1. Impact 2 (v3) An innovative tool for estimating the impact of reproductive health programs Overview Aisha Dasgupta Head of Impact Team, Marie Stopes International

2. Measuring what we do Impact 2 (v3) Marie Stopes International2 Counting commodities and services Understanding wider health & social impact

3. What are the strengths of Impact 2? Impact 2 (v3) Marie Stopes International3 Excel-based Open-source Flexible Innovative

4. Impact 2 (v3) Marie Stopes International4 (a) Enter service provision (past/future) (b) Set goal based on CPR, additional users, or market share Impact 2 calculates services Estimated women using family planning Increasing CPR, pregnancies, maternal deaths averted, etc.

5. Family planning impact

6. Impact 2 allows you to look at two time-frames Impact 2 (v3) Marie Stopes International6 Annual: snapshot of impacts that happen in a given year impact from services provided in that year impact from LAPM clients who received services in past years, but are estimated to still be using the method Service lifespan: impacts that will happen over multiple future years, from services provided in a given year Number of future years impacts happen over depends on mix of LAPMs

7. Timeframe example Impact 2 (v3) Marie Stopes International7 20092010 201120122013 20102011 201220132014 20112012 201320142015 Annual impact in 2011 = impacts from these users Service lifespan impacts in 2010 = impacts to women who received services in 2010 over multiple years

8. Increasing market share versus increasing CPR Impact 2 (v3) Marie Stopes International8 Market Share?Increasing CPR An organization can increase its coverage without having any impact on national level contraceptive use. Impact 2 helps show this difference.

9. Client profile results - Increasing CPR Impact 2 (v3) Marie Stopes International9 Sustain a baseline users (changes based on start year selected) Reach adopters to sustain % point contribution (because of population growth) Reach more adopters to increase CPR

10. Additional users Impact 2 (v3) Marie Stopes International10 FP2020 result– assess contribution to the 120m additional users Similar to CPR, but, no population growth factored in

11. Limitations Impact 2 (v3) Marie Stopes International11 Data availability – Infrequent – Often regional rather than national Reliant on assumptions: LAPM discontinuation rates, mortality rates, pregnancy rates, method failure rates, etc. Some input data is held constant over time due to limited data (e.g. unmet need) All results are only estimates and don’t measure real life

12. Helpful resources Impact 2 (v3) Marie Stopes International12 www.mariestopes.org/impact-2

13. Using Impact 2 in Tanzania Joseph Komwihangiro Director of Health Services, MSI Tanzania

14. Marie Stopes Tanzania’s 2014 Impact Marie Stopes International14 110maternal deaths averted 142,000 unsafe abortions averted 260,000 unintended pregnancies averted

15. How have we used Impact 2? Marie Stopes International15 Advocacy with government around FP budget allocation National FP2020 and CPR goal forecasting Broader advocacy with non-FP actors Fundraising Internal goal-setting – team morale

16. Your questions… Impact 2 (v3) Marie Stopes International