Our Approach
Our approach connects institutional partnerships, evidence-informed planning, adaptive delivery, and transparent learning.
Our Strategic Approach
From regulatory grounding to predictive modelling and peer-reviewed advocacy: how THRIVE executes high-impact health solutions.
Institutional Partnerships & Regulatory Integration
Grounded in official governance, regional endorsement, and local leadership.
Regional Regulatory Framework
Supported by a 2-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.
Baseline and Counterfactual Analysis
Using baseline evidence to estimate what would happen without THRIVE's interventions.
Measurement will be based on counterfactual analysis derived from the baseline. Baseline findings and available routine health data will inform an estimate of outcomes without THRIVE's interventions. Observed outcomes will be compared with that counterfactual to assess potential added value, taking account of other programmes, contextual changes, and the assumptions and limitations of the analysis.
Retrospective Analysis
Analyse historical DHIS2 trends in MNCH and respiratory health across our target districts to establish authentic baseline performance.
Counterfactual Trend
Project future health outcomes without THRIVE intervention, accounting for routine MINSANTE services and pre-existing partner programmes.
Optimised Intervention
Model elevated health outcomes driven by THRIVE’s integrated ISD, HSS, and SBC clinical and community interventions.
Illustrative Measurement Model
Predictive Analytics Model (2023–2029)This diagram illustrates the analytical approach; it does not present measured results or verified impact estimates.
Verified retrospective health trends in primary care coverage, maternal follow-up, and respiratory screening from Ministry of Health records.
Predictive model representing health outcomes in the absence of THRIVE intervention (routine care alone without specialised capacity building).
Optimised intervention curve reflecting targeted clinical coverage, non-specialist diagnostic task-shifting, and intensive community SBC.
The difference between observed outcomes and the baseline-derived counterfactual will inform estimates of THRIVE's contribution, subject to the evaluation design and its assumptions.
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.
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.
Measurement Framework
Detailed monitoring and evaluation plans will connect resources and delivery to measurable changes through inputs, activities, outputs, and short- to medium-term outcomes. Baseline-derived counterfactual analysis will underpin the assessment of those changes.
Inputs
Define the people, funding, equipment, partnerships, and data needed to deliver each intervention.
Activities
Specify the implementation, training, community engagement, and research activities to be monitored.
Outputs
Track the immediate deliverables of those activities, using clearly defined indicators and data sources.
Short-Term Outcomes
Assess early changes in knowledge, skills, service readiness, and uptake against the baseline.
Medium-Term Outcomes
Evaluate sustained changes in service coverage, quality of care, and health outcomes relative to the counterfactual.
Each monitoring and evaluation plan will specify indicator definitions, baseline values, targets, data sources, collection frequency, responsibilities, and analysis methods. Findings will guide learning and adaptation. Verified results will be added to the Impact section when available.