In both health and education, we see that interventions focusing in a single area (teachers, nurses, district officials, etc.) often do not have their intended impact – Why? Regardless of whether we are talking about improving teacher practices in the classroom or getting nurses to consistently check the blood pressure of mothers in labor, the answer to this question often includes the lack of system alignment and motivation for change. Surgo and STiR convened stakeholders across the global development sector for a candid discussion around how to harness intrinsic motivation for system change across global development sectors.