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Our Theory of Change

Our Theory of Change is our roadmap to restoring sight and transforming lives. It underpins all our work, guiding us to achieve lasting impact for people who are living with avoidable blindness. 

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How our Theory of Change works

Our Theory of Change outlines how our programs lead to impactful change. It describes the strategies, actions, conditions and resources that lead to change. It guides the type of work we do, how we partner, and how we monitor our progress. This ensures we target our efforts strategically, and that we are continually learning and improving. It depicts six steps along the pathway to improved lives and strengthened communities. 

Eye health action and investment

Scale and strengthen critical enablers in eye health

Optimise integrated people centred eye care and strengthen health and social systems

Reduce blindness and vision loss and improve functioning for those with ongoing vision loss 

Programming Principles

Our four programming principles guide the way we operationalise our work.

The Foundation is committed to Learning, Quality, and Adaptation across the program portfolio. This extends beyond the design, monitoring, and evaluation of program work to include a focus on quality and adaptation in partnerships and achievable collective outcomes.

Population-wide improvements to eye health can only be achieved through fundamental changes to resourcing, policy, and practice. In eye health, sustainability comes not from individual outcomes, but from structural shifts. 

Local individuals, communities, networks, organisations, private entities, and governments set their own agendas, develop solutions, and bring the capacity, leadership, and resources to make those solutions a reality. 

The Foundation acknowledges the disproportionate burden of eye disease on women, older people, displaced peoples, people living with a disability and people affected by income inequality. Our GAPSED+ (Gender, Age, Place of Residence, Socio-economic Status, Ethnicity/ Indigeneity/Race, Disability, Plus) framework underpins this principle and ensures we will promote and enable programs that acknowledge and proactively seek to counteract inequity and exclusion. 

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Our Theory of Change ensures that The Fred Hollows Foundation's efforts are strategically targeted, continuously improving, and ultimately making a significant impact on global eye health and beyond.

Download Our Theory Of Change