Beyond DALYs: New measures for a new age of development

 
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Integrated development is an approach that employs the design and delivery of programs across sectors to produce an amplified, lasting impact on people’s lives. Integrated programs are based on the premise that the interaction between interventions from multiple sectors will generate benefits beyond a stand-alone intervention. As human development interventions take this more holistic approach, funders and program implementers alike recognize the importance of understanding the impact of multi-sector interventions. While we can continue to use sector specific measures of impact – for instance, Disability-Adjusted Life Years (DALYS) – this creates an apples and oranges problem if one wishes to compare across interventions. It begs the question: can we move towards a single performance metric to assess effectiveness and cost-effectiveness of integrated programs? Here at FHI 360, we are attempting to answer this question by developing a new measurement tool – MIDAS (Measuring the Impact of Development Across Sectors).

In this post, we discuss the need for better measures, describe our conceptual framework, and then present some of the key components of the tool. We conclude by demonstrating how the tool worked when piloted in a current FHI 360 project.