MONITORING, EVALUATION, & LEARNING > INDICATORS
Indicators for Climate-SRHR Action
Using consistent indicators across climate-SRHR projects and portfolios is a critical step towards strengthening our understanding of what approaches are most impactful.
What this is:
A short-list of evidence-based indicators and measures for funders and implementers to get started with climate-SRHR MEL
Aligned with existing guidance, national monitoring tools, and global goals where possible
However, work at the intersection of climate change and SRHR is incredibly diverse - and there is a need to ensure that MEL frameworks are adapted to the local context and are inclusive of local knowledge and priorities.
This section presents recommended indicators for climate-SRHR projects (if you are a grantee or implementing organization) and portfolios (if you are a funder).
What this isn’t:
A comprehensive list of all indicators related to SRHR and climate
A fully validated or definitive list of indicators
A set of survey questions or data collection instruments
Short List of Priority Indicators
Domain: SRHR Outcomes & Services
01: Climate-SRHR projects contribute to improved SRHR outcomes.
LEVEL: PROJECT, FACILITY, REGIONAL, NATIONAL
Domain: SRHR Outcomes & Services
03: Climate-SRHR investment portfolios increase access to climate-responsive SRH services.
LEVEL: PORTFOLIO
Domain: Health Systems
05: SRH supply chains are resilient to climate change.
LEVEL: PROJECT, FACILITY, REGIONAL, NATIONAL
Domain: Health Systems
07: The health workforce has the knowledge and skills to deliver climate-responsive SRH services.
LEVEL: PORTFOLIO
Domain: Climate Vulnerability & Adaptation
09: Portfolios direct climate-SRHR investments to climate-affected regions.
LEVEL: PORTFOLIO
Domain: Climate-Responsive Design
11: Project design is climate-responsive.
LEVEL: PROJECT
Domain: Climate-Responsive Design
13: Portfolios offer design support to climate-SRHR grantees.
LEVEL: PORTFOLIO
Domain: Advocacy & Preparedness
15: Communities are prepared to address climate risks to SRHR.
LEVEL: PROJECT
Domain: Policy & Financing
17: Health & SRHR policies, strategies, and plans include climate change.
LEVEL: NATIONAL
Domain: Policy & Financing
19: Climate-SRHR investments contribute to a stronger policy enabling environment.
LEVEL: PORTFOLIO
Domain: SRHR Outcomes & Services
02: Climate-vulnerable regions have access to climate-responsive SRH services.
LEVEL: PROJECT, FACILITY, REGIONAL, NATIONAL
Domain: Health Systems
04: SRH service delivery points are prepared for climate hazards.
LEVEL: PROJECT, FACILITY
Domain: Health Systems
06: Health systems use evidence to monitor and respond to SRHR risks posed by climate hazards.
LEVEL: PROJECT, FACILITY, NATIONAL
Domain: Climate Vulnerability & Adaptation
08: Climate-SRHR programming is delivered to climate-vulnerable regions.
LEVEL: PROJECT
Domain: Climate Vulnerability & Adaptation
10: Climate-SRHR action contributes to greater climate resilience beyond the health sector.
LEVEL: PROJECT, PORTFOLIO
Domain: Climate-Responsive Design
12: Portfolio investments are climate-responsive.
LEVEL: PORTFOLIO
Domain: Advocacy & Preparedness
14: Community members know how to manage climate-related risks to SRHR.
LEVEL: PROJECT
Domain: Policy & Financing
16: National climate adaptation policies and plans include SRHR.
LEVEL: NATIONAL
Domain: Policy & Financing
18: Diverse stakeholders are engaged in efforts to formalize and finance climate-SRHR policy.
LEVEL: PROJECT
Domain: Policy & Financing
20: Financing is mobilized for climate-SRHR action.
LEVEL: PORTFOLIO, REGIONAL, NATIONAL, INTERNATIONAL
For technical guidance addressing key climate-SRHR MEL challenges, case studies on how to select indicators,and strategies for implementing your MEL approach, visit the next section, Strategies for Successful Implementation: Guidance for Addressing Technical Climate-SRHR MEL Challenges.
DOMAIN: SRHR Outcomes & Services
Indicator 01: Climate-SRHR projects contribute to improved SRHR outcomes.
Purpose:
Ultimately, projects at the nexus of climate change and SRHR aim to generate meaningful improvements in SRHR outcomes. This indicator is used to track changes in SRHR outcomes for key areas of SRHR targeted by the project.
Definition
Change in SRHR outcomes that were assessed to be or expected to be sensitive to climate hazards and were targeted by the project, in climate-vulnerable areas benefitting from climate-responsive SRHR activities, by SRH outcome (see sub-indicators)
Geography
Geographic scope may be defined as “in climate-vulnerable areas” or “at sites (e.g., regions, facilities, communities, etc.) benefitting from climate-responsive SRHR activities.” Geographic scope may also be further restricted to “facilities benefitting from climate-responsive SRHR activities” or such a facility’s catchment area if a climate-SRHR project serves a subset of facilities within a specific region.
Data source & Measurement
Varies by type of outcome. Data may be available from health facilities, national health information systems, or representative national surveys (e.g., PMA, DHS). Projects should strive to work within and strengthen local health information reporting systems; if timely data is not available with the level of granularity required, coordinate with local health officials to develop a data collection approach that does not disrupt or conflict with ongoing efforts.
Disaggregation
May be disaggregated by gender, age, income, education, geography, etc.; if gathered at facility-level, type of facility
Sub-indicators
Abortion
1.1 Number of unsafe abortions averted in climate-vulnerable areas benefiting from climate-responsive SRHR activities
Comprehensive sexuality education
1.2 Proportion of young men and women aged 15-24 in climate-vulnerable areas benefiting from climate-responsive SRHR activities with basic knowledge about SRHR
Gender-based violence and harmful practices
1.3 Proportion of women aged 20-24 married before 15 and before 18 in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.4: Proportion of women of reproductive age (15-19) who have undergone female genital mutilation/cutting in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.5: Proportion of ever-partnered women and girls aged 15 years and older in climate-vulnerable areas benefitting from climate-responsive SRHR activities subjected to physical, sexual or psychological violence by a current or former intimate partner in the previous 12 months, by age and place of occurrence
HIV and STIs
1.6 Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.7 Proportion of females who have received the recommended number of doses of HPV vaccine prior to age 15 in climate-vulnerable areas benefiting from climate-responsive SRHR activities
Maternal Health (pregnancy and childbirth)
1.8 Maternal mortality rate in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.9 Proportion of births attended by skilled health personnel in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.10 Proportion of births occurring in health facilities in climate-vulnerable areas benefiting from climate-responsive SRHR activities
1.11 Adolescent birth rate in climate-vulnerable areas benefiting from climate-responsive SRHR activities
Menstrual Health
1.12 Proportion of women of reproductive age (15-49) in climate-vulnerable areas benefiting from climate-responsive SRHR activities who reported having enough menstrual materials during their last menstrual period
Modern Contraception (family planning)
1.13 Proportion of women of reproductive age (15-49) in climate-vulnerable areas benefiting from climate-responsive SRHR activities who have their need for family planning satisfied with modern methods
1.14 Proportion of women of reproductive age (15-49) in climate-vulnerable areas benefitting from climate-responsive SRHR activities who make their own informed decisions regarding sexual relations, contraceptive use and reproductive health care
Qualitative Validation & Contextualization
Interviews and/or focus groups with project beneficiaries about SRH outcome changes they have experienced over the intervention time period
Indicator Type
Outcome
Indicator Level
Project. May also be tracked at facility, regional, or national level. May be aggregated up to the portfolio level.
Aggregation
1 aggregates up to 3.1 Number and percent of climate-SRHR investments that contributed to an improvement in SRH outcomes.
Indicator Source
1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.8, 1.9, 1.10, 1.11, 1.13, 1.14: UNFPA Integrated Results and Resources Framework
1.2, 1.7: Guttmacher SRHR Indicators for the SDGs
1.12: Global MHH Technical Working Group: Priority List of Indicators
Implementation Guidance
For guidance on how extreme climate and weather emergencies may impact project performance and how to plan for/adjust MEL implementation in such circumstances, see What if a climate hazard or emergency affects my implementation site?
LEVEL: PROJECT, FACILITY, REGIONAL, NATIONAL