10 years of UHC in Ghana
For 10 years, R4D has provided continuous, responsive support to Ghanaian leaders as they sought to expand access to quality health care. R4D has worked alongside various government agencies to solve multiple interwoven challenges and strengthen the whole system over time. R4D has provided continuous support — connecting the dots across various projects to address different aspects of universal health coverage, from financing to service delivery to pandemic response. Currently, R4D is supporting the government of Ghana to nationally scale up an innovative network-based approach to primary care after piloting it from 2017 to 2019 in the Volta Region. The pilot showed documented improvements in the quality of maternal and child health services and patient satisfaction, in addition to increased clinical support and exchange of skills, knowledge, and logistics among network providers. This work is improving health care for 12 million people.
Improving health equity in Benin
When Benin launched a national health insurance program with a goal of improving health services for 1 million people living in poverty, early enrollment in the program was low. To address this, R4D and local partner Centre de Recherche en Reproduction Humaine et en Démographie (CERRHUD) created a multi-stakeholder committee to provide input on the program. R4D also conducted an evaluation of the program’s pilot. The committee, which included previously unheard voices, reviewed the findings and made recommendations to develop a more community-based approach. This has led to major changes in the program, and R4D is now supporting its rollout in 56 of the country’s 77 districts. The committee still meets regularly and has become a model for other forums where people share their perspectives and feel heard. R4D’s work in Benin was launched under the USAID-funded African Collaborative for Health Financing Solutions and continues now under the USAID-funded Health Systems Strengthening Accelerator.
Supporting ECD leaders to learn and adapt
Many of the 10.5 million children under the age of 5 in Tanzania are not reaching their full potential due to a lack of early childhood development (ECD) services. Several local organizations are working hard to address this challenge, but they need additional support. To address this, Results for Development worked with three ECD organizations to strengthen their ability to monitor and improve their programs. Over a period of 2 years, R4D worked alongside colleagues at Amani Girls Home, Tumaini Letu, and TAHEA to understand their priorities, and provide them with tools and approaches to continually assess the impact of their programs, adapt, and better serve target communities. At the end of the engagement, the organizations said the process had been valuable. They all took steps to integrate learnings and improve programming. They also noted the long-term benefits, and planned to incorporate new methods into their program management structures.
Combating severe acute malnutrition
Globally, 45 million children experience wasting — the deadliest form of malnutrition. Historically, treatment was delivered as an emergency program with limited scale and sustainability. Today, there is greater focus on integrating treatment into health systems to scale up and strengthen programming holistically. But more evidence is needed on how to do this effectively. To answer that call, R4D, UNICEF and country change agents jointly produced a process guide for governments on how to integrate child wasting services into routine primary care. Now, R4D is working alongside the Ministry of Health in Ethiopia to adapt and apply this global evidence — and develop an integration plan. Though severe acute malnutrition treatment is already being integrated in most health facilities through Ethiopia’s Health Extension Program, the wasting integration plan would help to expand services and increase efficiency as well as programmatic and financial sustainability. Read the full story here.
Improving classroom instruction in Senegal
One of the most effective ways to improve classroom instruction and learning outcomes is to provide instructional coaching for teachers. But it can be challenging to figure out what works — especially in a resource-constrained environment. To improve reading in Senegal, the Ministry of National Education introduced a program in 2017 to coach and support teachers, but the program was not consistently adhered to, and teacher practice did not improve. To figure out why, R4D supported the Ministry to rapidly test and iterate on different coaching approaches and subsequently supported a randomized control trial (RCT). Overall, teachers reported largely positive effects of coaching and two new models that were tested appeared to improve teacher practice more than the original approach. The evidence that was generated in Senegal is available for use by anyone who is designing a teaching coaching program.
What Our Partners Are Saying
“The trust that R4D placed in us was catalytic. The R4D team provided so much support, helping us to 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 the Centre de Recherche en Reproduction Humaine eten Demographie (CERRHUD), a Benin-based partner of R4D’s.
“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 Ghana National Health Insurance Authority
“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 quickly integrated into our team providing an open & flexible evaluation approach that respected our innovation process while helping to identify the key elements and factors of our work that needed scrutiny.”- Kristin Coates of @LAUNCHorg
“IHA and R4D have had a fruitful and synergistic partnership in a number of projects in EA and beyond, including the Merck for Mothers Initiative in Kenya, GCC public sector innovations in Kenya, WB/GFF innovations activity in Tanzania and lately, FHM. We look forward to greater partnership in the near future to impact health systems and markets.”Dr. Nelson Gitonga, CEO & Lead Consultant, Insight Health Advisors
Combating severe acute malnutrition among children through primary care
To scale up wasting programming, R4D and UNICEF are supporting the government of Ethiopia to integrate child wasting services into primary health care.
Improving education with EdTech evidence
Through EdTech Hub, R4D and partners are working to dramatically expand the global evidence base on education technology and influence policy and practice on the use of EdTech around the world.
Reducing child deaths from pneumonia in Ethiopia
Results for Development is supporting the Government of Ethiopia to increase access to childhood pneumonia treatment — and showing impressive gains.
Building a network of African institutions to support countries with health financing reform
An initiative to strengthen and elevate the deep health financing expertise in sub-Saharan Africa.
Strengthening the global ecosystem to better deliver vaccines
How R4D has supported Gavi-transitioning countries — through the Learning Network for Countries in Transition.
A global effort to improve literacy
Around the world, children don't have the books they need to learn. R4D's analysis informed the creation of a new global effort to get books into the hands of children.
Ensuring children have the treatment they need to fight pneumonia
Learn how R4D's market shaping approach helps pneumonia treatment reach children in need.
Raising the bar on reading
How a literacy program designed with “failing fast” in mind helps students in Sierra Leone succeed