"The purpose of this document is to provide an insider look at the application of the BalanceD-MERL approach in a program operating in a complex environment. The Women + Water Global Development Alliance is a five-year (2017-2022) collaboration among USAID, Gap, Inc., CARE, Water.org, the Institute for Sustainable Communities and the International Center for Research on Women. Together, these organizations are leveraging their complementary strengths to improve and sustain the health and well-being of women and communities touched by the apparel industry. The BalanceD-MERL consortium delivered a MERL strategy to the Alliance. In this document, the BalanceD-MERL consortium shares their experience of applying the approach and provides key takeaways from the application of the approach. The BalanceDMERL consortium also gives decision-makers, program implementers, and MERL practitioners action–items to undertake to enhance the effectiveness of this approach."