Measuring results: the demand-side revolution

Upside down world

An excellent TV show this week followed a British midwife who worked for a fortnight in a Liberian hospital. The first thing she did was turn on two shiny new incubators that UNICEF had provided. They hadn’t trained the staff how to use them.

My wife was shocked: how could such expensive kit be provided without training? After years in aid, I wasn’t so surprised. It’s a familiar story, coming down to the incentives that shape how aid agencies actually run projects. Continue reading