Abstract
In global health, partnerships between practitioners and policy makers facilitate stakeholders in jointly addressing those issues that require multiple perspectives for developing, implementing, and evaluating plans, strategies, and programs. For family planning, costed implementation plans (CIPs) are developed through a strategic government-led consultative process that results in a detailed plan for program activities and an estimate of the funding required to achieve an established set of goals. Since 2009, many countries have developed CIPs. Conventionally, the CIP approach has not been defined with partnerships as a focal point; nevertheless, cooperation between key stakeholders is vital to CIP development and execution. Uganda launched a CIP in November 2014, thus providing an opportunity to examine the process through a partnership lens. This article describes Uganda's CIP development process in detail, grounded in a framework for assessing partnerships, and provides the findings from 22 key informant interviews. Findings reveal strengths in Uganda's CIP development process, such as willingness to adapt and strong senior management support. However, the evaluation also highlighted challenges, including district health officers (DHOs), who are a key group of implementers, feeling excluded from the development process. There was also a lack of planning around long-term partnership practices that could help address anticipated execution challenges. The authors recommend that future CIP development efforts use a long-term partnership strategy that fosters accountability by encompassing both the short-term goal of developing the CIP and the longer-term goal of achieving the CIP objectives. Although this study focused on Uganda's CIP for family planning, its lessons have implications for any policy or strategy development efforts that require multiple stakeholders to ensure successful execution.
Highlights
Global Health: Science and Practice 2016 | Volume 4 | Number 2 approach, that detail the activities needed over multiple years, executed by a range of organizations, to meet program goals as well as the costs associated with the activities.[4]Since 2009, many countries have used Costed Implementation Plan (CIP) as an approach to create a multiyear map designed to help governments achieve their family planning goals
The findings reveal that participants’ perspectives were often aligned with how involved they were in the CIP development process and their relationship to the task force
The CIP development process involved 3 key types of relationships: (1) relationships within the task force itself, (2) relationships between the task force and the technical support team (TST), and (3) relationships between the task force and the people who participated in the consultations
Summary
Global Health: Science and Practice 2016 | Volume 4 | Number 2 approach, that detail the activities needed over multiple years, executed by a range of organizations, to meet program goals as well as the costs associated with the activities.[4]. Since 2009, many countries have used CIPs as an approach to create a multiyear map designed to help governments achieve their family planning goals. A CIP can help determine the human, financial, material, and technical resources needed, and it can be used to justify resource mobilization.[5] Ideally, CIPs effect change by translating broad family planning goals into ‘‘concrete programs and policies.’’5 CIPs aim to help countries unify stakeholders behind this strategy, raise the profile of family planning, and leverage financial and technical resources from multiple. Partnerships for Policy Development: Uganda’s Costed Implementation Plan www.ghspjournal.org stakeholders. This process provided a unique opportunity to examine the development of a CIP through the lens of partnership
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