Our theory of change.
How our work leads from awareness to care, and how we measure each step.
The problem
Common, treatable sexual, pelvic and genitourinary conditions of menopause go unrecognised and untreated, most often for women facing cost, distance, disability, language or cultural barriers.
What we do
Free clinician co-led workshops. Fully funded eight week programme places. Scholarships that train regional health professionals. Advocacy grounded in the women we serve.
What we deliver
600 women educated, 50 funded places, 10 regional practitioners trained, and one public impact report each year.
Short term change
Women know the signs, know when to seek care and feel able to raise intimate health concerns.
Medium term change
Women see a health professional and get treatment. Regional practitioners recognise and manage these conditions closer to home.
Long term change
No woman goes without care in midlife because of cost, distance or silence.
How we measure each step
| Change | Measure | Year one target |
|---|---|---|
| Women know when and where to seek care | Survey after each workshop | 80% of respondents |
| Women act on it | Saw a health professional within three months | 50% of funded participants |
| Symptoms affect daily life less | Validated menopause quality of life questionnaire at the start and at three months | 70% of funded participants improve |
| We reach those most in need | Share of funded places to regional, low income or disability eligible women | 60% or more |
| Local care improves | Practitioners report changed practice at six months | 8 of 10 scholars |
Our assumptions
- Women will seek care once they know the signs and know it is treatable.
- Clinicians co-leading sessions builds trust and accuracy.
- Training local practitioners lasts longer than sending women to the city.
- Communities design better programmes than we can design for them.
We test these assumptions every year and report what did not work. See our impact page.