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Title: An IDinsight Process Evaluation of the Digitally enabled, Equipped, Supervised, and Compensated Community Health Model (DESC).
Description:
Living Goods’ model is designed to demonstrate that government-led community health can be high-impact, cost-effective, and scalable—but questions remain about how such models perform in practice and whether they can be sustained and replicated at scale. This evaluation comes at a pivotal time, as Kenya and other countries consider long-term investments in community health
amid declining donor resources.
Our findings demonstrate that LG’s model has not only supported strong service delivery gains—particularly for women and children—but also contributed to sustainable systems transformation. While the wider policy environment and partner engagement have also played roles, LG’s technical assistance was consistently credited by stakeholders as a driver of improved coordination, digital system strengthening, and policy adoption. In short, LG helped unlock greater government investment and capacity for delivery.
At the same time, the evaluation also highlights the very real constraints counties face—especially around stockouts, delayed compensation, and limited digital infrastructure. These are challenges that any system will confront, and LG’s work with county leaders to co-create solutions represents an important proof of concept.
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Category: Case Studies
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