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Evidence to Action

The Evidence to Action (E2A) Project is a global, $290 million, 10-year cooperative agreement funded by the United States Agency for International Development (USAID) to strengthen family planning and reproductive health service delivery. From 2011–2021, E2A addressed the reproductive healthcare needs of girls, women, and underserved communities around the world by increasing support, building evidence, and facilitating the scale-up of high-impact practices that can transform the health of families, communities, and nations.

Across 17 countries, E2A advanced evidence-based practices that have improved reproductive health and contributed to reductions in unintended pregnancies and gender disparities. As a result, today, more women and girls can make—and act on—informed decisions that ensure the healthiest outcomes for themselves and their families.

Pathfinder led E2A, in collaboration with ExpandNet, IntraHealth International, PATH, Management Sciences for Health, and African Population and Health Research Center.



151 RESOURCES—study reports, technical reports, policy briefs, program briefs, technical briefs, fact sheets, and peer-reviewed journal articles.

In Nigeria, current voluntary use of modern contraceptive methods increased significantly among FTP program participants—from 26% to 79% among non-pregnant first-time mothers, and from 43% to 78% among male partners.

In the DRC, 231,566 people accepted modern contraceptive methods for the first time through community-based distribution.

In Ethiopia, E2A-supported voluntary family planning services resulted in 18 million+ couple years of protection.

What We Did

  • Advanced quality services made with and for youth—specific to their country context, their needs and desires, available services, financial resources, and objectives for scalability and sustainability.
  • Systematically scaled up community-based family planning; innovative peer education approaches for youth; integrated population, health, and environment activities; and task-shifting and task-sharing to expand method choice.
  • Expanded access to a full range of contraceptive options with special attention to the promotion of client-centered, voluntary, and informed choice.
  • Seized opportunities to broaden the impact of family planning by creating synergistic and mutually beneficial partnerships across sectors, closing evidence gaps, and engaging stakeholders who are often left behind.

Resource Categories


For E2A, young people were much more than a key population in need of information and health care. They were our valued partners and, increasingly, our priority in nearly every country where we...

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Broadening Family Planning Impact

The 2030 Sustainable Development Agenda recognizes the transformative benefits of voluntary family planning—for people, the planet, and prosperity. When women and couples can exercise their right...

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Since E2A’s inception, we made it our mission to help introduce or scale up best practices in family planning and reproductive health service delivery for women and girls. This meant taking...

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Method Choice

Family planning is one of the best and most cost-effective investments in international development. Supporting women and couples to freely decide whether and when to have children provides more than...

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Project Staff Members

Rita Badiani

Director, Special Projects

Rita brings over 25 years of experience in program management and development, primarily in family planning, reproductive health, HIV and AIDS, and population studies....

Murtala Mai

Executive Vice President

Murtala is Chief of Country and Program Strategy at Pathfinder. He joined our team in 2002 as the project manager of our Private Sector Family Planning & Reproductive Health project in Northern...

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In remote parts of Tanzania, people face two crises—how to improve their health and protect the environment they depend on for survival. See how we help them address both,...

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