Abstract
BACKGROUND: Advance Family Planning (AFP) is a global engagement initiative to expand access to quality contraceptive information, services and supplies by fostering policy pledge and investment. Since it was launched in 2009 the initiate was implemented in ten countries. In India, this program was implemented in 42 districts across six states during 2012-2019. This paper describes the sustainability of its Engagement model and outlines programmatic strategies that facilitated the same. MATERIALS AND METHODS: An explorative qualitative study was conducted to capture information from the representatives of district working groups and implementation partners from 26 districts across six states. The analysis was informed by the Beery's framework for sustainability and was performed thematically using a mix of inductive and deductive approach. RESULTS: The integration of district working groups with existing health system partner forums or inter-departmental coordination platforms in selected districts, and adoption of SMART advocacy approach to various other programs and beyond the initiative geographies demonstrate the sustainability of the engagement model. The factors considered essential to its sustainability include strengthening the operational capacity of district working groups through regular monitoring, creating champions by training on SMART advocacy approach, fostering multi- and inter-sectoral partnerships and networks through collaborative platforms, and promoting accountability and ownership through open discussions. CONCLUSION: The evidence emphasizes the continuity of the program as a system-led initiative for its sustainability. Health promoters and public health practitioners could proactively integrate sustainability components within their program design and achieve this through strategic planning throughout program implementation and the program lifecycle.