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Agency for All
Improving Health and Well-Being by Increasing Power to Act

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We’re committed to advancing and embodying agency in 2025


At the heart of Agency for All lies a commitment to advancing agency—both within our work and our partnerships. This has been an exciting quarter of progress for our team for several reasons:

 

Informed by decolonial feminist principles, which prioritize self-determination, resistance, and reimagining power dynamics, six listening sessions co-facilitated with the Social Norms and Agency Learning Collaboratives (LCs) reflected on how to reimagine models for producing knowledge to elevate marginalized voices within our work and suggest actions to take in the coming year. The LCs exemplify agency in action, operating as locally driven networks with independent priorities, supported by the project. This year, they navigated the delicate balance between their goals and broader project objectives, strengthening partnerships through regular communication, and knowledge exchange—and both LC members and our Agency for All partners are enriched by it.  

 

Our annual internal assessment allows us to step back and assess how the internal project culture is operating. This effort has facilitated a space for honest and vulnerable exchanges and inspired initiatives like the Internal Task Force and peer-to-peer problem-solving efforts. These, in turn, have created intentional spaces for collaboration on the big issues our consortium is facing, reinforcing our commitment to equitable partnerships. Looking ahead, our Agency Model Task Force is developing a working model of agency, drawing from formative research, collaborative sessions, and shared experiences across the consortium.  

 

We’ve arrived at the end of 2024 still energized and challenged by what we’ve learned together, and by how much is underway. We’re entering the new year committed to both advancing and embodying agency—not just as a concept, but as a practice that fosters greater voice and decision making with our partners and communities. 

What We've Been Up To

Agency for All published in Current Developments in Nutrition



Agency for All’s Dr. Francine Wood (GEH) and project director Dr. Rebecka Lundgren (GEH) co-authored "Social Norms: A Missing Ingredient of Programs Seeking to Foster Women’s Agency in Nutrition” in the September 2024 issue of Current Developments in Nutrition. The peer-reviewed article draws on insights from the USAID-funded Kulawa project in Niger, highlighting the implications of using social norms diagnosis tools to understand the contextual dynamics within child-feeding practices, informing intervention design. The commentary demonstrates how social norms influence agency and provides insights on how to improve this focus in social and behavior change programs.  

Global Health: Science and Practice publishes Agency for All commentary



“Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa” was co-authored by Agency for All’s Dr. Lotus McDougal (GEH), Caroline Deignan (Matchboxology), Dr. Peter Kisaakye (Makerere University), Courtney McLarnon (GEH), Dr. Rebecka Lundgren (GEH), and Shannon Pryor (Save the Children). Informed by a 2023 literature review, this commentary represents a first step toward developing and testing a measure of contraceptive acceptability that can more precisely diagnose and support the achievement of self-determined reproductive goals and track progress within family planning programs. 

Agency for All shares new guidance on planning pause and reflect sessions

 

When Agency for All created internal guidelines for Pause and Reflect sessions, word spread to our colleagues working in other consortia, who expressed an interest in the information. We adapted the guide for broader use for any team looking for step-by-step guidance on how to conduct these sessions, which are purposefully structured to allow teams to step back from day-to-day work and identify areas for improvement. Pause and Reflect sessions can support a project’s aim to realize its commitment to continuous learning and adaptation, while supporting equitable partnerships, local leadership, and collaboration. This guide, “Planning Pause & Reflect Sessions: Practical Guidance for Your Project,” provides guidance to support a team to plan, facilitate, and document these sessions for any activity or process.  

New formative research on Husbands Schools adaptation in Niger 


Husbands Schools are a community-led initiative to enhance reproductive, maternal, and newborn and child health in West Africa. While evidence has shown that Husbands Schools have improved engagement with prenatal care, assisted deliveries, and family planning, there is little evidence that they successfully challenged entrenched gender norms and power dynamics. Agency for All’s formative research questions focused on exploring the meaning of gender equity, agency, and power in the Nigerien context. Learn how this study has laid the groundwork for a gender-transformative adaptation of the Husbands Schools model, which will be implemented and evaluated with local partners in the coming year. 

Agency for All supports grantees of Ouagadougou Partnership Research Agenda to develop strategic plans 

 

In August 2023, Agency for All began a two-year activity through the USAID West Africa Regional Office to aid in a capacity strengthening effort for the grantees of the Ouagadougou Partnership Research Agenda. Under this initiative, Agency for All is working to enhance the institutional capacity of grantees to generate new evidence and elevate leadership and expertise of these research institutions to bridge research-to-policy gaps. Results from the Baseline Capacity Assessment conducted by Agency for All identified gaps among grantees in resource mobilization, research utilization and advocacy, as well as in fostering strategic partnerships. 

New formative research on respectful maternity care in India


Agency for All is testing strategies to shift norms and practices that impact how pregnant women and newborns are treated by health providers. We are also working to increase knowledge of respectful maternity care among women, birth companions, and families, while shifting norms so that community members can advocate within facilities. This formative research was conducted to understand provider norms, social networks, and the experiences and perceptions of women and their families. The report summarizes both facility- and community-level findings, including that disrespect and abuse is acceptable under certain circumstances, and that prevailing norms discourage women and families from advocating for better care or raising grievances.  

In Case You Missed It

Agency for All at Eastern Africa Learning Collaborative-hosted Agency, Gender and Norms Conference 

Agency for All presented four sessions at the December conference:  


  • Understanding and leveraging young people’s collective agency to advance sexual and reproductive health outcomes 
  • Harmful SRH behaviors are maintained through pluralistic ignorance among young people in Kenya: opportunities to transform collective agency towards achieving a good life  Conceptual Cafés as a method for eliciting local understandings and definitions of individual and collective agency 
  • How to conduct research that is equitable, just, and inclusive for those whose voices and experiences have historically been silenced 

Agency for All shares new evidence at October Sexual Violence Research Initiative Forum 

From October 22–25 in South Africa, Agency for All partners shared insights from new research on several activities: respectful maternity care in India, infertility-related violence in Kenya and Cameroon, implementing a gender transformative Husband’s School adaptation in Niger, and addressing reproductive coercion across five countries. 

Recording: West Africa Learning Collaborative workshop on integrating social norms and agency in SBC

On September 4, Agency for All’s Hippolyte Rouamba (CORE Group) co-facilitated a workshop on the integration of social norms and agency in SBC programs, organized by Francophone West Africa Learning Collaborative (CAPANS) in partnership with the SPONG (Permanent Secretariat of NGOs of Burkina Faso). 

Webinar: Harnessing the potential of agency among youth in Kenya 

On September 25, 45 participants joined Agency for All and the Eastern Africa Learning Collaborative to review the emerging evidence from Kenya on young people’s localized constructs of agency. This is a study to understand if and how a youth-focused, multimedia social and behavior change (SBC) intervention can help increase agency among Kenyans ages 18–24 in informal settlements.

Where to Find Us

Agency for All mentioned in USAID Commentary in Global Health: Science and Practice 

USAID Office of Population and Reproductive Health has referenced Agency for All as an important investment in advancing person-centered, rights-based family planning measurement work. Read about our impact in: “Family Planning, Reproductive Health, and Progress Toward the Sustainable Development Goals: Reflections and Directions on the 30th Anniversary of the ICPD.” 

Agency for All to host third social and behavior change (SBC) course on integrating agency, social norms, and gender in February 2025

Co-hosted by the Anglophone and Francophone Social Norms and Agency Learning Collaboratives and adapted and supported by Agency for All, this “West Africa SBC Master Trainer Incubator” course in English and French will be held in Burkina Faso, February 10-14, 2025.  

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