Sample Review 1 · Healthcare

Bansitola PHC Strengthening Initiative

Sanjeevani Industries Foundation + Gramin Health Development Trust
SectorPrimary Healthcare
LocationKaramgarh Taluka, Jharkhand
PeriodMay 2023 – April 2026
Population~18,000 catchment
Principle Scores
P1 · Purpose & ToC
5.0
P2 · Context
6.5
P3 · Methodology
5.5
P4 · Materiality
5.0
P5 · Evidence
6.0
P6 · Causality
6.5
P7 · Ethics
4.0
P8 · Learning
7.0
P9 · Transparency
7.0
5.8
Weighted Composite
Not Accredited — P7 Ethics below floor
Key Observation

Strong operational success in improving healthcare access — OPD attendance doubled, doctor availability went from 2 to 6 days/week, satisfaction rose from 34% to 76%. However, evidence of actual health outcomes is limited: no outcome monitoring systems were established at inception. The report honestly acknowledges this gap.

The contribution analysis chapter is a notable strength — explicitly distinguishing what can and cannot be claimed. But the absence of formal ethical protocols (no documented consent, privacy, or data protection) pulls the score below the accreditation floor.

Selected Principle Assessments
P1 · Purpose & Theory of Change
5.0
Strengths
Clear project rationale linking infrastructure + doctor availability to utilisation. Honest about not having a formal ToC at inception — retrospectively reconstructed with full input-activity-output-outcome pathway.
Gaps
No formal Theory of Change developed at project design stage. Assumptions stated retrospectively rather than tested prospectively. No structured framework for measuring health outcomes.
Finding: Clear operational purpose, but causal architecture constructed retrospectively rather than guiding design.
P6 · Responsible Causality
6.5
Strengths
Explicit contribution analysis chapter. Clearly distinguishes "areas of strongest contribution" from "areas of weakest evidence." States the assessment "cannot determine whether changes resulted in measurable health improvements."
Gaps
No comparison facility or counterfactual. No consideration of concurrent government health programmes that may have influenced utilisation. Contribution is described but not quantified.
Finding: Honest contribution logic — stronger than most CSR reports — but lacks counterfactual reasoning.
P7 · Ethical Integrity
4.0
Strengths
Verbal consent observed during data collection. Respectful tone throughout. Report itself transparently discloses the absence of formal ethical processes.
Gaps
Explicitly states: "no formal ethical review process was undertaken" and "did not establish documented protocols for informed consent, privacy management, or data protection." No conflict of interest disclosure.
Finding: Ethical intent present, but no structured safeguarding — this is the accreditation-blocking gap.
Sample Review 2 · Integrated Rural Development

Gram Uday Rural Development Initiative

Apex Engineering India Foundation + United Impact Foundation
SectorMulti-sector (Water, Livelihoods, Education, Health, Women, Environment, Governance)
LocationSundarpur Village, Kalahandi, Odisha
PeriodApril 2022 – March 2025
Sample312 HH survey (37%), 12 FGDs, 28 KIIs
Principle Scores
P1 · Purpose & ToC
7.5
P2 · Context
8.0
P3 · Methodology
7.0
P4 · Materiality
7.0
P5 · Evidence
7.0
P6 · Causality
6.5
P7 · Ethics
6.0
P8 · Learning
7.0
P9 · Transparency
7.5
7.0
Approaching Accreditation
All principles at floor · Composite meets 70%
Key Observation

A substantially stronger report. Documented Theory of Change with clear causal pathways and stated assumptions. Mixed-method design with 312-household survey (37% coverage), 12 FGDs, and 28 KIIs. Sampling framework and stakeholder mapping in annexures. Cross-cutting analysis of inclusion, gender, and government convergence.

The integrated design generates reinforcing evidence across sectors — water improvements link to livelihood gains, SHG participation links to women's financial decision-making. The weakest areas remain ethics (basic protocols, no formal review) and causality (no control group, contribution framing without counterfactual).

Selected Principle Assessments
P1 · Purpose & Theory of Change
7.5
Strengths
Documented ToC with full input-activity-output-outcome-impact pathway. Six key assumptions explicitly stated. Systems-oriented design philosophy articulated. ToC structures the entire report.
Gaps
Assumptions listed but not individually tested against evidence. ToC pathways are plausible but presented as confirmed rather than interrogated.
Finding: Well-documented causal framework with stated assumptions — close to exemplary but not yet self-testing.
P2 · Contextual Relevance
8.0
Strengths
Detailed village profile with demographics, livelihood distribution, baseline indicators per sector. Development challenges documented with quantitative baselines. Stakeholder mapping matrix in annexure. Context clearly informs programme design.
Gaps
Vulnerability analysis is demographic rather than intersectional. Below-poverty-line households slightly under-represented in beneficiary share (34% vs 38% population).
Finding: Context shapes both design and evaluation — among the strongest areas of this report.
P3 · Methodological Rigour
7.0
Strengths
312 household survey (37% of all HH), 12 FGDs, 28 KIIs, observation visits, transect walks. Sampling framework in annexure with population and sample by stakeholder group. Multiple data sources per indicator.
Gaps
No control village or comparison area. Several indicators rely on self-reported data. Triangulation methods described but not systematically demonstrated.
Finding: Strong mixed-method design with reasonable coverage — limited by absence of comparison group.

What these reviews illustrate

Both reports assess three-year development programmes, both use mixed methods, and both are honest about their limitations. Yet one scores 5.8 and the other 7.0. The difference comes down to three things: whether the Theory of Change was designed prospectively or reconstructed, whether the methodology has structured sampling and coverage, and whether ethical safeguards are documented rather than implied.

The IAAF Standard doesn't reward perfection — it rewards rigour, honesty, and structure. A report can acknowledge significant gaps (as the Bansitola report does with health outcomes) and still score reasonably on causality because it doesn't over-claim. But undocumented ethical processes cannot be compensated for by strengths elsewhere.

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