PATHS2, Nigeria

Capacity development through partnerships

We work with national ministries responsible for developing policies and for planning and financing health systems, and with public and private sector organisations at the front end of service delivery. We also strengthen partnerships between communities and health managers to design services that best meet community needs. All of our partnerships are built on shared visions for achieving long-term, sustainable improvements in health outcomes.

We develop sustainable national capacity by:

  • Placing expert advisors to work alongside staff in health ministries to develop their skills in designing and implementing evidence-based policies and plans
  • Working with health managers to design and implement strategies to increase the demand for and accessibility of health services
  • Strengthening community organisations to support the provision of health services
  • Promoting accountability for services through local health centre community groups
  • Developing tools to enable evidence-based improvement in health services.

Our Quality of Institutional Care (QuIC) tool enables service providers to make rapid assessments of their performance and service quality and then make quick service improvements. This tool is now used across many of the organisations that we support. Our organisational capacity assessment tool means health managers can make an objective assessment of their own operational capacity and identify strengths and areas for improvement.  

In Kenya, we work in partnership with health managers in Bungoma County to strengthen the regional health system. Key to this has been identifying gaps in planning, budgeting and human resources, and making these priority areas for capacity development over the next two years.

In India, our strong partnership with the State Government in Odisha has brought significant results, as shown in the population survey we carried out. The survey measured the impact of health and nutrition interventions and helped inform the development of evidence-based health policies.

In Nigeria, we have supported better coordination and the accountability of national and district level institutions in their ability to use data to effectively coordinate and plan the most cost-effective HIV/AIDS interventions in eight states. We delivered training and supported state operational planning for resource mobilisation.  

In Sierra Leone, we work with the Ministry of Health and Sanitation (MoHS) and the Laboratory Technical Working Group (LTWG) to use evidence to inform strengthening of laboratory services. Our focus on how data are managed has helped identify issues that affect medical laboratory performance, and enabled prompt Ebola testing and turnaround. We are also supporting the MoHS in developing long-term and evidence-informed plans to help respond to future outbreaks.

In Malawi, we are helping strengthen the Christian Health Association of Malawi’s financial management systems so that it can improve its health provision, which covers more than 30 per cent of the country’s health services. We also work with the Ministry of Health to strengthen Zonal Health Offices’ capacity to plan and manage health services at district level.


In India, partnership with the Government of Odisha has improved health outcomes

In Sierra Leone, we are building capacity of MoHS to develop evidence based plans and budgets

Related publications: 

Our experts

  • Azam Ali, PhD
    For over 30 years Dr Ali Azam has played leading roles in public health and health systems strengthening programmes in Bangladesh and elsewhere in South Asia, with a particular focus on urban health care. He is the Team Leader of the DFID-funded Bangladesh Urban Health Systems Strengthening Programme (UHSSP). Azam has worked with DFID, ADB, CIDA, DANIDA, EU, GIZ, UNICEF, USAID, World Bank and numerous national and international organisations. His skills include health systems strengthening, strategic planning, capacity building, monitoring and evaluation, assessment, policy advice and team and financial management.
  • Dr Kwalombota Kwalombota
    Dr Kwalombota Kwalombota is a trained clinical professional with over ten years’ experience in health systems strengthening, comprehensive emergency and obstetric care, reproductive health and family planning. He is experienced in providing technical advice for maternal and child health and public-private partnerships in health. Kwalombota has worked for international NGOs, private sector consultancies, universities, and the Zambian Ministry of Health, where he established the only district paediatric antiretroviral treatment and care programme. He has worked in Ethiopia, Malawi, Nigeria, Sierra Leone, South Sudan and Uganda.

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More about Options
Established in 1992, Options has worked in over 50 countries. We lead and manage health sector programmes on behalf of international donors and national governments.
Established in 1992, Options has worked in over 50 countries. We lead and manage health sector programmes on behalf of international donors and national governments.

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