The assessed how IMF Extended Credit Facility programme was managed prior to the singing the programmes in 2015 and in 2023, using Nudge theory and how this change management affect the macro-economic and social conditions in Ghana. The use used questionnaire to collect data from 127 experts from think-tank institutions and public universities in Ghana. Also, some of these experts were interviewed. The questionnaire data was analyzed using percentages, independence samples t-test and Point-Biserial Correlation. The interview data was analyzed using content analysis. 2015 IMF Extended Credit Facility programme was better managed than 2023 IMF Extended Credit Facility programme. Also, 2015 programmes brought more positive macroeconomic and social gains to Ghana. However, less macroeconomic and social gains are expected from 2023 programme. How the IMF Extended Credit Facility programme is managed prior to signing the programme have statistically significant effect on the macroeconomic and social gains from the programme. Government should effectively adhered to and apply change management theories like Nudge theory when they want to sign to IMF Extended Credit Facility programme to ensure positive outcomes of the gains. This article aims to Make a Difference (MAD) by positioning the change management in the context of IMF Extended Credit Facility programmes. This study is thus first in its king to assess change management of IMF programmes, using Nudge theory and relevance of such change management to the programme’s outcomes. The study may help inform governments how to manage any external programme especially in the period prior to signing