Presented by Beatriz Plaza at the April 2014 Global Health & Innovation Conference.

1. The Importance of
Metrics in Sustainable
Scale-up
Beatriz Plaza, MEASURE Evaluation
GHIC 2014 Global Health & Innovion Conference
Yale University, New Haven, CT
April 12-13

2. WHY DOES
MEASUREMENT
MATTER?

3. “If you can’t measure it, you can’t
manage it” Peter Drucker
“If an intervention can’t demonstrate real
impact, it shouldn’t be scaled up. We
don’t invest in organizations that don’t
measure impact: they’re flying blind and
we would be too.” Mulago Foundation
“If you can’t measure it, you can’t grow
it.” Nancy Mahon, SSIR

4. …in 2012 global health
financing totaled 28.1
billion dollars
Institute for Health Metrics &
Evaluation
…in 2012 private
sector contributions
through foundations,
NGO’s and corporate
giving accounted for
nearly 15% of global
health financing
Institute for Health Metrics & Evaluation

5. Einsteins dictum:
Einsteins dictum:
“Not everything that counts
can be counted, and not
everything that can be
counted counts”

6. Key Questions:
 Are we investing where it matters?
 Are we using strategies and selecting
programs that can deliver through sustainable
and scalable programs?
 Are we impacting the field beyond just
financial investment and creating real social
return?

7. The Challenge?
Rigorous yet Realistic Measurement!

8. How do we design for real impact?

9. “Impact is a change in the state of
the work brought about by an
intervention. It’s the final result of
behaviors (outcomes) that are
generated by activities (outputs).”
-Mulago Foundation

10. Recommendations for building
evaluation into your programs or
organizations:
 Define your mission
Choose the right indicators

11. Make the case that it was the
programs efforts that caused the
change!

12. Impact Evaluation
Impact evaluation uses research methods and
statistical analyses that measure change in
population based outcomes (usually health status)
that can be attributed to a program intervention
while adequately ruling out other potential factors.
The data come from special studies and require
strong study designs.

13. Gold Standard
Randomized Control Trials

14. Outcome Evaluation
Outcome evaluation measures
whether or not a program or
intervention has resulted in the
desired changes or has attained
the desired results.

15. Cost-effective studies
 Cost per impact: We want a number. We
want to know how much it costs.

16. Pearls
 Everyone needs to be measuring impact
(especially when thinking of scaling up)
 Eveyone benefits from a brighter look at impact:
donors, funders, social sector and most
importantly the beneficiaries!
 When we measure impact we can address the
issues of accountability, transparency, culture &
ethics

17. THANK YOU

18. MEASURE Evaluation is funded by the U.S. Agency for
International Development (USAID) and implemented by the
Carolina Population Center at the University of North Carolina at
Chapel Hill in partnership with Futures Group, ICF International,
John Snow, Inc., Management Sciences for Health, and Tulane
University. Views expressed in this presentation do not necessarily
reflect the views of USAID or the U.S. government.
MEASURE Evaluation is the USAID Global Health Bureau's
primary vehicle for supporting improvements in monitoring and
evaluation in population, health and nutrition worldwide.

19. www.measureevaluation.org