Impact & Accountability
What endures after we step back.
We hold ourselves to a single test: not what was spent, but what remains. The figures below are reported in full, audited independently, and accompanied by an honest account of what fell short. Restraint, here, is a form of respect.
Headline figures
- 5.4M
- lives reached
- 23
- regions
- 140+
- partner organizations
- 91%
- of funds to programs
Across all five programs, 2019–2025.
Independently audited; the remainder covers evaluation and operations.
A note on method
Figures are aggregated from partner reporting and independent evaluation, and counted conservatively: a person reached is counted once, a system is counted as functional only if it is still working at the most recent assessment. Where we cannot verify a number, we do not publish it.
The share of funds to programs is audited annually; the remainder covers evaluation and operations, which we treat as part of the work rather than overhead to be hidden.
Annual reports
Programs, outcomes, and audited financials for 2025 — 5.4M lives reached across 23 regions, with 91% of funds directed to programs.
- 5.4M lives reached, cumulative across five programs
- 91% of funds to programs, independently audited
- An honest account of a sanitation pilot we closed
Programs, outcomes, and audited financials for 2024 — 4.6M lives reached across 21 regions, with 90% of funds directed to programs.
- 4.6M lives reached, cumulative across five programs
- 124 locally-led partner organizations
- A market-linkage program we redesigned, and why
Programs, outcomes, and audited financials for 2023 — 3.8M lives reached across 19 regions, with 89% of funds directed to programs.
- 3.8M lives reached, cumulative across five programs
- $108M committed since inception
- A clinic build we paused until the supply chain was ready
What didn't work
The honest column.
We publish our shortfalls because trust is built precisely where others go quiet. These are programs we changed or closed, and what they taught us.
A sanitation pilot we closed
A subsidized-latrine pilot achieved installation targets but failed on use and upkeep. We ended it, published the evaluation, and redirected the funds toward community-led sanitation that communities sustained themselves.
Scholarships without the surrounding support
An early scholarship cohort under-completed because tuition was not the only barrier. We learned to fund the surrounding conditions — transport, safety, materials — rather than fees alone.