Boydell).


RBFP Brief

"While discourse about respecting, protecting, and fulfilling these rights is growing, a gap persists between human rights rhetoric and integrating rights in family planning policy, programs, and practice. Governments and programs struggle with defining and operationalizing a rights-based approach to family planning. Overall, there is scant evidence on: 1) how to implement rights-based family planning (RBFP) programming, 2) how to measure rights-based programming and outcomes, and 3) the effect on family planning/ reproductive health outcomes of implementing rights-based family planning. Furthermore, literacy about human rights and family planning is generally low at the global, national, and sub-national level"

Proposed indicators of human rights and family planning

"The Evidence Project, together with IPPF’s Sustainable Networks Project (SIFPO2), are taking part in a groundbreaking process in Uganda spearheaded by the Ministry of Health (MOH) and Reproductive Health Uganda (RHU) to develop an action plan for a rights-based approach to family planning in support of the MOH’s FP CIP. The country’s FP CIP (2015-2020), developed to reflect its FP2020 goals, explicitly pledges to protect and fulfill human rights in the provision of family planning services (Uganda FP CIP 2014). The Uganda FP CIP repeatedly states its dedication to ensuring that family planning services are provided according to human rights and quality of care standards. The introduction explicitly states the country’s commitment to provide rights-based family planning information and services to improve the health and well-being of the population (Uganda FP CIP 2014, pp. 1)."

RBFP INstruments

The RBFP Instruments include a Client Exit Interview, Client Provider Observation, a Facility Audit and a Provider Interview. Items in each instrument have been field tested, mapped to rights/rights principles, mapped to VRBFP indicators, included for triangulation against items in other instruments, and have been reviewed following data collection for inclusion in the final version. Reviewed versions of these instruments will be available soon.