Proof of Care

Ever wondered where your aid money is actually going?

We used to wonder. Before Proof of Care.

Donor — Australia

"I give $100,000+ every year. For the first time I can see exactly what each dollar bought — not a report, not a promise. A child."

Verifiable Accountable Effective Already working
1,467
Surgeries
$1.2M+
Delivered
3+2
Countries

Operating in 3 countries · 2 more starting

What it is

Proof of Care pays after — on agreed individual outcomes, delivered at scale, or the funder's money back.

Proof of Care is a donor and funder impact system. It pays on agreed individual outcomes — delivered at scale by others, cost-efficiently, verifiably, and at improving quality — usually under the most difficult of circumstances.

It is built around three things a funder can hold onto: a measurable goal agreed before funding begins, delivery that is 100% verifiable for every individual, and a guarantee — if the outcomes are not delivered as agreed, the money comes back.

1
Goal
Funder has a measurable want. Recipient has a measurable need. Matched precisely before any dollar moves.
2
Agreement
Every dollar's destination is agreed and locked before funding begins. Cannot be changed once it starts.
3
Method
Delivery is 100% verifiable to the donor, governments, and communities. As cheaply and locally as possible. Or money returns.

When only proven agreed outcomes are paid, quality and efficiency aren't goals, they're consequences.

The difference

With Proof of Care, money only moves when there is a proven outcome.

Without POC
Plan
Funding
Payment
Hope
With POC
Plan
Funding held in escrow
Verified individual outcomes
Payment released

Money does not move because someone says they will do something. Money moves when an agreed outcome is proved. If outcomes are not delivered, the funder's money returns — automatically, without negotiation, written into the contract before funding begins.

This is Mariam in 2022. 

This is Mariam in 2026. Proven lasting benefit via Proof of Care 

A real outcome

Mariam had a tumour for 6 years. Then a donor used Proof of Care.

For six years, Mariam lived with a condition that was treatable. The barrier was not medicine. It was the absence of a system that could connect a donor's willingness to pay with a surgeon's ability to help — reliably, verifiably, and without the money disappearing in between.

A donor using Proof of Care funded her surgery. Three videos documented her journey — BEFORE, DURING, AFTER. Every actor was paid only when she was verified home and well. The donor watched it happen in real time.

This is Mariam — 2026

Proven lasting benefit via Proof of Care. Not a statistic in a report. A person with a name, a face, and a verified chain of proof that her surgery happened, her recovery was monitored, and the money reached the people who helped her.

Government and large donor funding

Proof of Care converts foreign aid into verified individual outcomes — grouped at scale.

Instead of giving $3,160,000 to the promise of a project — you hold that sum in escrow against 1,816 verified, traceable individual outcomes. Each one auditable. Each one with a face, a name, and a proof chain. Not a programme. Not a narrative. 1,816 people.

Example — $3,160,000 foreign aid commitment
Traditional
$3.16M → agency
Agency → subcontractor
Subcontractor → report
Outcome: unknown
With POC
$3.16M → escrow
1,816 verified outcomes
Each individually traceable
Unspent funds returned

Proof of Care can convert any foreign aid or donor funding into a system where every dollar is tied to a completed, auditable, agreed outcome. Not promised. Not reported. Proved.

Live now

morechildsurgeries.com — delivering child surgeries with verified outcomes

Proof of Care is not a concept. It is operating today. Every surgery listed has a video record. Every outcome has a proof chain. Every donor can see exactly what their money bought — individually, permanently, publicly.

198
Donors
1,467
Surgeries
$1.2M
To Jan 2026
Scaling target

1,000 hospitals × 1,000 surgeries × under $1,000 per surgery

The unit of delivery is identical at 10 cases or 10,000. The same system that tracked the first surgery tracks the thousandth. No new bureaucracy. No new administration. The proof chain is the system.

What changes

Proof of Care improves both donor and recipient outcomes

For donors
More giving through trust
Individual outcome visibility
Fraud structurally prevented
Unspent funds returned
Permanent auditable record
For recipients
Better outcomes through accountability
Actors paid for real delivery
Good performers get more work
Community trust builds over time
Long-term follow-up built in

"POC is not a perfect system. What POC promises is a system that exposes its failures rather than hiding them, learns from them rather than repeating them, and improves with every cycle of data. That is a system worth building on."

Full parental permission obtained for all child photos and videos. Images may include surgical content — viewer discretion advised. Permissions are recorded in the proof chain for each child.  View public surgery record →

Go deeper

Ready to understand the full system?

The whitepaper explains every detail — how the proof chain works, how actors are registered and rated, how smart contracts hold and release funds, and how the system scales.