Outcome harvesting, outcome mapping, most significant change – these are among the complexity-aware monitoring approaches that are of increasing interest for their adaptability. These approaches aim to bring rigor to the challenges of monitoring projects that are changing rapidly, have non-linear causal pathways, and affect change on a systems level.

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Lucy has been using these approaches for over a decade, applying them to projects focused on research, advocacy, technical assistance, partnerships, and policy communications. Funders have included the Bill & Melinda Gates Foundation, USAID, and the National Institutes of Health. From 2019 -2022, she developed a technical guide and co-led a virtual workshop series to support the use of complexity-aware approaches in the USAID-funded MOMENTUM program. In 2018, she presented on their application within a contraceptive innovation project.

At their core, the fields of sexual and reproductive health and rights (SRHR) and menstrual health (MH) share a common goal: to ensure greater access to products and services that improve health and empower girls and women. And at its essence, menstruation is about reproduction. The opportunities for new synergies by better integrating MH and SRHR are many: educating young adolescents on puberty and reproductive health; understanding product demand and distribution; and recognizing the menstrual health benefits of contraception. 

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Lucy was the lead author on a commentary published in Sexual and Reproductive Health Matters advocating for greater integration of MH within SRHR. She presented on the topic at the 2018 International Conference on Family Planning in Kigali, Rwanda and the 2019 Reproductive Health Supplies Coalition annual meeting in Kathmandu, Nepal.  

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In 2021, she co-led an assessment of the supply-side factors affecting access to menstrual health products in Africa and Asia. This work, undertaken by Mann Global Health with support from the Reproductive Health Supplies Coalition (RHSC), includes a framework for selecting among possible interventions to strengthen menstrual health markets. 

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Lucy partnered with RHSC again in 2022 to launch "Managing Menstruation: Know Your Options". This poster, hand-out, or booklet provides information on the full range of self-care options for managing menstrual bleeding and pain, including information on how contraception and menstruation interact. With evidence-based and unbiased content, it supports users to make fully-informed choices that best meet their needs and preferences.