The Health Systems Advocacy (HSA) Partnership is a five-year project, 2016-2020, designed to enable communities to realize their right to the highest attainable sexual and reproductive health. The project aims to contribute to achieving Sexual and Reproductive Health and Rights (SRHR) by creating space for a strong civil society to engage effectively with governments, the private sector and other stakeholders accountable for health systems, to deliver equitable, accessible and high-quality SRHR services.

The HSA Partnership envisages that by focusing on the creation of a strong health workforce, access to sexual and reproductive health commodities, and investing in sustainable structures for health financing and governance, equitable access to high-quality SRHR service can be realized. This is realized by partners through four core strategies: capacity strengthening of civil society organizations, research, public awareness raising, and lobby and advocacy. The HSA Partnership is comprised of Amref Health Africa, the African Centre for Global Health and Social Transformation (ACHEST), Health Action International (HAI), Wemos, and the Dutch Ministry for Foreign Trade and Development Cooperation. The project has been active in Kenya, Uganda, Zambia, Malawi and Tanzania as well as in the broader African Region, the Netherlands and at the international level.

The main objective of this evaluation is to determine the extent to which the HSA Partnership has made progress toward achieving its objectives in the eight contexts relating to: 1) Capacity strengthening of individual CSOs, CSO networks, communities, and media, and; 2) Advocacy results of HSA partners and CSOs (mainly related to their involvement in policy making processes and level of support by policy makers).

For this assignment, we used Outcome Harvesting (OH), Most-Significant Changes (MSC) and Sprockler as the main evaluation principle and tool.