Issues + Expertise

Among the many issues that we work on, here are a few that are currently most exciting:



Outcome harvesting, outcome mapping, most significant change – these are among the complexity-aware monitoring approaches gaining in prominence for their adaptability. These approaches aim to bring rigor to the challenges of monitoring projects and programs that are changing rapidly, have non-linear causal pathways, use multiple potential sources of influence, and seek to affect change on a systems level.

Lucy has been using these approaches for over a decade, applying them to projects focused on research, advocacy, innovation, professional development, partnerships, and policy communications. Funders have included the Bill & Melinda Gates Foundation, USAID, and the National Institutes of Health. She developed a technical guide for their use in the USAID-funded MOMENTUM program and presented on their application within a contraceptive innovation project.



Pornography is increasingly accessible around the world and whether or not we like it, youth are watching it. Evidence shows that porn is impacting their sexual and reproductive health and rights. As professionals in the field, how do we respond? 

In 2019, Lucy received an Ingenuity Fund award from the 120 Under 40: The New Generation of Family Planning Leaders initiative to pursue this question. She was then invited to present on the topic at the Future of Family Planning convening hosted by the Gates Institute at Johns Hopkins University. A published commentary on the topic is forthcoming.



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. 

Advocating for MH to be better integrated into SRHR is one of Lucy’s areas of expertise. She presented on the topic at the 2018 International Conference on Family Planning in Kigali, Rwanda; the 2019 Reproductive Health Supplies Coalition annual meeting in Kathmandu, Nepal; and as part of a global webinar hosted by PSI in August 2019.  She has also used creative approaches to engage colleagues on the subject. 



As the African proverb says, “If you want to go quickly, go alone. If you want to go far, go together.” Creating community, nurturing collegial relationships, and connecting others can be one of the greatest pleasures of professional life – and have a big impact at the same time. 

Lucy co-founded We Are Global: Triangle Area Independent Consultants – a networking group for North Carolina-based consultants to share resources and opportunities, strengthen skills, support each other, and socialize. Her next endeavor is to create opportunities for learning and collaboration among North Carolina-based professionals working on reproductive health at the global and local level.