Strengthening Social and Behavior Change Monitoring and Evaluation for Family Planning in Francophone West Africa

Date of Publication

Francophone West Africa has the highest fertility rates in the world and a low contraceptive prevalence. In response, the Ouagadougou Partnership was established to accelerate progress in the use of family planning (FP). However, efforts have focused on service delivery and commodity procurement with fewer investments in demand creation through social and behavior change (SBC) approaches. Breakthrough RESEARCH conducted this indicator mapping activity in the four WABA/Amplify-FP countries: Burkina Faso, Côte d’Ivoire, Niger, and Togo.

This technical report and accompanying brief summarize findings from a mapping of FP investments, technical approaches, and indicators; identifies indicator gaps; and makes recommendations to governments, donors, researchers, and implementers to improve measurement of SBC activities within the broader FP programmatic landscape. Specifically, the report addresses the following questions:

  1. What was the landscape of USAID and other donor investments in FP in the five preceding years?
  2. To what extent are FP indicators collected on 1) programmatic reach, 2) determinants of behavior (ideational factors including knowledge, attitudes, perceived risk, self-efficacy, social norms, spousal communication), 3) service delivery including supply chain, 4) FP-related behaviors (e.g., postpartum FP acceptance and uptake), 5) regional/national/policy, and 6) cost in the four WABA countries?
  3. What gaps exist and what additional SBC indicators can WABA, Amplify-FP and other relevant projects in the region incorporate into their monitoring and evaluation systems to increase the utility of routine data?

For more information, contact Leanne Dougherty at