At the close of the Changing the Way We Care (CTWWC) The Changing the Way We Care (CTWWC) initiative launched in 2018 with the aim to reform child care systems by promoting safe, nurturing family-based care over institutional care. At the close of CTWWC, Outcome Harvesting was used to track change in national system strengthening and in regional and global collaboration. This report, and another associated report, capture the initiative’s experience with using Outcome Harvesting as a key monitoring and evaluation approach.
This report presents the findings and lessons learned from the use of Outcome Harvesting within the global initiative. The report details how Outcome Harvesting was used to capture over 450 behavior changes among various actors—governments, civil society, faith-based organizations, and others—across all five demonstration countries. These changes spanned areas such as policy, service delivery, coordination, and financing, and were influenced by CTWWC’s technical assistance, training, and advocacy efforts.
The report also explores how these outcomes contributed to systemic change using the Six Conditions of Systems Change framework, which includes structural (e.g., policies), relational (e.g., power dynamics), and transformative (e.g., mental models) levels. It highlights the importance of long-term engagement, government leadership, and collaboration with diverse stakeholders, including people with lived experience. The document emphasizes that systems change is complex and gradual, requiring adaptive strategies and sustained investment. It concludes that Outcome Harvesting was a valuable tool for understanding and guiding CTWWC’s impact, offering insights for future care reform and systems-strengthening initiatives.
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