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Theory of change

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on 17 March 2014

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Transcript of Theory of change

Bill & Melinda Gates Foundation
Theory of Change
North-Eastern Nigeria
Uttar Pradesh, India
to improve maternal and newborn health
What works to improve the survival of mothers and babies?
Bill & Melinda Gates Foundation
Most deaths occur in low-income settings and are preventable
Many different theories on how to get life-saving interventions to families.
Run and support
mother's groups
Call centre
Training Health
Extension Workers
innovation introduced
innovation scaled-up
Does the
Theory of Change
work in practice?

...by answering 4 questions
2010 - 2016
Funded by
What next?
Evidence to inform policy and practice
Evidence to improve maternal and newborn health
Stay in touch
& evaluation methods
Implementation projects
Research partners
The IDEAS project
What is the
Theory of Change?

Does the Theory of Change work?
Test the theory...

Every day around the world...
800 women die from pregnancy-related causes
more than 7,300 babies are delivered stillborn
Newborn deaths contribute to 40% of all preventable child deaths globally
Uttar Pradesh, India
North-east Nigeria
Frontline worker
What are the best ways to reach Leilit, Hadiza and Rani?
Non-governmental donors
Does the theory work in practice to improve the health and survival of women like Rani and her baby?
50+ health innovations
Leilit - Mihretab Salasibew
Hadiza - istock
Rani - Agnes Becker/IDEAS
Shashi - Agnes Becker/IDEAS
Shashi and Rani film - Agnes Becker/IDEAS
mSakhi Home based
newborn care
50+ innovations
The Bill & Melinda Gates Foundation have funded
Enhanced quality
Essential newborn care reaches baby
Rani's baby stays healthy and survives
Does the theory work?
How does the theory work?
Why are life-saving interventions not reaching mothers and babies?
Why do some innovations work better than others?
Why do some innovations go to scale?
Photo and film copyrights
Special thanks to the Manthan project for allowing us to use their app as an example
Credits and copyright
What will we find?
Does the theory work in practice?
Do life-saving interventions reach mothers and babies as described in the theory?
Do some innovations work better than others?
How do innovations go to scale and benefit more mothers and babies?
Evidence to understand what works to get life-saving interventions to women and babies
Does the theory need to be tweaked?
Stay in touch
which health
innovations and programmes deliver the greatest impact on maternal and
newborn survival at scale?

Fund projects based on theories
women and families
800 women die every day from pregnancy related causes: UNFPA, et al., Trends in Maternal Mortality: 1990-2010, 2012: WHO
7300 newborn babies are born still born every day: Lawn, J., Kinney, M. ‘Stillbirths – An Executive Summary for The Lancet’s Series’ The Lancet, 14 April 2011
40% of all preventable child deaths are newborn babies: WHO, World Health Statistics 2011, 2011: WHO pp15
Full transcript