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 and primary outcomes for every service we implement. We focus on evaluating and monitoring impact in our four product categories - Customer and Patient Engagement, Health and Medical Services, Access and Supply Chain, and Data and Insights.

The Primary Outcomes are the direct measurable results of the services we deliver, whereas Impacts are the longer term population level changes we’re helping to achieve alongside other system actors. Ultimately these impacts link to the UN’s Sustainable Development Goals – SDG3 ‘Good Health and Wellbeing’, SDG5 ‘Gender Equality’ and SDG8 ‘Decent Work and Economic Growth’. In terms of Social Return on Investment, every $1 we spend saves low-income residents $2.10 in their health access costs based on Impact Investment Exchange analysis.

Outputs and Primary Outcomes

Customer and patient engagement

  • Number of people engaged per health / financial inclusion campaign
  • Number of people educated per health campaign
  • Number of patients enrolled / managed


Primary Outcomes
  • Improved knowledge, attitudes and practices of populations in health and/or financial areas
  • Rise in early detection of disease in community level

Access and supply chain

  • New affordable health products made accessible via sales channels
  • Number of affordable health products purchased
  • Number of affordable financial services products purchased
  • Number of affordable health products delivered to last-mile


Primary Outcomes
  • Increased access to affordable healthcare products
  • Reduction in patient time and costs associated to accessing health service
  • Reduced out-of-pocket health expenditure
  • Enhanced protection against unforeseen financial loss due to medical costs

Health and medical services

  • Number of new / trained CHWs based on their role
  • Number of new agents equipped to deliver health & financial services
  • Number of people screened
  • Number of people referred for timely primary, secondary and tertiary care
  • Number of patients enrolled / managed


Primary outcomes
  • Improved knowledge and skills of CHWs
  • Improved, knowledge and skills of agents
  • Improved ability for HCWs to function in their specific roles
  • Improved diagnosis and treatment rates
  • Rise in early detection of disease in community level
  • Improved health outcomes of patients enrolled in services

Data and Insights

  • Number of residents profiled for health and financial needs
  • New data points collected on health and financial needs of populations
  • Real world evidence generated from populations


Primary Outcomes
  • Data-driven insights for targeted, predictive and prescriptive health services
  • Real world evidence to optimise new products, services and models of care


The outputs and primary outcomes ultimately drive the impacts at a population level, aligned to the UN Sustainable Development Goals.

Improved Quality of Life and Healthy Life expectancy (number of years that a person can expect to live in “full health”)

Reduced population mortality rates (number of deaths per population) and age adjusted mortality rates

Reduction in Years of Life Lost (YLLs) and Years Lived with Disability (YLDs), and Disability-Adjusted Life Years (DALYs)

Reduced population prevalence and incidence in disease areas

Improved economic resilience through reduction in Out of Pocket Expenditures, increased savings, and employment

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