Supply-Enabling Environment-Demand (SEED) Programming Model
The High Impact Practices in Family Planning (HIPs) are most useful when viewed in the context of a comprehensive family planning program. HIPs are intended to provide decision-makers with up-to-date evidence and experiential knowledge to inform strategic decision-making. Not all HIPs will be relevant in every context. One framework that can help guide decision-making is the Supply-Enabling Environment-Demand (SEED) Programming Model.
SEED provides a vision of the key elements of a quality FP/SRH program. This framework can be used by stakeholders to analyze where FP/SRH High Impact Practices might be applied within the context of the health system.
Its underlying premise is that the availability and quality of services (Supply), the policy, resource, and cultural context in which the service program operates (Enabling Environment), and the community’s knowledge, desire for and use of those services (Demand) are all interrelated and must be addressed in a comprehensive and synchronized manner. It addresses health systems, covering the 6 building blocks of the WHO Health System Strengthening framework and much more.
The framework is based on decades of experience, which has taught us that taking a comprehensive approach to any health care program maximizes the chances of its success and sustainability. It is applicable to all areas of sexual and reproductive health and can be adapted for any health care program.
SEED has been used successfully to support a range of functions, including program assessment, design, implementation, monitoring, evaluation and the development of partnering strategies. Because it provides the big picture, the SEED model results framework can serve as an overarching structure for putting the HIPs into context and visualizing where they fit programmatically, and for identifying gaps that may warrant additional inputs.