We help leaders to sharpen performance, sustain results, and run systems independently.


We support senior leaders to set data-driven strategies and mobilise resources, while working alongside local managers to resolve daily bottlenecks, sharpen implementation, and progressively take on full ownership.

We codify and share best practices, supported by innovative digital tools that embed institutional knowledge across the entire system.

We advance exit strategies from day one, setting clear, milestone-based tipping points to transition ownership when teams are ready.
September 30, 2026
3 min read
Delivering vaccines in Nigeria’s Zamfara State means racing against both time and terrain. When seasonal rains turn dirt roads into rivers, or securit…
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August 19, 2026
3 min read
Understanding why routine vaccination stalled in northern Nigeria requires a look at what happens on the back roads of Sokoto. Failure is rarely a cas…
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September 24, 2025
2 min read
Delivery can transform how governments achieve results, but its success is highly context-dependent. Across countries, some delivery efforts drive rap…
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August 13, 2025
1 min read
How do you get every school to be a good school? How, with thousands of schools and hundreds of thousands of teachers, do you get every lesson to be a…
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June 17, 2025
2 min read
Over the past decade, innovative, tech-enabled tools have become critical in enabling governments across Africa to address vital public sector challen…
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May 23, 2025
4 min read
Off the main stage at the World Health Assembly in Geneva, a small side event carried a big idea: What if crisis isn’t a setback – but the spark we’ve…
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December 17, 2024
3 min read
If the past few years have taught us anything, it is that trust is the foundation on which effective health systems are built. Yet, as Acasus’ CEO, Fe…
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July 26, 2024
3 min read
While scaling resources in education is important, this alone does not improve quality. Moving beyond traditional metrics can help to see the details…
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July 25, 2024
2 min read
Using AI for the benefit of education systems remains a challenge. But if done correctly, there can be significant benefits. AI has been one of the mo…
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June 21, 2024
2 min read
Some health workers understandably worry about technology further overburdening them. But if interventions are designed correctly, more overburdening…
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December 5, 2022
2 min read
Sue advises Acasus on technical issues in the health sector. September 14 Our founder, Fenton Whelan, invited me to an all-staff meeting in Duba…
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