Evidence delivered, decisions changed
Three anonymised engagements, drawn from D4Act's recent portfolio across health, family planning and digital health-information systems. Client names and exact geographies are abbreviated for confidentiality; numbers are real.
Routine Immunisation Programme: Mid-Term Evaluation
The problem
A multilateral immunisation programme was approaching the second half of its funding cycle with stagnant coverage gains in the most under-served districts. The agency needed a defensible read on which delivery models were actually shifting equity, and what to fund next.
D4Act approach
Mixed-methods design against OECD-DAC criteria. Multi-country evaluation team. Quantitative coverage analysis triangulated with key-informant interviews across the Ministry of Health, WHO country office and implementing partners. Synthesis turned into decision-ready recommendations for the next planning cycle.
The result
Identified three district-level bottlenecks driving 70% of equity gap. Recommendations adopted into the national operational plan and used to re-allocate the back half of the funding cycle.
Self-Injection Scale-Up: Mixed-Methods Evaluation
The problem
A philanthropic funder backing self-injectable contraceptive scale-up needed evidence on access, equity and scalability before extending the programme to additional countries. Implementing partners were reporting on different forms; the funder needed one defensible portfolio view.
D4Act approach
Refined data-collection tools, validated qualitative and quantitative evidence against the programme's theory of change and results framework, coordinated in-depth key-informant interviews with national-level stakeholders across two countries.
The result
Evidence-based findings on access, equity and scalability fed directly into the funder's reporting and into the decision to extend the programme into a third country.
Digital Health Investment: Institutional Readiness Assessment
The problem
A bilateral donor had multi-year digital-health investments in West Africa but was unsure how to assess relevance, effectiveness and sustainability of those investments before deciding the next funding envelope. DHIS2 interoperability and institutional resilience were both unknowns.
D4Act approach
Designed and implemented an evaluation framework with multi-stakeholder technical working groups on data flows, DHIS2 interoperability and institutional resilience. Produced a comprehensive institutional-readiness assessment for health-data system transformation.
The result
Strategic findings and practical recommendations informed Ministry of Health guidelines on digital governance and strengthened the donor's confidence in continuing adaptive-management investments at the national level.