Evidence & Accountability

Impact & Measurement Framework

As an evidence-disciplined public health association founded in December 2025, THRIVE grounds all impact reporting in verified baseline indicators, sub-national health governance, and scientific data integrity.

Our Accountability Pledge Cameroonian Law No. 90/053 Non-Profit Governance

Evidence-First: Zero Inflated or Unsubstantiated Claims

International development too often publishes speculative "beneficiary counts" before foundational data collection concludes. THRIVE firmly rejects vanity metrics. Established in December 2025, we are currently completing our primary baseline assessments alongside the Adamawa Regional Delegation of Public Health and local District Medical Officers.

As verified field interventions progress, verified operational figures will be transparently presented via public quarterly dashboards and peer-reviewed research briefs.

Four Strategic Measurement Domains

Every intervention is systematically tracked across four core health system dimensions.

Domain 01 Integrated Health Service Delivery

Maternal & Newborn Care (MNCH)

Elevating primary care quality during antenatal, delivery, and early neonatal windows.

Tracer Indicators Tracked:
  • Antenatal Care (ANC 4+) timely completion rates across primary health centers (CSI)
  • Facility-based delivery referral coordination from remote health posts
  • Early neonatal danger sign screening and immediate thermal/resuscitation readiness
Domain 02 Health Systems Strengthening

Childhood Survival & Immunization

Safeguarding infants through active community triage and routine immunization access.

Tracer Indicators Tracked:
  • EPI routine immunization tracer coverage (Penta3, Measles-Rubella, Polio)
  • Active identification and catch-up for zero-dose and under-immunized children
  • Acute malnutrition (MAM/SAM) triage and referral linkage in rural settlements
Domain 03 Implementation Research & Clinical Pilot

Chronic Respiratory Disease Triage

Integrating asthma, COPD, and respiratory screening into decentralized primary care.

Tracer Indicators Tracked:
  • Standardized clinical symptom screening for chronic cough and wheeze at primary health centers
  • Frontline nurse and clinician diagnostic triage capacity score improvement
  • Inhaler and basic bronchodilator tracer stock availability at district distribution points
Domain 04 Health Promotion & Social Behavioral Change

Community Dialogue & Care Seeking

Transforming health-seeking behaviors and shifting gender and social norms.

Tracer Indicators Tracked:
  • Community health dialogue participation rates across vulnerable catchment zones
  • Household timeliness of care-seeking for childhood fever and postpartum danger signs
  • Reduction in normative barriers and local health facility avoidance

2026–2027 Measurement & Evaluation Roadmap

Phased milestones connecting baseline diagnostic rigor to regional policy impact.

01 Q1–Q2 2026

Phase 1: Baseline Assessment

In Progress

Comprehensive primary care readiness and community health impact assessment across Ngaoundéré Urbain, Ngaoundéré Rural, and Dang health districts.

02 Q3 2026–Q1 2027

Phase 2: Pilot Implementation & Continuous Monitoring

Scheduled

Routine monthly data harmonization with District Medical Officers (DMOs), supportive clinical supervision, and point-of-care QI learning cycles.

03 Mid-2027

Phase 3: Mid-Term Evaluation & Policy Dialogues

Horizon

Rigorous outcome evaluation, publication of open-access operational research briefs, and sub-national health delegation scale-up review.

Open Operational Science

Collaborate on Primary Care Research & Evaluation

Are you an academic institution, bilateral donor, or health policy researcher seeking rigorous field collaboration in Central and West Africa? We invite joint protocol co-design and data publication.