Our work is guided by a simple but powerful belief: to solve a systemic problem, you need a systemic solution. The preventable deaths on our roads and in our villages are not isolated incidents; they are the tragic outcomes of a fragmented health system where the chain of communication, data, and care is broken.
Our Theory of Change is our blueprint for mending that chain. It is a systematic model that maps how our targeted technological interventions directly lead to stronger systems and, ultimately, saved lives. It is our hypothesis for building a new, resilient continuum of care, starting in Nepal and designed for the world.
From Intervention to Impact: Our Causal Pathway
Our model is built on a logical pathway, moving from the tools we provide to the long-term impact we aim to create.
INPUTS (The Tools & Resources We Deploy)
- Technology: e.health platform for acute emergency response; Sahayatri platform for longitudinal community health.
- Human Capital: Trained Female Community Health Volunteers (FCHVs), Community Health Workers (CHWs), and onboarded end-users (drivers, families, pregnant mothers).
- Infrastructure: The existing network of smartphones and mobile connectivity in Nepal.
ACTIVITIES (The Actions Our System Enables)
- e.health Pathway: Automated crash detection & verification; one-touch SOS alerts; secure transmission of geolocated and medical data to responders and hospitals.
- Sahayatri Pathway: FCHV-led digital registration of mothers and children; scheduling and tracking of ANC visits; AI-assisted malnutrition screening; real-time consultation link between FCHVs and doctors.
OUTPUTS (The Direct, Measurable Products of Our Activities)
- Acute Care Outputs: # of verified crash alerts sent; average time from impact to hospital notification (in seconds); # of medical profiles accessed by ERs.
- Preventive Care Outputs: # of mothers actively monitored; # of high-risk pregnancies identified early; # of children screened for malnutrition; # of FCHV-doctor remote consultations completed.
OUTCOMES (The Short & Medium-Term Changes in the System)
- Systemic Outcomes: Emergency response chains are activated faster and with better information. Hospitals shift from reactive to prepared. FCHVs are empowered, shifting from isolated actors to integrated parts of the formal health system. The standard of care in remote areas is elevated.
- Behavioral Outcomes: Increased adherence to ANC schedules among pregnant women. Earlier care-seeking behavior for malnourished children. Increased trust between communities and the health system.
IMPACT (The Long-Term, Population-Level Goal)
- A measurable reduction in the road traffic accident mortality rate.
- A significant decrease in Nepal’s Maternal Mortality Rate (MMR) and Child Mortality Rate.
- A strengthened, resilient, and data-driven community health system in Nepal.
- A proven, scalable mHealth model for deployment in other low- and middle-income countries (LMICs).
Our Commitment to Evidence
This Theory of Change is more than our roadmap; it is our research framework. The success of our model will not be measured by the number of app downloads, but by the rigorous, evidence-based evaluation of these outputs, outcomes, and impacts. Through our planned pilot studies, we will test this hypothesis, refine our interventions, and build an undeniable case for a new global standard in tech-enabled community health.
We invite researchers, public health experts, and institutional partners to collaborate with us in proving and scaling this life-saving model.