Performance Management
We help public sector leaders build high-performing teams, boost accountability, and turn ambitious targets into lasting results.
We help public sector leaders build high-performing teams, boost accountability, and turn ambitious targets into lasting results.
We establish regular, data-backed stocktakes that give senior leaders a clear window on frontline realities.
We build robust follow-up methods, feedback loops, and accountability tools to ensure decisions quickly translate into progress on the ground.
We build practical skills, habits, and muscle memory that shift everyday behaviours, creating the belief and excitement needed for lasting momentum.
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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April 9, 2026
3 min read
In late 2025, a senior health official in Sokoto was shown a series of photos from a local health clinic. He saw a rusted delivery bed and a room with…
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March 10, 2026
3 min read
In July 2025, a senior public health leader in Kano, Nigeria, sat before a screen flashing red. The data revealed an uncomfortable truth: two urban ar…
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November 24, 2025
4 min read
When we began working with the Government of Sindh on maternal and newborn health, the challenges were daunting – overstretched facilities, unreliable…
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November 13, 2025
4 min read
When we began work in Punjab, Pakistan in 2014, one in eleven children died before their fifth birthday – far worse than in Punjab, India, where focus…
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October 17, 2025
4 min read
Every day across Africa, women and children die from causes we already know how to prevent. The real challenge is not lack of innovation, but connecti…
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September 5, 2025
2 min read
Delivery is often credited with driving rapid improvements, but do those improvements last? Can they survive changes in leadership, funding cycles, or…
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August 28, 2025
2 min read
It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…
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August 13, 2025
2 min read
At its heart, delivery refers to a set of approaches, tools, and guidelines used to help governments improve services for citizens. It’s about moving…
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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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July 18, 2025
3 min read
In March 2020, the world locked down overnight. No pilots. No randomised controlled trials. Just bold action in the face of uncertainty. Because the s…
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July 10, 2025
3 min read
In March 2024, Ethiopia launched its first single-dose HPV vaccine campaign. This was a huge first step for preventing cervical cancer in the country.…
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April 7, 2025
3 min read
On World Health Day 2025, the theme is healthy beginnings, hopeful futures. In light of increasing development sector spending cuts, Susan Mackay – He…
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September 12, 2024
2 min read
Pre-primary education has not always had the attention it needs to improve in low- and middle-income countries. It is time to turn a corner. Large num…
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August 19, 2024
2 min read
Labour services have not always been up to the standards needed for expectant mothers, but significant improvements are being made in low- and middle-…
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July 29, 2024
3 min read
Measles vaccines are estimated to have averted around 57 million deaths globally between 2000 and 2022. However, there is still work to be done, with…
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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 11, 2024
2 min read
There are limits to how technology can be used in education. Nevertheless, technology is being used to create improvements across low- and middle-inco…
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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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June 17, 2024
2 min read
The vast majority of frontline staff work exceptionally hard. But governments require evidence of performance to address concerns. Accountability is i…
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June 11, 2024
2 min read
Governments and donors often want to address major health and education issues with one large policy adjustment. But it is the small, daily, improveme…
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June 10, 2024
3 min read
Many people agree that sustainability is the right path to follow, but delivering it is something else entirely. Sustainability is an important goal i…
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March 9, 2023
3 min read
The province of Sindh in Pakistan ran one of the largest Measles-Rubella (MR) vaccination campaigns, reaching around 20 million children in two weeks.…
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July 5, 2022
2 min read
Northern regions in Ethiopia have been operating with reduced or disrupted health services. We supported regional administration and the government in…
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May 26, 2022
3 min read
Somalia is one of the most difficult places to provide health services, following decades of conflict and political instability, and persistent limita…
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May 10, 2022
3 min read
Mozambique’s strong performance is gaining recognition regionally and internationally, despite initial constraints of vaccine supply, in-country deliv…
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April 5, 2022
2 min read
We summarise four challenges below and mention some of the best practices that can help partners and implementers overcome them. Reliance on self-repo…
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April 6, 2021
3 min read
In 2017, surveys showed that only one in three children were fully immunised in the Democratic Republic of the Congo (DRC), while one in five did not…
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February 23, 2021
3 min read
One of the first steps in redesigning a vaccine distribution system is to understand the existing bottlenecks, flaws and inefficiencies that prevent i…
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March 19, 2020
2 min read
Good school leadership can have a powerful effect on learning and achievement. Research conducted by Marzano, Waters and McNulty found that the e…
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November 19, 2019
2 min read
Leaders of health and education systems often rely on datasets that are inaccurate or incomplete. Advanced analytics can help understand and improve d…
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