Levers for Change

Increasing access for marginalised and vulnerable groups

Levers for change

Increasing access for marginalised and vulnerable groups - Levers for change

AmplifyChange is unable to support the delivery of services at scale. AmplifyChange can support advocacy to help ensure that the needs of the most marginalised and vulnerable are not overlooked in the provision of services. So we are interested in supporting groups advocating for better policy and more resources for SRHR services at the national level, including advocacy to make the case for SRHR funding within donor, multilateral and global financing instruments.

AmplifyChange can consider supporting service delivery where this is undertaken to demonstrate ‘proof of concept’ of ways to increase access for marginalised and vulnerable groups, and that offer promise for scale up with domestic and/or donor resources. This can include applications from organisations that propose locally relevant solutions to improve access for marginalised and vulnerable groups. By ‘proof of concept’ we mean demonstration that an idea has potential for wider application possibly at national level or sub-national levels such as province, county or district. 

The following are examples of possible entry points for action we are prepared to support that contribute to the Outcomes of our Theory of Change. This is not an exhaustive list but offers examples of the types of activities that could be included in successful proposals for funding under the Access priority. 

Increasing access for marginalised and vulnerable groups - Levers for change

Outcome: Increased individual awareness of sexual and reproductive health and rights as human rights

Possible entry points for action:
  • Working with local human rights organisations to inform marginalised and vulnerable groups about care quality standards, including the right to a choice of methods, and confidential and dignified treatment
  • Establishing partnerships between providers and community groups to raise awareness about new SRHR products or distinguishing between safe and unsafe commodities 
  • Innovative approaches to promoting awareness of SRHR products and services (eg context-appropriate use of new technology, or introduction of new or under-used products) 
Increasing access for marginalised and vulnerable groups - Levers for change

Outcome: Access to sexual and reproductive health and rights resources, information and services

Possible entry points for action:
  • Strengthening quality assurance and care standards through community monitoring or strengthening civil society or public sector clinical governance in hard-to-reach areas (e.g. facilities accredited for services for vulnerable groups) 
  • Supportive supervision for health workers on care quality standards and dignified, rights-based service delivery, including awareness raising around the linkages between SRHR and mental health 
  • Strengthening referral mechanisms, establishing innovative counselling aids and supporting targeted facility upgrades to make SRHR services and facilities more accessible for people living with disabilities or minority language groups 
  • Developing innovative channels to deliver services in rural or other hard-to-reach areas as proof of concept or advocating for increased government support for mobile service delivery and/or task sharing, or the strengthening of quality of care and/ or referral amongst informal providers 
  • Measures to overcome financial barriers at the point-of-service-use such as vouchers. 
  • Public-private partnerships that offer promise in increasing access to services for vulnerable and marginalised groups 
Increasing access for marginalised and vulnerable groups - Levers for change

Outcome: Transform social norms

Possible entry points for action:
  • Working with religious leaders to promote information about access to SRHR services and address negative values towards SRHR services and products 
  • Addressing characteristics of masculinities that limit equal household decision-making about use of reproductive health services through structured behaviour change communications and movement-building 
Increasing access for marginalised and vulnerable groups - Levers for change

Outcome: Change policies and laws

Possible entry points for action:
  • Development of popular advocacy coalitions to advoacte for increased budget allocations for SRHR services for marginalised and vulnerable groups 
  • Development of civil society and industry coalitions to advocate for removal of duties such as import tariffs or unnecessary administrative processes that delay the delivery of essential drugs and medicines to marginalised communities 
  • Support to civil society and industry coalitions to support the registration of new cost-effective and safer sexual and reproductive health commodities 
  • Development of technical guidelines (e.g. on task sharing) to help increase service choice and potential role of health workers