Measuring What Matters
We measure impact in outcomes, not outputs. Clinics built and medications distributed are inputs. What we track is whether people's health actually improved — and whether that improvement lasts beyond our direct involvement.
Case Study 01 · Ngozi Province, 2021
Defeating Malnutrition in Ngozi Province
A prolonged drought drove a sharp rise in early childhood malnutrition. Facility-based feeding programs could not keep up — families could not afford transport to regional hospitals. We deployed 120 trained CHWs into affected communes, equipped with MUAC tapes and Ready-to-Use Therapeutic Food (RUTF) to bring treatment directly to families.
Case Study 02 · Ubuntu Medical Center, 2023
Ubuntu Medical Center Surgical Outreach
Access to surgical care remains a critical gap in Burundi. Ubuntu Medical Center launched a surgical outreach program targeting obstetric fistulas and correctable pediatric orthopedic conditions — both debilitating, both carrying heavy social stigma. Post-operative care was managed by our community health network, with wound care and physical therapy delivered in patients' home villages.
Case Study 03 · Rural Communes, 2023
Digital Disease Surveillance
Reporting lags between rural clinics and the Ministry in Bujumbura historically allowed outbreaks to grow undetected. We partnered with local telecom providers to equip CHWs with mobile devices running an SMS-based syndromic surveillance platform. In late 2023, the platform detected a cluster of acute watery diarrhea near Lake Tanganyika. Government and Future Health teams responded within 48 hours — containing what could have been a cholera outbreak to a single commune with zero fatalities.
Learning from What Doesn't Work
Not every program works on the first attempt. We treat impact assessments as learning tools, not donor reporting exercises. When a program underperforms, we investigate why — with community leaders, not in isolation. That iterative process is how our approach improves over time.