Contraceptive Assurance Indicator Monitoring System

The National Contraceptive Security Commission of Guatemala has automated the Family Planning Indicator Monitoring System in order to gather evidence of the health impact of family planning

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Catherine Pak
Senior Technical Advisor

Implementation Partners

Palladium in support of USAID
The National Contraceptive Security Commission in Guatemala



Implementation Dates

Current Version 1.1.4; Updated July 22, 2019

Geographic Scope


Target Users

Health Care Provider, Data Services Provider

Enabling Environment Building Blocks

Strategy and Investment, Legislation, Policy, and Compliance, Services and Applications

Family Planning Program Classification

Policy and Enabling Environment


The National Contraceptive Security Commission (CNAA) of Guatemala was established to ensure the availability of contraceptives and guarantee the population’s access to family planning. Representatives of public organizations, civil society, and trade associations participate in the group; however, the integration of representatives from different areas, with different responsibilities and interests, has proved to be a challenge.

To address this challenge, Palladium, through the Health and Education Policy Plus (HEP+) project, funded by the U.S. Agency for International Development (USAID), worked with the CNAA to apply the Collaborating, Learning, Adapting (CLA) framework to identify strengths and develop bonds of trust among its members. In addition, HEP+ facilitated activities to acknowledge the contribution of each member and to achieve agreements in planning, decisionmaking, potential allies, and joint action.

As part of these activities, HEP+ provided technical assistance to the CNAA to develop and implement an information system to automate their monitoring and evaluation framework and facilitate the work of collecting, processing, analyzing, and visualizing data on financial and family planning services. The tool includes indicators, grouped into three modules:

  • Resource indicators: Monitor that the financial allocation corresponds to what is established in the legal framework of the family planning policy of the country.
  • Outcome indicators: Analyze achievements in family planning services.
  • Impact indicators: Analyze the contribution of reproductive health to the economic and social development of the country.

Overview of Project/Digital Health Solution

The main objective of the tool is to systematize family planning indicators for data collection, processing, and analysis conducted by multiple stakeholders. Family planning indicators include contraceptive financing, services, couple years of protection, and financial impact. This application is an integrated system for visualizing data and providing understanding and decisionmaking support related to the delivery and benefits of contraceptive commodities. A data-driven approach was used to design the technical and technological requirements of the tool. The system collects data from multiple stakeholders and displays it on user-friendly dashboards to facilitate CNAA’s decisionmaking to strengthen Guatemala’s national family planning strategies.

CNAA, its affiliates, and its civil society partners regularly convene to update the tool, improve its accessibility, and ensure timely financing of contraceptive supplies. These regular meetings continue to foster policy dialogue and advocacy for family planning.

Evaluation and Results Data

The information provided by the tool has been used for different advocacy processes and presented to different key actors, including the Congress of the Republic of Guatemala. The information has also been analyzed for use by members of CNAA to promote strategies for extending the coverage of family planning methods nationwide.

Lessons Learned

  • For this tool, the joint work between Information Systems staff and the personnel that provide technical assistance to CNAA by HEP+ has been an important component in achieving the continuity and sustainability of the tool.
  • Active involvement of the CNAA stakeholders and final users of the tool has been a key part of the process of sustainability since the design phase.
  • The HEP+ capacity strengthening strategy focused on data use generated by the system, has empowered CNAA members, promoting sustainability.


  1. Learning Lab: The National Contraceptive Security Commission in GuatemalaAddresses Political and Operational Challenges through Collaborating, Learning, Adapting, and Transforming (