
Lessons on Localization
After years of contemplating and testing what Localization looks like, the development community is beginning to hone in a common definition of Localization or at least the metrics behind it. USAID defines Localization as locally led design, implementation, and monitoring of development assistance. Their outcomes of interest are the transition of funding and decision-making to be in the hands of those who will influenced most by the decisions.

Commentary on USAID Position Paper: Cost-Effectiveness
In October 2024, USAID published its first Position Paper on Cost-Effectiveness, stating that the Agency’s vision is the widespread use of cost-effectiveness evidence during program design. We welcome the direction, and we commend the authors for a technically sound document. Here, we give suggestions for how the recommendations could be implemented and provide a few areas of caution.

Management of Change and the Role of Monitoring and Evaluation
In a fast-evolving world, Management of Change (MOC) provides a structured way for organizations to adapt smoothly to new processes, technologies, or structures. Essential to this process, Monitoring and Evaluation (M&E) tracks progress, ensures accountability, and supports data-driven decisions—helping organizations make change sustainable and effective at every level.

The Resilience of Ukraine’s Healthcare System
The July 2024 attack on Kyiv’s Okhmatdyt Children’s Hospital highlighted the resilience of Ukraine’s healthcare system under siege. Despite over 1,500 attacks, Ukrainian medical teams adapt to provide care amid bombings and shortages. With support from the Ministry of Health and international allies, they’ve expanded mobile units, rehabilitation, and mental health care, embodying hope and strength for the nation.