What We Do

Our operational framework is organized 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.

Strategic Architecture

Overview and Operational Vision

Our operational framework is organized 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 toward 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 Primary Healthcare 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 programs 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 Behavior 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 behavioral change through local media broadcasts (radio campaigns), community dialogues, and interactive health talks tailored to local languages and cultural contexts.

Our Strategic Approach

From regulatory grounding to predictive modeling and peer-reviewed advocacy: how THRIVE executes high-impact health solutions.

01

Institutional Partnerships & Regulatory Integration

Grounded in official governance, regional endorsement, and local leadership.

Regional Regulatory Framework

Supported by a 3-year Memorandum of Understanding (MoU) with the Regional Delegation of Public Health for the Adamawa Region, officially recognising THRIVE as a key public health partner.

District-Level Strategic Alignment

Operating under a co-designed 2026–2029 Strategic Plan signed in direct collaboration with the District Medical Officers (DMOs) across our three intervention districts.

Community and Cultural Integration

Partnering closely with traditional, religious, and local community leaders to ensure project interventions are culturally embedded, contextually appropriate, and deeply trusted.

02

Data-Driven Target Setting and Impact Modeling

Leveraging national information systems to establish baseline trends and define attributable impact.

We utilise multi-source data from the UN, MINSANTE, National Institute of Statistics (INS), and DHIS2 to build predictive health models that clearly define THRIVE’s net added value over our 2026–2029 strategic cycle.

Phase 1: Past (2023–2026)

Retrospective Analysis

Analyse historical DHIS2 trends in MNCH and respiratory health across our target districts to establish authentic baseline performance.

Phase 2: Baseline (2026–2029)

Counterfactual Trend

Project future health outcomes without THRIVE intervention, accounting for routine MINSANTE services and pre-existing partner programs.

Phase 3: Target (2026–2029)

Optimized Intervention

Model elevated health outcomes driven by THRIVE’s integrated ISD, HSS, and SBC clinical and community interventions.

Visual Impact Modeling Architecture

Predictive Analytics Model (2023–2029)
2026 INCEPTION 0% 30% 60% 90% 2023 2024–2025 2026 (Launch) 2027–2028 2029 (Target) NET ATTRIBUTABLE IMPACT ZONE (THRIVE Attributable Value Add) +42% Target Gain
1. Historical DHIS2 Baseline (2023–2026) [Solid Slate Line]

Verified retrospective health trends in primary care coverage, maternal follow-up, and respiratory screening from Ministry of Health records.

2. Counterfactual Baseline Projection (2026–2029) [Dashed Rose/Slate Line]

Predictive model representing health outcomes in the absence of THRIVE intervention (routine care alone without specialized capacity building).

3. THRIVE Target Projection (2026–2029) [Bold Solid Jade/Teal Gradient Line]

Optimized intervention curve reflecting targeted clinical coverage, non-specialist diagnostic task-shifting, and intensive community SBC.

4. Net Attributable Value-Add [Shaded Area Between Curves]

The quantified public health dividend directly attributable to THRIVE’s technical, financial, and clinical program delivery.

03

Adaptive ISD, HSS and Research Execution

Balancing operational flexibility with rigorous project management.

Scenario-Based Operational Planning

Defining clear, cost-effective Integrated Service Delivery (ISD), Health Systems Strengthening (HSS), and implementation research activities across both best-case and worst-case resource scenarios for our 2026–2029 plan.

Detailed Activity Alignment

Translating strategic goals into concrete operational workplans (OPs), setting clear milestones, RACI matrix responsibilities, and resource allocations.

04

Transparent Reporting, Evidence Sharing and Policy Advocacy

Turning field research into district-level and national policy change.

Government and Stakeholder Accountability

Sharing real-time progress reports and research publications directly with Regional Delegations and District Medical Officers to guide local health resource decisions.

Scientific Contribution

Publishing implementation research findings in peer-reviewed scientific journals and participating in public health conferences.

Internal Performance Comparison

Benchmarking real-world project outputs continuously against our initial predictive models to refine operations and maximise cost-effectiveness.