This article analyzes the application of Collective Impact methodology to advance childcare system reform in Moldova, grounding the analysis in social movement theory. Examination of the Family Care First initiative in Cambodia illuminates essential lessons regarding clarity of governance role definition and empowering local leadership, providing valuable context for understanding Moldova’s experience. Drawing on observed changes in actor behavior documented between 2019-2025 and examined through the Six Conditions for Systems Change framework, author analyzes the way the strategic engagement established coordination infrastructure, secured policy updates, ultimately culminating in a national commitment to end child institutionalization by 2027. Findings demonstrate systemic changes across structural, relational, and transformative levels, with critical success factors including government leadership, structured coordination mechanisms, and evidence-based advocacy. Challenges persist at transformative level, in shifting mental models among stakeholders. Methodologically, the research establishes Outcome Harvesting’s value for monitoring nonlinear reform processes and proposes future applications in health, education, and fulfilling recommendations within the EU association agenda.
