Delivering More Toolkit Overview

Delivering More Toolkit

Year
2021
Status
In Progress
Partners
Institute for Healthcare Improvement, Gates Foundation, Elsa & Peter Soderberg Charitable Foundation
Collaborators
Fasil Giorghis Consult, iccdr,b, Manor Media, Pearly Yon
Photographer
MASS
Kamrul Hasan
Architecture
Bethel Abate, Andrew Brose, Emily Ebersol, Symphorien Gasana, Mikail Jassat, Azza Dushime Kagina, Emery Karenzi, Inam Kula, Fred Manzi Karasira, Lysette Niragira, Anibal Niyitanga, Siyabulela Keith Ntuntwana, Yussufu Renzaho, Amie Shao
Engineering
Cameron Bailey, Nelson Habintwari, Harriet Kirk, Tilly Lenartowicz, Jacques Maniraruta, James Musoni, Hervé Gilbert Ngenzi, Paterne Niyonkuru, Asyncrite Nyinganyiki, Obed Sekamana, Christian Uwinkindi
Landscape
Sierra Bainbridge, Robert Lloyd, Georgios Orfanopoulos
Film
Thatcher Bean, Tracy Keza
mother with child

Delivering More is a human-centered design initiative that equips health systems with tools and principles to create safe, respectful, and dignified maternal and newborn care facilities in underserved settings.

Delivering More is a collaborative initiative led by the Institute for Healthcare Improvement (IHI) and MASS, with support from the Gates Foundation and the Elsa & Peter Soderberg Charitable Foundation. It reframes health quality by centering the physical environment as a critical but often overlooked determinant of care. By championing collaborative, human-centered design, Delivering More seeks to foster ownership, trust, and meaningful engagement between communities, healthcare providers, and policymakers, while equipping stakeholders with resources to replicate and scale improvements worldwide.

Delivering More immersion

The initiative began with immersive work in Ethiopia and Bangladesh, where teams engaged mothers, families, providers, and health system leaders to understand how space shapes care experiences and outcomes. This process included technical infrastructure assessments and the development of improved facility designs for a range of maternal and newborn settings. From this foundation, IHI and MASS created the Delivering More Toolkit—a globally adaptable package of design principles, planning processes, and case studies that provide actionable guidance for health systems, funders, and implementing partners.

Delivering More Design Principles
IHI
IHI
IHI
Ethiopia Addis Zemen Primary Hospital NICU Gardens

Addis Zemen Hospital, Ethiopia

Now in its second phase, Delivering More is focused on disseminating findings, supporting Ministries of Health in high-burden countries, and equipping stakeholders with updated, peer-reviewed design principles for emerging evidence-based approaches including Zero Separation newborn care, Group Antenatal Care, and Postpartum Hemorrhage management. Beyond country-level support, the initiative is helping advance the global conversation on the role of space in maternal-newborn health—through presentations at leading health conferences, collaborations with agenda-setters like the WHO, and direct technical assistance. 

Ethiopia Yifag Health Centre courtyard entrance to kitchen and laundry

Yifag Health Centre, Ethiopia

IHI
ihi
ihi
Delivering More Toolkit Cover Jacket for Design Case Studies

At its core, Delivering More demonstrates that when health facilities are thoughtfully designed around the needs of users, they can do more than ensure survival. They can expand capacity, encourage families to seek skilled care, and foster childbirth experiences that are safe, respectful, and dignified for every mother and newborn.

Download the toolkit and learn more at www.deliveringmore.org.