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InterAction CEO noted that the gap between current needs and what the humanitarian system can currently deliver is increasing.

"Patricia McIlreavy, a vice president at US NGO alliance InterAction, said “Donors and foundations must recognise that addressing this issue will take time and courage.”

“Donors need to be careful not to drive this issue underground through punishing organisations who come forward regarding internal findings and past faults[.]”

“There was a feeling, from some NGOs that I spoke with but also some U.N. actors, that we kind of just went along with what the government was proposing,” said McIlreavy.

“There are broader cultural issues that go beyond whether or not you have a good policy or program to address sexual harassment and abuse because misogyny and inequality are topics that are deeply embedded in many institutions.”

On the issue of sexual harassment and misconduct, Green said it is an issue that he is paying personal attention to and that earlier this month he met with InterAction.

In a country with some of the highest rates of maternal and infant mortality, water and sanitation improvements at health centers are preventing infections and saving lives.

In the future, international development organizations and donors should continue with forward causal questioning that leads to learning from immediate development programming experiences but should also prioritize reverse causal reasoning that leads to learning from reflection and broader investigation of a holistic causal chain involved in a development program’s outcomes.