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This case study reflects on the experience of the ‘In Their Hands’ (ITH) project, the world’s first Development Impact Bond (DIB) with a focus on adolescent sexual and reproductive health. Representatives from the Children’s Investment Fund Foundation (CIFF), the Foreign, Commonwealth & Development Office (FCDO), Triggerise and KOIS were interviewed between February and March 2022.

This case study offers a description of the structure of the impact bond model, the intervention and the results. Representatives of the main stakeholders shared insights on why they decided to work with an impact bond model, the enabling factors that helped them achieve positive outcomes and the challenges and risks that they faced during this project. Finally, the case study offers a series of recommendations on how to address these challenges in the future.