Sep. 2023

Annex 1
Triple I Reporting Guidelines and Framework for projects/financial transactions
The following is a series of standardized, reporting categories for Triple I. Triple I partners
are expected to use these guidelines, which build on existing impact measurement andmanagement best practices 1.
The data collected will be used to calculate the total investment mobilized by signatories,
and identify good practices. The Secretariat may conduct research using anonymized datawith a view to further promoting impact investments in the sector. Information on
individual cases will not be made public without consent of the partner.
Working definition of impact investing: Impact investing is the process of intentionallyand measurably allocating capital to address societal and environmental issues. Impact
investing can seek to produce market-level returns. However, some investors may accept
lower returns in favor of higher, specific impacts. 2
 What to Report
Partner organizations will report:(1) Projects/financial transactions in developing countries (countries in the OECD-DAC
list of ODA recipients), which are intended to create measurable positive impacts inglobal health that could be reported, reviewed with sound evidence: Projects / financial transactions which intend to address global healthissues such as achieving UHC and /or strengthening PPR for future
pandemics, or create positive impacts in global health, especially in thetarget areas in sec. III 3, of the Triple I Operational Guidelines
 Projects / financial transactions focused on products/services which mainly
target increasing access to and affordability of health services andproducts, and are better suited to reduce inequalities globally,(2) Other efforts such as capacity building related to mobilization of finance whoseoutcomes/impacts could be reported, reviewed with sound evidence
The Impact Management Platform, the Operating Principles for Impact Management, and theImpact-Weighted Accounts Initiative
2 For more information on impact investing please see the Global Impact Investing Network.
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 When to Report
The partner organizations will report newly committed/active projects/financialtransactions in the first quarter of the year 3. They are also encouraged to communicate
performance of relevant projects/financial transactions and relevant efforts which havebeen reported earlier.
 Reporting Framework
The proposed framework contains three different types of disclosure metrics: quantitativemetrics, qualitative metrics (chosen from a drop-down menu), checkbox and open-ended
disclosures, which ask the reporting organization to provide a thorough explanation of
how the organization is addressing the disclosure topic. For each disclosure topic, themetric type is included in [brackets].

-Name – Organization name [Describe]
Sector – Organization sector [Describe]Country – Organization country of domicile [Describe]Additional information as appropriate (TBD)… [Describe]
2. Investment/Project Type

-Investment/Project Type – Describe the type of investment [Qualitative, Dropdown – See Appendix 2]-

Investment Amount/Project Budget [Quantitative. Drop-down (currency)]-3

1. General Information on Organization

Project Length [Quantitative]

3.

Project Category-

Global Health Topic – What Global Health topic does this project focus onaddressing? [Qualitative, Check box (up to 3 options allowed)– See Appendix 1]-SDGs Addressed – Which SDGs and associated SDG targets does this projectfocus on addressing? [Qualitative, checkbox, multiple choices allowed]-

Project Description – Provide an overview of the project, [Describe]

It is also encouraged to report active projects in the Partner’s first reporting.
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4. Target Population-Names of the target countries on the OECD-DAC list [Describe]
Impacted Stakeholders – Description of individuals experiencing the target
impacts and why the target impacts are important for this group (e.g.,socioeconomic characteristics, culture, access to healthcare, disease burden, etc.).
This may include first order and second order impacts. Will all stakeholders beimpacted equally from this project? [Describe]-Target group [ Qualitative ( Upper, Upper middle, Lower, Poor & Vulnerable),checkbox, multiple choices allowed ]5. Impacts-Expected Impacts – Description of the expected impacts to be achieved. (It isencouraged to include information such as target impacts, output/outcome/impact indicators)[Describe]-Impacts Achieved (only for the projects which have been started earlier) Description of the impact achieved. It is encouraged to include following
information; number of individuals impacted, expected change inoutput/outcome/impact baseline, and expected duration of impact
etc.[Describe](optional)-Additional Information- How will target impacts be monitored and evaluated?
How will the data be collected and progress tracked? What is the likelihood thetarget outcome and impact would have occurred without the intervention of thisproject? Are risks of increasing inequity considered and addressed? What are
the risks to achieving impacts? [Describe] (optional)*Please see Appendix 3 for a list of example output, outcome, and impact indicators.

Appendix 1 –List of Global Health Topics and Sub-Topics
The List will be created based on the World Health Organization’s list of health topics.

Appendix 2 –List of Investment Types
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1. Investment-Direct Debt
Direct Equity
Guarantees
On-lending (direct and indirect)
Funds
Thematic Bonds
Other Financing Solutions

2. Projects-Infrastructure Development
Logistics/Distribution Network Development
Product Development

3. Other efforts-Capacity building
OthersAppendix 3 – Examples of Global Health Output/Outcome/Impact Metrics
Below is a list of example Global Health metrics organizations may wish to consider
when seeking to identify and measure their impacts. This section provides examples ofthe outputs, outcomes, and impacts for Global Health topics. The list is non-exhaustiveand you may use other indicators/metrics. Organizations are encouraged to identify themetrics that are best suited for their specific projects/financial transactions. 4
1. Communicable Diseaseso Output Metrics:
 Number of tests conducted Number of vaccines administered Number of treated caseso Outcome Metrics:
It is expected that this non-exhaustive list of metrics develop over time, both through theexperience of participant investors, enterprises and others, and though the development of metrics
globally and in specific jurisdictions.
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Reduction in the incidence rate of the disease Increased vaccination coverage Decreased mortality rate
Impact Metrics:
 Years of life saved due to disease control efforts.
 Economic impact of disease control on the communityo

2. Maternal and Child Healtho Output Metrics:
 Number of prenatal care visits
 Number of skilled birth attendances Number of children vaccinatedo Outcome Metrics:
 Maternal and infant mortality rate
Child development milestones achieved
 Percentage of children with appropriate growth
Impact Metrics:
 Disability-adjusted life years (DALYs) averted for mothers andchildren.
 Productivity gains due to improved maternal and child healtho3. Non-communicable Diseases (NCDs)o Output Metrics:
 Number of screenings conducted Number of patients receiving treatment
 Number of educational sessions on preventiono Outcome Metrics:
 Reduction in disease progression
 Improvement in patient quality of life
 Changes in health behaviors (e.g., smoking cessation)
 Reduction in disease-specific mortality rates (e.g., cardiovasculardiseases per 100,000 population).
 Improvement in patient-reported quality of life scores.
o Impact Metrics:
 Decrease in disability-adjusted life years (DALYs)
 Economic savings due to reduced healthcare costs
4. Access to Healthcareo Output Metrics:
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Number of healthcare facilities established or upgraded Percentage of population covered by health insurance Number of healthcare professionals trained
Outcome Metrics:
 Increase in healthcare utilization rates Reduction in out-of-pocket healthcare expenses
 Improved health outcomes for covered population
Impact Metrics:
 Equity in healthcare access across different socioeconomic groups Reduced incidence of catastrophic/impoverishing healthcare
expenses Increase in life expectancy and overall health indicators
oo

5. Nutrition and Food Securityo Output Metrics:
 Number of food distribution programs Percentage of malnourished individuals receiving support
 Number of nutrition education sessions conductedo Outcome Metrics:
 Change in nutritional status of target population
 Improvement in dietary diversity
 Reduction in stunting and wasting rates
o Impact Metrics:
 Improved cognitive development in children Enhanced workforce productivity and economic growth
6. Water, Sanitation, and Hygiene (WASH)o Output Metrics:
 Number of water sources built or improved Percentage of population with access to improved sanitation
facilities
 Number of hygiene promotion campaignso Outcome Metrics:
 Reduction in waterborne diseases
 Increase in sanitation practices
 Improvement in hygiene-related behaviorso Impact Metrics:
 Decreased mortality and morbidity from water-related illnesses
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

Increased school attendance and productivity due to improved
WASH

7. Reproductive Health and Family Planningo Output Metrics:
 Number of family planning consultations
 Contraceptive prevalence rate Number of reproductive health education sessionso Outcome Metrics:
 Reduction in unintended pregnancies
 Increase in contraceptive use Improvement in maternal health indicatorso Impact Metrics:
 Increased educational opportunities for women and girls
Reduced maternal mortality and infant mortality rates

8. Mental Health and Well-beingo Output Metrics:
 Number of mental health counseling sessions
 Percentage of population screened for mental health disorders Number of mental health awareness campaignso Outcome Metrics:
 Improvement in mental health symptoms and well-being
 Reduction in mental health stigma
 Increase in help-seeking behaviorso Impact Metrics:
 Improvement in overall population mental health Enhanced workforce productivity and social functioning
9. Environmental Healtho Output Metrics:
 Air quality index measurements
 Number of pollution control initiatives
 Workplace safety assessments conductedo Outcome Metrics:
 Reduction in air pollution levels
 Decrease in occupational injuries and illnesses
 Improvement in climate change mitigation measureso Impact Metrics:
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Decreased mortality and morbidity from environmental hazards
Economic benefits from reduced healthcare costs and increased
productivity

10. Global Health Governance and Policy
o Output Metrics:
 Number of health policy frameworks developed or updated Number of international health agreements signed
 Participation in global health forumso Outcome Metrics:
 Implementation of evidence-based health policies
 Strengthened international collaborations
 Policy coherence across sectors for healtho Impact Metrics:


Improved health system performance and resilience
Reduction in cross-border health threats

11. Healthcare Innovation and Technology
o Output Metrics:
 Number of telemedicine consultations
 Adoption rate of health-related mobile applications
 Number of AI-based diagnostic tools implementedo Outcome Metrics:
 Improvement in healthcare accessibility, especially in remote areas
 Patient satisfaction with telehealth services
 Timely and accurate diagnosis using AI technology
o Impact Metrics:
 Reduction in healthcare costs through efficient service delivery
 Improved health outcomes due to early detection and intervention
12. Health Promotion and Disease Preventiono Output Metrics:
 Number of health education sessions conducted Participation rate in disease prevention programs Number of community health events organizedo Outcome Metrics:
 Changes in health-related knowledge and behaviors
 Increase in vaccination rates
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Reduction in the incidence of preventable diseases
Impact Metrics:
 Decreased burden of preventable diseases on healthcare systems
 Increase in healthy life expectancy
o13. Substance Abuse and Addictiono Output Metrics:
 Number of substance abuse treatment programs established Number of individuals enrolled in addiction recovery programs Number of awareness campaigns on substance abuse preventiono Outcome Metrics:
 Reduction in substance abuse rates
 Percentage of successful recovery cases Increase in knowledge about the risks of substance abuseoImpact Metrics:
 Improvement in social and economic functioning of individuals inrecovery
 Decrease in societal costs related to substance abuse

14. Aging and Elderly Careo Output Metrics:
 Number of elderly care facilities established or upgraded Number of geriatric healthcare professionals trained
 Number of social support programs for the elderlyo Outcome Metrics:
 Improvement in elderly health and well-being
 Reduction in elderly abuse and neglect cases Increase in the availability of elder-friendly services
o Impact Metrics:
 Enhanced quality of life for the elderly population
 Reduced healthcare utilization for preventable geriatric conditions
15. Neglected Tropical Diseases (NTDs)o Output Metrics:
 Number of NTD screening and treatment campaigns
 Percentage of at-risk population receiving preventive interventions
 Number of research projects on NTDso Outcome Metrics:
 Reduction in the prevalence of NTDs
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Increase in early diagnosis and treatment
 Improved understanding of NTD epidemiology
Impact Metrics:
 Enhanced well-being and productivity of affected populations
 Reduced disability and disfigurement from NTDso16. Sexual and Reproductive Healtho Output Metrics:
 Number of sexual health clinics established or upgraded Contraceptive availability and uptake rates
 Number of individuals receiving comprehensive sexual educationo Outcome Metrics:
 Reduction in sexually transmitted infections (STIs)
 Increase in contraceptive use and family planning
Empowerment of individuals in making informed reproductive
choices
Impact Metrics:
 Improvement in maternal and child health outcomes Advancement in gender equality and reproductive rightso17. Healthcare in Humanitarian Settingso Output Metrics:
 Number of healthcare facilities established in humanitariansettings
 Percentage of population receiving essential healthcare services
 Number of humanitarian aid workers trained in healthcare delivery
o Outcome Metrics:
 Reduction in mortality and morbidity rates in humanitariancontexts
 Improvement in healthcare access for displaced populations
 Enhanced capacity for emergency response and preparedness
o Impact Metrics:
 Improvement in the overall health and well-being of affected
populations
 Strengthened healthcare systems in fragile contexts
18. Health Information Systems and Datao Output Metrics:
 Number of health facilities with electronic health record systems
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Data completeness and accuracy rates
 Number of disease surveillance reports submitted
Outcome Metrics:
 Timeliness and accessibility of health information for decisionmaking
 Improvement in data quality and data-driven interventions
 Enhanced public health response to outbreaks and emergencies
Impact Metrics:
 Reduction in disease burden through evidence-based interventions
 Strengthened health systems through data-informed policiesoo

19. One Healtho Output Metrics:
 Number of interdisciplinary research projects on zoonotic diseases
Number of joint animal and human health programs Number of environmental conservation initiatives for healthprotection
Outcome Metrics:
 Increase in awareness of One Health principles amongprofessionals
 Reduction in zoonotic disease transmission and outbreaks
 Improved collaboration between human and animal health sectors
Impact Metrics:
 Enhanced global health security and pandemic preparedness
 Preservation of biodiversity and ecosystem health

oo20. Health Education and Health Literacyo Output Metrics:
 Number of health literacy workshops conducted Percentage of population with improved health literacy
 Number of health education materials distributedo Outcome Metrics:
 Increase in health knowledge and health-seeking behaviors
 Improvement in patient-provider communication
 Enhanced understanding of health risks and preventive measureso Impact Metrics:
 Reduction in preventable diseases and healthcare utilization
 Empowerment of individuals to make informed health decisions
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