Designing, Implementing, and Evaluating Evidence-Based, Holistic Programs :
Applying SEED :



Holistic Approach Enhances Family Planning Programs: RESPOND’s Experience with the SEED Programming Model™ (Project Brief No. 27)
The Supply–Enabling Environment–Demand (SEED™) Programming Model is a holistic model developed by EngenderHealth to apply globally and locally to guide the design, implementation, and evaluation of family planning programs. RESPOND designed and implemented its activities using the SEED model as its principal programming and conceptual framework. This paper describes how SEED was used to frame global initiatives to advocate, promote, and support family planning as an essential primary health care intervention. It also presents specific country examples of how SEED enhanced and improved the outcomes of family planning programming, especially when all three elements worked in synergy.
Available in English (PDF, 3.1 MB)

Factors Affecting Acceptance of Vasectomy in Uttar Pradesh: Insights from Community-Based Participatory Qualitative Research (Project Brief No. 3)
After interest in vasectomy ebbed following controversies in the 1970s, the Indian government has renewed its focus on vasectomy and intends to increase the uptake of this family planning method. RESPOND provided technical assistance to the government of the state of Uttar Pradesh to expand awareness of, acceptance of, and access to no-scalpel vasectomy (NSV) services. A qualitative anthropological approach was used to determine barriers to NSV use, people's perceptions about NSV and family planning, and how these affect decision making on whether to use this permanent method. The findings offer crucial insights for understanding the low prevalence of vasectomy in Uttar Pradesh and recommendations for how to expand awareness about, acceptance of, and access to NSV services in the future.
Available in English (PDF, 3.0 MB)


Research Studies and Reports

End-of-Project Evaluation of the RESPOND No-Scalpel Vasectomy Initiative in Uttar Pradesh and Jharkhand States, India (Report No. 15)
Vasectomy is safer, simpler, less expensive, and more effective than female sterilization. However, in both Uttar Pradesh and Jharkhand states in India, male sterilization comprises just over 1% of all modern family planning use, while female sterilization represents 44–70% of modern family planning use in those states. To ensure that men and couples have access to accurate information about and quality services for all methods of family planning, including no-scalpel vasectomy (NSV), RESPOND implemented a four-year technical assistance project to expand awareness and acceptance of and access to NSV services. This end-of-project evaluation was conducted to assess capacity for service delivery and NSV promotion at the state, district, and facility levels in nine project districts. The evaluation, conducted in September and October 2013, included stakeholder, fieldworker, provider, and client interviews, facility audits, and provider and fieldworker observations.
Available in English (PDF, 2.3 MB)

Using an Employer-Based Approach to Increase Support for and Provision of Long-Acting and Permanent Methods of Contraceptive: The India Experience (Report No. 7)
An employer-based approach was initiated in Uttar Pradesh, India, to increase workers' awareness of and utilization of family planning. Ten companies participated in the project from January 2011 to June 2012, providing a venue for project activities and allowing employees to attend activities during normal working hours. RESPOND developed and distributed print materials (such as posters, brochures, and self-standing poster displays) to provide employees with information, oriented 27 health coordinators from the participating businesses who implemented health talks and staffed health desks placed in a well-trafficked area of the company, and provided referrals to interested clients. Evaluation results suggest that the initiative helped change attitudes and behaviors around family planning, induced employees to discuss family planning with their spouses, and led users of short-acting methods to switch to more effective methods.
Available in English (PDF, 2 MB)


Social and Behavior Change Communication Materials

RESPOND worked in India to increase clients’ access to and interest in no-scalpel vasectomy (NSV). Materials created to support this effort included a Hindi-language client brochure, a poster, and radio spots.

NSV Brochure
This Hindi-language brochure describes the no-scalpel vasectomy procedure, how it works, potential side effects, and where it can be obtained. (October/November 2012)
Available in Hindi (PDF, 824 KB) with an English translation (PDF, 80 KB)

NSV Poster
This colorful poster shows a young couple with a child and provides basic information about no-scalpel vasectomy. (October/November 2012)
Available in Hindi (PDF, 1.4 MB) with an English translation (PDF, 72 KB)

NSV Radio Spot #1
A couple talk about no-scalpel vasectomy (NSV), while a song concerning NSV is sung in the background. (October/November 2012)
Available in Hindi with English subtitles (WMV, 3.0 MB)

NSV Radio Spot #2
A couple talk about the benefits for their family of having stopped childbearing through no-scalpel vasectomy (NSV), while a song about NSV is sung in the background. (October/November 2012)
Available in Hindi with English subtitles (WMV, 4.2 MB)

NSV Radio Spot #3
Two women and one woman’s spouse discuss the safety of no-scalpel vasectomy (NSV), while a song about NSV is sung in the background. (October/November 2012)
Available in Hindi with English subtitles (WMV, 4 MB)

NSV Radio Spot #4
Two men provide basic information on no-scalpel vasectomy (NSV), while a song about NSV is sung in the background. (October/November 2012)
Available in Hindi with English subtitles (WMV, 3.6 MB)



Improving Uptake of Vasectomy in Uttar Pradesh: Insights from Community-based Participatory, Qualitative Research
USAID/Washington D.C. February 2011
Available in English (PDF, 3.5 MB)



The Right Decision at the Right Time: Dispelling Myths around NSV in India
India's central government has renewed its focus on vasectomy and intends to increase the uptake of this safe and cost-effective family planning method. As part of a broader package of technical assistance, RESPOND developed a film with the Government of India to dispel myths about vasectomy and motivate couples to consider no-scalpel vasectomy once they have completed their desired family size. The film presents no-scalpel vasectomy as a simple, painless family planning option, addresses negative attitudes toward vasectomy, provides insights into the procedure’s potential benefits, and seeks to motivate men and couples to consider this method.
Available online in English

© 2009-2014 EngenderHealth/The RESPOND Project.
COPE, Men As Partners, and MAP are registered trademarks of EngenderHealth. SEED is a trademark of EngenderHealth.
Photo credits: M. Tuschman/EngenderHealth; A. Fiorente/EngenderHealth; C. Svingen/EngenderHealth.

This web site was made possible by the generous support of the American people through the U.S. Agency for International Development (USAID), under the terms of the cooperative agreement GPO-A-000-08-00007-00. The information provided on this web site is not official U.S. Government information and does not represent the views or positions of the USAID or the U.S. Government.

The RESPOND Project Digital Archive, Version 2.0