Impact Framework

Monitoring Impact

At reach52, we continuously monitor and optimise the impact of everything we do. It’s essential for ensuring our services are delivering value for our communities and all partners in the health system. It’s vital for fast learning, so we can amplify what’s working and make improvements where needed.

Our Impact Framework is how we approach this, setting and measuring the outputs, primary outcomes and secondary outcomes for every service we implement – whether in non-communicable diseases, infectious diseases, maternal and child health, or financial protection. We focus on four key areas in evaluating and monitoring impact – Promoting Health Awareness, Strengthening Health Systems, Offering Access to Affordable Healthcare, and Building a Sustainable Health Ecosystem.

The primary outcomes are the direct measurable results of the services we deliver, whereas secondary outcomes are the longer-term impact we’re helping to achieve alongside other system actors. Ultimately this impact links to the UN’s Sustainable Development Goals – SDG3 ‘Good Health and Wellbeing’, but also SDG1 ‘No Poverty’, SDG5 ‘Gender Equality’, and SDG8 ‘Decent Work and Economic Growth’.


Every service varies, but you can click through to see the typical measures we set below, and check out our impact case studies here.

Outputs and Primary Outcomes

Promote health awareness

  • Conduct (topic) awareness campaigns via (channels – online and offline)
  • Promote financial literacy amongst community members
  • Perform (type) screening events for early detection of risks and assess treatment needs


  • Number of health campaigns performed through digital or offline channels
  • Number of engaged participants per health campaign
  • Number of screening campaigns per healthcare area
  • Aggregate health risk profile (no risk / at risk / high risk) of screened population


Primary Outcomes
  • Improved knowledge, attitudes and practices of community members on (topic), (risks), (treatment options) and (ongoing disease management)
  • Rise in early detection of disease in community level
  • Improved patient health outcomes – % of enrolled patients in programs that have reported to have a positive experience in healthcare/health support (PROMS)

Offer access to affordable and equitable healthcare

  • Offer health products / services on Marketplace app for prevention, diagnostics, treatment, monitoring etc.
  • Offer relevant micro-insurance products on Marketplace app
  • Offer differential pricing of products based on income level
  • Operate a (product) delivery service to patients in rural and disconnected regions


  • Number of relevant health products and services by category
  • Sales volume of health products and services by category
  • Number of relevant micro-insurance products
  • Number of successful claims


Primary Outcomes
  • Increased access to affordable healthcare products
  • Improved adherence to health products
  • Reduced out-of-pocket health expenditure
  • Enhanced protection against unforeseen financial loss due to medical costs

Strengthen health systems

  • Acquire and contextualise (topic) best practice health education materials (to social, cultural and health system setting)
  • Train / upskill HCWs on health education, screening and care coordination mechanisms
  • Equip HCWs with up-to-date disease insights and tools for community management


  • Number of relevant trainings held for HCWs
  • Number of trained HCWs based on their role
  • Number of local health units engaged
  • Number of enhancements and innovation on the current community health management


Primary Outcomes
  • Improved knowledge and skills of HCWs in rural communities
  • Improved ability for HCWs to function in their specific roles
  • Improved patient journey experience within local health units
  • Reduction in patient time and costs associated to accessing health service

Build a sustainable health ecosystem

  • Scale reach52 solutions to communities with unmet needs
  • Collaborate with local health systems to run programs and ensure feedback is looped back into the the health system
    Grow network of public / private partners, design and implement programs across the health ecosystem
  • Employ and train residents in communities reach52 implements in to act as access points for healthcare
  • Acquire partnerships with suppliers and distributors for pooled procurement and delivery
  • Develop digital applications and tools that enable health interventions


  • Number of profiled residents (Access/Marketplace)
  • Number of onboarded communities (municipalities vs. region)
  • Number of enrolled beneficiaries/supported patients (per program)
  • Number of local stakeholders engaged
  • Number of programs launched with local health stakeholders
  • Number of Access Managers hired within the communities reach52 serves
  • Number of Marketplace vendors and Access points
  • Number of public-private partnerships created
  • Number of partnerships with suppliers and distributors offering cost effective services
  • Uptake of reach52 applications/tools developed for various programs


Primary Outcomes
  • Improved health outcomes as a result of local support network and access to products / services
  • Improved experience and accelerated impact to intended health outcomes
  • Strengthened effect of intervention via a holistic approach to healthcare
  • Enhanced efficiency (time taken to reach health service) and cost effectiveness (reduction in cost) of healthcare provision
  • Improved community resilience and enhanced opportunities, particularly for women
  • Enhanced efficiency (reduction in time taken) and cost effectiveness (reduction in cost) of healthcare supply chain and delivery network

Secondary Outcomes

Increased ability of patients to improve basic wellbeing of themselves and their families (Improved Well-being and Quality of Life)

Reduced morbidity and mortality due to early diagnosis on various
healthcare areas

Increased financial savings on medical expenditure from accessible early treatment (Improved Economic Resilience)

Strengthened implementation of Universal Health Coverage