Session Date: April 21, 2021
Session Description: The Challenge Initiative (TCI), funded by the Bill & Melinda Gates Foundation and Bayer AG, is a “business unusual” approach to rapidly and sustainably scaling up family planning and adolescent and youth sexual and reproductive health (AYSRH) best practices in urban poor settings in East Africa, Francophone West Africa, India, and Nigeria. To complement TCI’s ongoing progress monitoring that is largely done via quantitative measures that leverage national HMIS and project record systems, TCI uses the Most Significant Change (MSC) technique as its primary qualitative data collection method in order to gain a fuller understanding of not just what TCI is accomplishing but how. MSC is a participatory monitoring and evaluation technique used in the implementation science field to make sense of complex program impacts in dynamic contexts, capture differences in outcomes across sites and over time as well as different perspectives on the same outcomes, and foster adaptive management. In this session, TCI will introduce participants to the MSC technique for project monitoring and share key factors that facilitate scale-up of evidence-based family planning interventions from a secondary analysis of 96 MSC stories collected from June 2018 to September 2019.