15+ Engagements. Real Results.
A track record built across governments, multilateral donors, and implementing partners — from ministry-level planning to multi-country evaluations and continental regulatory work.
SRHR Policy Evaluation & Update for Faith-Based Institutions
Led a comprehensive review and revision of Sexual and Reproductive Health and Rights (SRHR) policies for three major faith-based institutions in Malawi, ensuring alignment with national and international frameworks.
The Challenge
Existing SRHR policies of Blantyre Synod, Livingstonia Synod, and the Evangelical Association of Malawi contained gaps, inconsistencies, and misalignments with national frameworks and evolving community needs.
Our Approach
Conducted in-depth desk reviews and policy benchmarking against national frameworks and regional/international SRHR policies. Designed evidence synthesis and stakeholder consultation processes with faith leaders, youth groups, implementing partners, and government stakeholders. Coordinated multilingual translation (English, Chichewa, and Tumbuka) to ensure accessibility.
Results & Impact
- Revised, publication-ready SRHR policies for three major faith-based institutions
- Policies aligned with national and international SRHR frameworks while maintaining cultural and religious sensitivity
- Stakeholder validation processes completed across faith, youth, and government communities
- Multilingual translation ensuring accessibility across target populations
Africa-Wide Telehealth Regulatory Mapping
Led a continent-wide telehealth policy assessment to strengthen digital health governance and investment readiness across African nations.
The Challenge
Fragmented and inconsistent telehealth regulatory environments across African countries limited investment readiness and cross-border governance alignment.
Our Approach
Developed a maturity framework to categorize countries by Global Digital Health Monitor levels. Coordinated technical inputs from Africa CDC, WHO AFRO, and regional experts. Synthesized policy documentation to identify regulatory gaps.
Results & Impact
- Comparative framework enabling government-to-government policy learning
- Evidence-based recommendations for regulators and development partners
- Policy guidance materials for government telehealth governance design
- Panel presentation at HELINA 2025 Conference, Gaborone, Botswana
Sub-National Planning & Technical Assistance
Embedded technical assistance to the Ministry of Health to strengthen national District Implementation Planning under Malawi's Health Sector Strategic Plan III.
The Challenge
District health teams lacked capacity to develop costed, equity-focused plans aligned with the 'One Plan, One Budget, One Report' framework, limiting coordinated service delivery.
Our Approach
Supported district health teams through system bottleneck analysis, facilitated donor resource alignment, and developed case studies and technical guidance for planning processes.
Results & Impact
- Strengthened district-level planning and budgeting capacity across multiple districts
- Improved alignment between Global Fund, Gavi, and World Bank resources with national plans
- Technical guidance tools adopted by the Planning Directorate
- Enhanced sub-national accountability mechanisms
National Assessment: FP-PHC Integration
Led a national assessment to evaluate the integration of family planning into primary health care using the WHO health systems building blocks framework.
The Challenge
Family planning services were siloed from PHC systems, limiting coverage and sustainability of service delivery at national scale.
Our Approach
Designed an FP/PHC integration framework co-validated with the Ministry of Health. Conducted desk review, key informant interviews with policymakers, and system-level bottleneck analysis across governance, financing, service delivery, and supply chains.
Results & Impact
- FP-PHC integration framework validated and adopted by MoH
- Comprehensive technical report informing national planning discussions
- System-level bottlenecks identified across governance and supply chains
- Evidence base for scaling FP-PHC integration nationally
Baseline Assessment: READY+ HIV Programme
Led a multi-country baseline assessment for a programme targeting adolescents and young people living with HIV, establishing a rigorous evidence foundation for programme design.
The Challenge
Inadequate baseline data to design, target, and monitor an HIV programme reaching the most marginalised young people across multiple countries.
Our Approach
Designed mixed-methods tools including digital surveys. Conducted policy analysis of HIV and SRH frameworks. Interviewed policymakers, service providers, and community stakeholders to assess service accessibility.
Results & Impact
- Baseline report informing programme design and targeting strategies
- Monitoring frameworks established for multi-country programme
- Policy analysis of HIV-SRH frameworks across target countries
- Youth-friendly service delivery gaps identified and documented
Midline Evaluation: Sondra Smalley Project
Designed and implemented a mixed-methods midline evaluation of a cervical and breast cancer access programme for women in Malawi.
The Challenge
Limited mid-course data on programme performance, reach, and integration within existing health systems and referral pathways.
Our Approach
Led qualitative data collection through key informant interviews and focus group discussions with health workers, programme staff, and beneficiaries. Assessed implementation fidelity and referral pathway integration.
Results & Impact
- Midline evaluation report with strategic recommendations
- Evidence on programme performance and service reach
- Recommendations strengthening referral systems and scale-up planning
Grant Steering Committee: Digital Malawi Project
Served on the Grant Steering Committee for the USD 72.4 million World Bank-funded Digital Malawi Project, providing fiduciary oversight and digital health mentorship.
The Challenge
Grantees needed guidance on digital health scalability, sustainability, and alignment with national digital health strategy to maximise impact of a landmark government investment.
Our Approach
Provided fiduciary oversight of grants, procurement plans, and financial reporting. Maintained risk registers and enforced World Bank / Government of Malawi compliance standards. Provided technical mentorship to health innovators.
Results & Impact
- USD 72.4 million in grants administered with full WB compliance
- Digital health grantees strengthened for scale and sustainability
- Malawi's digital innovation ecosystem supported across health and other sectors
Assessment of TB Services in Malawi Prisons
Conducted policy and legal analysis of TB and drug-resistant TB management in prison settings, leading to landmark policy reform.
The Challenge
MDR-TB patients in Malawi prisons lacked access to treatment outside custodial settings, raising critical human rights and public health concerns.
Our Approach
Conducted policy and legal analysis of TB management in prisons. Assessed health system readiness, referral pathways, and facility-level capacity. Engaged government stakeholders on gaps in policy implementation.
Results & Impact
- Technical report informing reform of the TB in Prison Policy
- Policy change enabling MDR-TB treatment outside prison settings
- Human rights-informed recommendations for government adoption
National Market Intelligence Assessment: HIV & TB Commodities
Led a national market intelligence assessment to inform sustainable financing and equitable access to priority HIV and TB commodities in Malawi.
The Challenge
Limited analytical data on procurement costs, supplier landscape, and market barriers was hampering evidence-based decisions on sustainable financing for essential HIV and TB commodities.
Our Approach
Analysed procurement data (cost, volume, suppliers) to identify cost drivers and inefficiencies. Engaged government agencies (MoH, CMST, MRA) and global partners on supply systems. Developed analytical models to prioritise high-impact commodities for investment and cost reduction.
Results & Impact
- Published market intelligence report (KELIN Kenya, 2025)
- Commodity prioritisation framework adopted for national policy dialogue
- Regulatory and market barriers to commodity access identified and documented
- Findings informing national and regional sustainable financing strategies
Endline Evaluation: HIV & SRH Integration for AGYW
Conducted an endline evaluation of the Integration for Services Among Adolescent Girls and Young Women (ISA) project across 6 health facilities and catchment communities in Mangochi District.
The Challenge
Insufficient evidence on whether the ISA project had sustainably improved HIV-SRH service integration, referral systems, and access to youth-friendly services at the close of implementation.
Our Approach
Reviewed project documents and conducted in-depth interviews and focus group discussions with stakeholders to assess impact on coordination, referral systems, access to services, and provision of youth-friendly health services. Documented adolescent and young people's experiences in ISA-supported facilities.
Results & Impact
- Endline evaluation report with lessons learned and policy-relevant findings
- Evidence on implementation fidelity and integration gains documented
- Recommendations for sustaining HIV-SRH integration in Mangochi and nationally
Baseline Assessment: HIV & SRH Integration for AGYW
Conducted a baseline assessment establishing foundational indicators for the ISA project targeting adolescent girls and young women in Malawi, including redesign of the national Youth Friendly Health Services Scorecard.
The Challenge
No baseline data existed to guide ISA project targeting or measure progress on HIV-SRH integration and youth-friendly service delivery at facility and community level.
Our Approach
Conducted policy analysis of HIV and SRH frameworks for adolescents and young people. Led key informant interviews at national and district level. Redesigned, refined, and validated the Malawi Ministry of Health Youth Friendly Health Services Scorecard.
Results & Impact
- Baseline indicators established to guide project implementation and evaluation
- Revised Youth Friendly Health Services Scorecard validated with the Ministry of Health
- Policy analysis covering national HIV and SRH frameworks for young people
Community Health Systems Evaluation
Evaluated the effectiveness of community health systems in improving access to services in Zambia, identifying governance and coordination gaps across community-based structures.
The Challenge
Limited evidence on whether community health structures were functioning effectively to improve equitable access to services at the community level in Zambia.
Our Approach
Conducted a desk review of national policies and community health strategies. Led stakeholder interviews with Ministry of Health officials and frontline health workers. Assessed governance, coordination, and functionality of community health structures.
Results & Impact
- Evaluation report identifying system gaps and strengthening opportunities
- Evidence informing policy and programme improvements in community health delivery
- Governance and coordination bottlenecks mapped across community structures
Blantyre HIV Prevention Strategy Assessment
Conducted health systems and policy assessments to support piloting of an Integrated Disease Surveillance and Response incorporating HIV (IDSR-HIV) in Blantyre District.
The Challenge
The Blantyre DHO lacked the capacity and systems to pilot community-based HIV surveillance under an IDSR framework, with significant institutional and technical bottlenecks affecting scalability.
Our Approach
Led capacity and gap assessments of community-based organisations for readiness in case-based and event-based surveillance. Assessed DHO effectiveness in implementing IDSR. Delivered capacity-strengthening interventions for CBOs on surveillance, reporting, and data use.
Results & Impact
- Capacity and gap assessment reports for CBOs and the Blantyre DHO
- Policy communication materials synthesising IDSR-HIV evidence
- MoH stakeholder engagement supporting uptake of IDSR-HIV evidence into programming
- Recommendations for scaling community-based HIV surveillance
Total Market Approach Assessment for Condom Programming
Led a national assessment to evaluate the feasibility of a Total Market Approach (TMA) for sustainable condom programming in Malawi, covering public, private, and social marketing sectors.
The Challenge
Condom programming in Malawi relied heavily on free public-sector distribution without a strategic market segmentation approach, limiting sustainability and optimal allocation across market tiers.
Our Approach
Conducted policy and market analysis of condom distribution systems. Engaged the Ministry of Health, regulators, private distributors, civil society, key populations, and implementing partners in stakeholder consultations. Analysed market segmentation and assessed opportunities and bottlenecks in optimising allocation across free, subsidised, and commercial products.
Results & Impact
- TMA feasibility report informing national condom programming strategy
- Market segmentation analysis across public, private, and social marketing tiers
- Strategic recommendations for sustainable financing and allocation of condom supply
Multi-Country Health Financing Research
Supported implementation of a multi-country health financing research project across Malawi, Kenya, Nigeria, and Zambia, building government capacity on PFM and influencing national health financing decisions.
The Challenge
Governments lacked the evidence and analytical capacity to advocate for increased domestic health financing and to influence national budget processes.
Our Approach
Conducted national health budget analyses across four countries. Designed and delivered PFM capacity-building for government officials. Supported policy window mapping and engaged parliamentarians to influence financing decisions.
Results & Impact
- Health budget analyses conducted for Malawi, Kenya, Nigeria, and Zambia
- Government officials trained in PFM and National Health Accounts
- Oral presentation at Global Symposium for Health Systems Research, Nagasaki 2024
- Policy briefs influencing parliamentary health financing debates
Commission a Technical Expert
Explore partnership opportunities for your next evaluation, policy review, or programme design.