We strive for sustainability and maximum impact through continuous monitoring and evaluation. This allows us to keep gaining insights into the effectiveness of our interventions.

Help from science
In order to measure the effectiveness of our interventions, we asked the help of the Impact Centre Erasmus (ICE). This research centre applies science to the daily practice of societal organizations to help increase their impact. ICE researched the measurable impact of various WASH interventions in combating child mortality. By looking at the number of DALYs[1] (Disability Adjusted Life Year) prevented and the costs resulting from a specific intervention, the so-called ‘Value for Money’ can be calculated.

[1] A DALY is calculated by summing up:
The number of years of life lost due to a disease + the number of years lived with a disability due to a disease. One DALY prevented, means one year of healthy life added.

The results in an accessible database
Together with Max Foundation ICE gathered literature based evidence from various WASH and HEALTH interventions. This was subsequently processed in a database. Via this database we, as well as other organizations active in the field of WASH and HEALTH, now have easy access to what the ‘Value for Money’ of a particular intervention is.

Main conclusion
The evidence from the literature research of ICE shows that WASH is highly likely to be the most cost-effective way of preventing diarrhea and mortality of children under 5 in Bangladesh and contributes to a healthier start in life of as many children as possible in Bangladesh. It supports the approach of Max Foundation and the impact we set out to have. Take a look at the pages below for an overview of the conclusions per intervention, such as water, sanitation, hygiene, sexual reproductive health (incl. safe motherhood) and nutrition.