Pillars Overview

Four connected pillars bring together integrated care, health systems strengthening, implementation research, and community health promotion in Cameroon.

Strategic Architecture

Overview and Operational Vision

Explore our 2026–2029 Strategic Plan →

Our operational framework is organised around four core strategic pillars and an evidence-based, pragmatic implementation model. Designed for real-world impact, our work strengthens primary health systems, drives sustainable improvements in Maternal, Newborn, and Child Health (MNCH) and non-communicable lung health, and ensures high-standard care across our target communities.

SDG 3 Good Health & Well-Being

Through this framework, THRIVE directly contributes to accelerating progress towards key UN Sustainable Development Goal 3 (SDG 3) targets across our three intervention health districts: Ngaoundéré Urbain, Ngaoundéré Rural, and Dang/Vina.

Our Four Strategic Pillars

A coherent, mutually reinforcing operational framework translating clinical evidence into community-level health transformation.

Pillar 1

Integrated Service Delivery (ISD)

Strengthening clinical and community service delivery for maternal, child, and respiratory health.

Comprehensive MNCH and Respiratory Care

Supporting and improving high-quality, integrated care for maternal, newborn, and child health, with a strong emphasis on Integrated Community Case Management (iCCM), alongside primary respiratory healthcare across health facilities and local communities.

Active Case Finding and Respiratory Care

Expanding early screening, active case finding, and primary management for chronic respiratory conditions, particularly asthma and Chronic Obstructive Pulmonary Disease (COPD).

Pillar 2

Health Systems Strengthening (HSS)

Building healthcare worker capacity through pragmatic training, task-sharing, and innovative tools.

Workforce Capacity Building

Training and coaching frontline primary healthcare staff and multipurpose Community Health Workers (CHWs) to address workforce shortages using pragmatic, cost-effective, and innovative decision-support tools and streamlined referral networks.

Non-Specialist Respiratory Training

Equipping non-respiratory healthcare providers (nurses, clinical officers, and general practitioners) in primary healthcare facilities to confidently utilise peak flow meters, spirometers, and standard essential medicines for effective asthma and COPD care.

Pillar 3

Implementation Research and Policy Advocacy

Generating local evidence to drive sustainable health system improvements and national policy change.

Embedded Implementation Science

Integrating implementation research into our ISD and HSS programmes to generate robust evidence on cost-effective, pragmatic models of quality care that improve health outcomes.

Evidence-Informed Advocacy

Leveraging research findings to strengthen policy advocacy, driving the adoption of innovative and proven practices within our intervention districts and across national health policy frameworks in Cameroon.

Pillar 4

Health Promotion & Social Behaviour Change (SBC)

Empowering communities through participatory education, media, and normative change.

Participatory and Grouped Education

Empowering local health committees, community health workers, and families through interactive group education sessions across both community and facility settings.

Multi-Channel Communication

Driving positive health norms and behavioural change through local media broadcasts (radio campaigns), community dialogues, and interactive health talks tailored to local languages and cultural contexts.

How We Work

Explore the approach and strategic plan that connect our four pillars.

Our Approach →

Our Strategic Plan →