TY - JOUR T1 - Data to Action: A Mixed-Methods Study of Data Use Teams, Improved Availability of Contraceptives in Guinea, Indonesia, Kenya, and Myanmar JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT DO - 10.9745/GHSP-D-21-00345 VL - 10 IS - 3 SP - e2100345 AU - Ann-Marie Yongho AU - Yasmin Chandani AU - Sarah Andersson AU - Ali Karim AU - Bethany Saad AU - Carmit Keddem Y1 - 2022/06/29 UR - http://www.ghspjournal.org/content/10/3/e2100345.abstract N2 - Key FindingsInformation Mobilized for Performance Analysis and Continuous Transformation (IMPACT) teams are an effective strategy for improving reproductive health supply chain outcomes in the short term but can only be sustained through ownership and engagement by leaders.Although IMPACT Team interventions in 4 countries led to improvements in the supply chain, there was limited establishment of the data use culture.Lack of engagement by higher-level government entities—and absence of financial support for the IMPACT Team process—comprised major barriers to sustainability of the IMPACT Team approach.Key ImplicationsThe core components of data, technology, processes, and people, which are rooted in the quality improvement approach, need to be accompanied by intentional efforts to foster government ownership and leadership, so that this process is not only instilled but sustained over time.Information Mobilized for Performance Analysis and Continuous Transformation (IMPACT) Teams routinely bring together data, people, processes, and technology, under the leadership of governments, to institute a change in culture that leads to sustained improvements in supply chain processes and outcomes. This mixed methods study examined whether IMPACT Teams were effective in improving reproductive health supply chain outcomes in Guinea, Indonesia, Kenya, and Myanmar and identified enablers and barriers to IMPACT Team success and sustainability in Indonesia and Kenya.The study design employed a pre-post intervention comparison panel design with a nonrandomized matched comparison group to examine the IMPACT Teams' effect on 2 supply chain outcomes: stocked according to plan and stock-outs. Additional key informant interviews conducted in Kenya and Indonesia explored enablers and barriers to IMPACT Team success and sustainability.For nearly all products across the 4 countries, an increase in products being stocked according to plan and a reduction in stock-outs can be attributed to the IMPACT Team intervention, demonstrating that IMPACT teams are an effective approach for improving contraceptive supply chain inventory management and availability. However, our findings do not demonstrate a clear causal pathway as theorized in our theory of change, namely that government leadership leads to the installation of a data use culture, which in turn leads to improved product availability. In both Indonesia and Kenya, though product availability improved, there was a lack of leadership and culture change. This suggests that improved product availability does not depend on establishing a data use culture or government leadership, but rather, that a data use culture—rather than product availability—is the outcome of interest for sustained change, and that understanding motivations and incentives for leadership participation may be more important for scaling, institutionalizing, and sustaining gains in supply chain outcomes. ER -