Capacity Building & Transition

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

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Advice & Hands-On Co-Delivery

Advice & Hands-On Co-Delivery

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.

Knowledge & Learning

Knowledge & Learning

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

Robust Transition Plans

Robust Transition Plans

We advance exit strategies from day one, setting clear, milestone-based tipping points to transition ownership when teams are ready.

Our Insights

How Zamfara overcame the odds to boost child immunisation
How Zamfara overcame the odds to boost child immunisation

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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How Sokoto is transforming routine immunisation from the ground up
How Sokoto is transforming routine immunisation from the ground up

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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Why delivery thrives in some contexts and not in others
Why delivery thrives in some contexts and not in others

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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Lessons Learned: How Good Policies Produce Better Schools
Lessons Learned: How Good Policies Produce Better Schools

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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What adversity teaches us about innovation
What adversity teaches us about innovation

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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The storm as our signal: reimagining global health in adversity
The storm as our signal: reimagining global health in adversity

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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Women in leadership: the key to building trust in global health systems
Women in leadership: the key to building trust in global health systems

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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Scaling what works in education
Scaling what works in education

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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How AI can support education systems
How AI can support education systems

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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Using technology to support frontline health workers
Using technology to support frontline health workers

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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My new table: a first week at Acasus
My new table: a first week at Acasus

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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