ISP Integrated Support Programme ISP Integrated Support Programme The overall goal of the ISP is to improve women’s and girls’ sexual and reproductive health by reducing the incidence of maternal mortality and morbidity, HIV and Gender Based Violence (GBV). The programme consists of four programmatic pillars. 
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Pillar 1 is implemented by Populations Services International (PSI). It seeks to offer services through alternative delivery mechanisms such as standalone private sector or NGO-run FP or HIV sites and to deliver key behaviour change messages for FP, HIV prevention and GBV mainly through mass communication. Pillar 1 is funded by DFID.
Pillar 2 focuses on expanding the demand for integrated SRH/HIV/GBV services through community-based social and behaviour change promotion strategies and strengthening the public sector in delivering these integrated services. It is implemented by UNFPA and supported by Sweden, DFID and Irish Aid. 
Pillar 3 involves FP commodities procurement and distribution through Crown Agent. It is funded by DFID. 
Pillar 4 is implemented by the World Bank’s Global AIDS Team and provides overall coordination of the M&E component of the programme, with particular emphasis on independent impact evaluation and provision of technical support and guidance in areas of operations research across all the pillars.

Results so far: UNFPA has reported twice a year on their pillar 2. The so called Coordination Unit at the Ministry of Health (coordinating the entire ISP programme) makes quartely updates on the entire programme against a master log frame. UNFPA also uses the master lograme to report on results. The last update of the lograme was agreed in January 2015 by all partners and will not be changed further before the end of the programme. 

Recent results can be drawn from DFID's annual review during 2014, UNFPA's two progress reports for the year 2014 and the latest quarterly progress update from the Coordination Unit (CU). 

The annual review from DFID of the ISP programme shows that UNFPA (pillar 2) is making good progress and picking up from a late start and slow implementation. The cervical cancer screening is showing real improvements from year 2013 and there are good progress in gender based violence work. UNFPA is choosing excellent partners and building on work at community level. Family planning and adolescent sexual health work remains somewhat uneven and there has been poor results in terms of voluntary male circumcision in the public sector (which cannot be entirely blamed on UNFPA, however it seems to be more efficient to carry out these activities in the private sector). The UNFPA male circumcision component of the program was in 2014 transfered to be fully implmemented by PSI. 

UNFPA's own reporting from the year 2014 shows that significant progress has been made towards achieving programme targets in all programme areas. This is especially the case betseen July to December 2014. This is also confirmed by the quarterly progress update from the Coordination Unit. 

The current agreement with UNFPA expires 30th April 2015. Last year in September UNFPA requested for an extension of the agreement with additional funds for activites up to end 2015. UNFPA has a bridging gap for the ISP programme of about 1,8 million USD until the end of the programme. This was confirmed in an email conversation 31 March 2015. 

In this assessment it is proposed to contribute with another 15 MSEK until end 2015.

Sweden has supported UNFPA for the Integrated Support Programme since September 2012. The agreement has included a two year activity period and the agreement will expire 30th April 2015. The ISP programme as such is for three years 2012-2015. The overall goal of the ISP is to improve women's and girls' sexual   and reproductive health by reducing the incidence of maternal         mortality and morbidity, HIV, Gender Based Violence (GBV) and         cervical cancer. The program works with integrated services in the    public sector.