FHM ENGAGE: ACTIVITY MONITORING, EVALUATION, AND LEARNING PLAN

The program focuses on family planning, maternal and child health, malaria, and HIV/AIDS, with the ultimate goal of generating more equitable access to high-quality health services and products. The FHM Engage technical approach has two key features: applying systems-thinking to facilitate market development and delivering health market system changes through the local partner ecosystem. The program will use systems thinking to map the relationships within the priority health markets of each FHM buy-in country, identify the root causes of market underperformance, and determine potential leverage points for addressing underperformance. The program will develop tailored solutions that systemically improve supply and demand in the priority health market(s) and change the incentives and behaviors of a wide range of actors in the market system. The most recent FHM Engage work plan describes the activities, approaches, and priorities to achieve project results. Developing tailored solutions and ensuring they are scaled and sustainably implemented over time will require collaboration with Network Implementation Partners (NIPs) and other local market actors who understand the local context. The FHM Engage consortium currently partners with 16 NIPs across varying geographies and technical areas. As FHM Engage activities are identified and developed, the program will prioritize implementation through existing network of partners or through local market actors as appropriate. The program will utilize the data collected through its Monitoring, Evaluation, Research, and Learning (MERL) activities to foster a culture of adaptive learning, enabling the FHM Engage consortium, NIPs, and country health market actors to adjust programming while the activity is ongoing. The FHM Engage Results Framework articulates the different levels of results the program expects to achieve. The framework highlights the dynamic nature of the project, with results in each of the Intermediate Results (IRs) influencing the results in other IRs in a dynamic way. The framework also highlights the interaction between supply, demand, and quality as the project delivers interventions in these areas and as improved market functions impact these areas. The program will collect data through various sources, including the Performance Monitoring System (PMS), market actor surveys, and qualitative evaluations. The data will be synthesized into learnings that will inform programmatic adaptations, enabling the FHM Engage consortium, NIPs, and country health market actors to adjust programming while the activity is ongoing. This process of learning and adapting will take place throughout the entirety of the FHM Engage five-year time frame. The program will also utilize the data collected to identify assumptions within the FHM Results Framework. These assumptions include the strategic inclusion of market actors creating a more effective environment for stewardship, functional coordination mechanisms bringing market actors together more effectively, and private sector actors having improved access to finance. The program will revisit the FHM Engage Results Framework on a periodic basis to revise and update it as the technical approach adapts over time.