Impact that is measured, not assumed.
At Myclinic Cares, impact is not defined by how much we deliver, but by what changes, in access, behaviour, confidence and participation. We measure impact to learn, to improve, and to remain accountable to the communities and partners we work with.
MEASUREMENT
Why we measure impact
Many social interventions report activity. Fewer can demonstrate sustained change.
We believe that dignity, agency and participation are not abstract values — they are health determinants that can and should be measured. Without measurement, good intentions risk becoming temporary solutions.
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Communities are not reduced to numbers
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Learning informs future design
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Accountability is shared, not extracted
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Our impact framework
We measure impact across four interconnected levels, allowing us to move beyond outputs and into systems change.
Outputs
What was delivered — activities, reach and resources mobilised.
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Outcomes
What changed — access, awareness, participation and short-term effects.
Behavioural Signals
What endured — repeat engagement, ownership and follow-through.
Dignity & Systems Change
What shifted structurally — confidence, agency, trust and sustainability.
Dignity, agency and participation are health determinants
INDEX
Dignity Impact Index™
The Dignity Impact Index™ (DII) is a programme-level composite score that reflects the quality of impact achieved through each intervention.
It allows us to compare programmes consistently while preserving context and meaning.
Access enablement
Dignity & psychosocial wellbeing
Sustainability & follow-through
Health awareness & prevention
Community participation & co-production
Each programme receives a score out of 100, based on observed outcomes, behavioural signals and evidence collected during and after implementation.
Dignity Maturity Index™
While the DII captures programme-level impact, the Dignity Maturity Index™ (DMI) tracks how dignity is experienced over time within communities.
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It focuses on the felt experience of change rather than one-off results.
Confidence and self-worth
Sense of safety and belonging
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Agency and participation
Trust in systems and institutions
ETHICS
How we collect data
All data is collected using ethical, respectful and community-sensitive methods.
Observation and participation over extraction
Simple, appropriate tools
School, community and partner validation
Transparency about how information is used
How learning shapes
our work
Measurement is not an endpoint. It is a feedback loop.
Programme redesign
Partnership models
Follow-up interventions
Long-term strategy