Results for Development is a global nonprofit catalyzing locally led systems change.

We support country leaders to build strong systems and institutions that improve access to high-quality, affordable health care, improve educational opportunities for children, and reduce malnutrition.

We believe in a better way to drive lasting progress

Systems change is inherently hard. It’s even harder when country leaders don’t get the kind of support they need. At R4D we go beyond traditional technical assistance, pioneering new approaches to support country leaders.

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Our work

We partner with country governments, local organizations and donor institutions in two ways:

Tailored support to country leaders

We work alongside our partners through each stage of the systems change process — helping them drive their agenda, identify root causes of challenges, develop and implement solutions, and continuously learn and adapt to sustain outcomes.

Connecting local and global evidence

We support country leaders to uncover the root causes of the challenges they’re facing. And we help them identify and synthesize relevant experience from other countries across our network that have tackled similar problems, turning global experience and innovative ideas into practical insights that help leaders make informed decisions.

Facilitating multi-stakeholder dialogue

We help country leaders bring together the right stakeholders to co-create effective solutions. As skilled facilitators, our team engages diverse voices in meaningful dialogue, helping strengthen processes, foster buy-in, and co-design solutions that are more likely to succeed.

Coaching leaders

We support country leaders to implement their solutions with an emphasis on learning-by-doing. R4D’s Coaching Approach works through existing infrastructure and processes — avoiding the creation of parallel systems. This approach strengthens national institutions to deliver over the long-term.

Supporting learning and adaptation

We support country leaders to learn what’s working — and what isn’t — to continuously adapt, iterate and improve. Our approach prioritizes answering the questions our partners care about, using methods that are feasible. This builds resilience and helps strengthen institutions’ capacity to embed learning into their future work.

Building a supportive ecosystem around country leaders

We strengthen local organizations’ capacity to produce evidence and provide the support country leaders need. We connect them to regional and global networks, and help global partners coordinate their efforts.

Elevating local expertise

Our approach supports and elevates local expertise and organizations to ensure they continue supporting country leaders long after global funding ends. We complement and strengthen our local partners’ capabilities — positioning them as the go-to resources for both national and global actors.

Building learning networks

We create and strengthen learning communities and networks that generate evidence, support change agents to learn from one another and co-create promising new approaches. Our Collaborative Learning approach is always country led and centers the expertise of local change agents.

Aligning development partners

We work with development partners to ensure their strategies and programs are coordinated and aligned with country leaders’ priorities — making investments more responsive, sustainable and impactful. This also reduces the burden on country leaders to navigate and manage competing priorities.

Our results last year

R4D is a mission-driven organization. We’re proud of what we can achieve in just one year.

Our Impact

10k+

Change agents supported

Building skills, knowledge, and networks to drive equitable change.

130+

New knowledge products

Connecting change agents to critical evidence and supporting them to use it.

Systems changes documented

Improving government policies, financing and institutions to deliver sustainable change.

Learning networks launched or strengthened

Connecting global change agents to share learning, co-create solutions, and drive progress together.

Locally rooted, globally connected

Our team of 150+ experts in 9 countries unites local knowledge with global experience and learning networks.

Explore Our Map

Countries where R4D is active
Countries that engage with R4D-led networks

Featured stories

Explore insights, updates and successes from our team in action.

Event

Join R4D at the International Maternal Newborn Health Conference 2026

R4D at the International Maternal Newborn Health Conference (IMNHC) 2026

Every year, preventable shortages of lifesaving medicines and health supplies cost mothers and newborns their lives. Closing those gaps requires aligning markets, financing, and health systems to ensure access to quality, affordable products. That’s exactly what R4D will focus on at the International Maternal Newborn Health Conference (IMNHC), March 23–26, where global leaders will come together to advance solutions so mothers and newborns not only survive — but thrive. For the first time, IMNHC will feature a dedicated commodities track, and R4D experts will lead and contribute to four sessions exploring what it takes to expand access to quality-assured MNH commodities and build resilient supply chains that make lasting progress possible.

Resource

Pneumonia Treatment in Tanzania R4D Impact Brief CTA Image

Ensuring lifesaving pneumonia treatment reaches children in Tanzania

What does it take to move a lifesaving medicine from donor dependence to sustainable domestic financing and reliable access? For more than a decade, R4D partnered with the Government of Tanzania to strengthen the market for amoxicillin dispersible tablets (Amox DT), the recommended first-line treatment for childhood pneumonia. Today, procurement is fully domestically financed, the number of registered suppliers has grown from one to eight, supply planning is digitized within the national Medical Stores Department, and availability in public facilities has risen from 48% to 93%. This impact brief explores how these milestones were achieved — and what they mean for sustaining access to lifesaving treatment.

Blog

MMS Nigeria Meeting_R4D Photo with Director of Nutrition and Felix Obi

A healthier start for every baby: Six lessons for introducing and scaling MMS in antenatal care

When pregnant women don't get the nutrients they need, babies face higher risks of being born too small, too soon, or too vulnerable to thrive. While iron and folic acid have long been the standard in antenatal care, many countries are now shifting to Multiple Micronutrient Supplements (MMS) to address a broader range of deficiencies and improve outcomes for mothers and newborns. This blog explores how R4D partnered with governments in Ethiopia and Nigeria to develop costed, multi-year roadmaps for introducing and scaling MMS — and what it takes to turn policy ambition into practical, sustainable implementation.

Blog

JLN PHC Collaborative country leaders from 14 countries across Africa, Asia, Latin America and the Middle East engaging in collaborative learning sessions

How do you get limited public resources to the frontline of primary health care — especially as external funding declines?

When adequately financed, primary health care delivers cost-effective services, strengthens equity, and reduces pressure on the rest of the health system. But translating PHC commitments into resources at the frontline requires sustained reforms to financing, provider payment, and public financial management systems. This blog captures two years of shared learning from the Joint Learning Network's Primary Health Care Foundational Reforms Collaborative, where policymakers and practitioners from 14 countries across Africa, Asia, Latin America and the Middle East exchanged experiences on what works, in which contexts, and why — offering practical lessons for governments navigating tight budgets while strengthening primary health care.

“Many development partners come with a template, R4D listened to our priorities rather than dictating. They helped us to see little changes we could make in the system that could make a big difference. And R4D played a very important role in my transformation into someone who was able to effect change.”

Nathaniel Otoo, former CEO of the Ghana National Health Insurance Authority.

“We chose to work with R4D and SPARC on an important health financing efficiency initiative because they already had an established network of local institutions — academic or consulting firms — in the countries where we were focused. Being able to leverage those existing networks, resources and contacts was invaluable — and also to know that capacity building had already taken place.”

Susan Sparkes, Health Economist, World Health Organization

“R4D was interested not only in implementing the measurement, but in taking the lead on developing creative ways to tackle questions about the program’s impact. The latter is rare in our experience.”

Catherine Hollander, Senior Program Associate, GiveWell

Jean Paul Dossou Results for Development R4D

“The trust that R4D placed in us was catalytic. The R4D team provided so much support, helping
us build institutional capacity. This kind of close contact and support is not what we have seen
from other partners, but is a model for how partnerships should be.”

Jean-Paul Dossou, Director of CERRHUD, Benin

“Results for Development has been a major partner for us. They have provided technical support and analysis. This was important, because we could clearly see the problems. We presented the findings to parliament and actions were taken. R4D has helped with that as well.”

Abdulkadir Galgalo, Director General for the Ethiopian Pharmaceutical Supply Service

“R4D has played a critical role in identifying gaps in Pakistan’s nutrition systems and providing strategic solutions to strengthen supply chains and market shaping. Their efforts have supported the development of practical strategies to improve accessibility to essential health commodities, aligning with the country’s commitment to tackling malnutrition.”

Fauzia Waqar, Centre for Economic Research in Pakistan (CERP)

Results for Development is a global nonprofit catalyzing locally led systems change.

We believe in a better way to drive lasting progress

Connect with us.