Situation — A governance gap at the operational level
FIND [Foundation for Innovative New Diagnostics] is a leading global health non-profit dedicated to ensuring equitable access to diagnostics in low- and middle-income countries, across disease areas including Tuberculosis, Malaria, Hepatitis and HIV. At the disease programme level, M&E was already well established — structured approaches, clear indicators, and consistent reporting were in place.
The gap lay elsewhere: at the operational unit level and across the project management office’s portfolio, impact measurement was fragmented, inconsistent, and difficult to audit. As FIND sought to demonstrate its organisational impact more rigorously, bringing the same rigour to its operations became a strategic priority from the Impact Team.
Approach — Drawing on what worked, and building from there
Joining the Impact Team on a five-month contract, the work focused on designing an M&E governance framework for FIND’s operational units and PMO. The process began with structured interviews with each operational unit head — mapping what was already being measured, identifying gaps, and surfacing potential barriers to implementation. This grounded the framework in operational reality rather than theory.
The M&E practices already embedded in the disease programmes served as a key source of inspiration — adapting what was working well and translating it into a structure suited to the operational context. The resulting framework was designed to bring structure, consistency and auditability across the portfolio — without losing the flexibility that different operational contexts require.
Methodologies: Theory of Change · Logic Model · Logframe
Impact — A shared foundation for organisational accountability
The M&E governance framework gave FIND a coherent, organisation-wide approach to tracking and demonstrating impact beyond its disease programmes — strengthening internal accountability and making results more comparable and credible. Ultimately, better measurement at the operational level supports FIND’s core mission: ensuring that reliable diagnostics reach the populations who need them most, regardless of geography or income level.
