Evaluation of the Bill & Melinda Gates Foundation's Strategy to Strengthen Family Planning in Indonesia, 2014–2021

The Gates Foundation’s Indonesia family planning grantmaking supported interventions to strengthen health systems and bolster family planning supply and demand; funded advocacy and leadership trainings; and contributed to co-funded initiatives to catalyze commitment from Indonesian family planning actors. Key partners to implement the strategy included the National Family Planning Coordinating Board (BKKBN), international and local NGOs, philanthropic entities, and private-sector partners. Mathematica's evaluation objectives were to:

• Provide a detailed overview of the foundation’s Indonesia family planning strategy and investments
• Examine the contribution of the foundation’s investments to longer-term family planning outcomes 
• Gauge the sustainability of gains made in family planning programming and outcomes under the strategy
• Understand the benefits and challenges of the foundation’s engagement model
• Highlight key wins and learnings

To collaboratively assess the impact of these wide-ranging efforts and meet these objectives, the Mathematica team, with its partner, the Center for Health Research at Universitas Indonesia (CHR-UI), used a variety of strategies to understand the strategy’s contribution to family planning outcomes. Methodologies included key informant interviews with government officials and other stakeholders; and analyses of district family planning budget allocations, insurance claims, and national survey data.