Global evidence is clear – interventions benefit from ongoing continuous quality improvement during implementation to refine and strengthen them in response to changing contexts and emerging opportunities. Design creates an incubator for positive outcomes, but interventions can never be “optimized” prior to implementation in an actual, real-world setting.

Adaptive implementation is a tool which applies routine analysis of mixed methods performance and evaluation data within a multi-disciplinary team to identify opportunities for rapid iteration, adaptation, and course correction within the context of routine implementation.