Our work is driven by the principle that positive change can only be brought about by working from accurate information. Health system managers can’t get vaccines where they’re most needed without an understanding of who’s been vaccinated. And we can’t build better technology without regular rigorous assessments of how it’s performing and how it can be improved.

We want this philosophy to extend to our partners. Countries should make decisions about investing in technology with as full an understanding as possible about the outcomes they can expect to see. Included here are a small sample of what we’ve observed and learned over the years.


We conduct short-term research initiatives to assess partner needs, build on existing features, and identify opportunities to build along the maternal and child health continuum of care.

Assessing user needs to design the most effective SMS reminder and recall feature – PDF

Understanding how to build a useful user guide with interactive focus groups – PDF


By collecting and assessing information on a regular basis, we can make course corrections as needed and gain insight into how the implementation process affects particular outcomes.

Case studies of our approach to monitoring and evaluation, presented at the Tech4Dev ConferenceFull Paper – PDF and Presentation – PPT


We develop and implement evaluation frameworks to analyze long-term outcomes and impact and incorporate findings and lessons learned into future programming.

General lessons learned from our work in Benin (Benin – PDF) and Nepal (Nepal – PDF)

Final findings from the Benin endline evaluation (English) – PDF

Final findings from the Benin endline evaluation (French) – PDF

An overview and assessment of the first phase of work in Nepal – PDF