Improving Service Delivery is Key to Who We Are

Living Goods’ learning sites are centers of excellence where we innovate nimbly, produce evidence, and show impact at a gold standard to ensure greater chances of success for government-led implementation. In learning sites, Living Goods works closely with governments but is responsible for performance on all elements of our DESC approach—Digitizing, Equipping, Supervising, and Compensating—along with their funding, where needed.

Burkina Faso: In May 2024, Living Goods expanded into Manga District with 400 CHWs. This is our second and final learning site in Burkina Faso while we assess if the enabling environment is strong enough to scale through the implementation support approach. In Ziniaré District, CHWs are achieving most KPI targets due to our performance management approach, which includes good medication availability, monthly CHW performance and supervision reviews, and timely CHW payments. Challenges in Q2 included bugs in the mHealth app and reduced supervision rates due to the onboarding of additional CHWs. Moving forward, we are working to determine the optimal supervisor-to-CHW ratio.

Community Health Promoter, Everline Sisuma (left) bids farewell to Claudia Samatha after registering her household in Nambale, Busia County.

Kenya: Our learning site in two sub-counties in Busia County is performing well. We maintain the learning site to continue innovating with agility as we expand implementation support in the county. Some of the ongoing innovations include testing enhanced Community Event-Based Surveillance, implemented through a One Health Approach that allows collaboration of health cadres to support response to potential public health threats. Although competing priorities like mass net distribution slightly affected CHW output during the quarter, CHWs still achieved most of their targets. A highlight of Q2 was immunization rates, with 99% of children aged 9-23 months being fully immunized.

CHW Sahdia Nakintu visits Betty’s household in Masaka District, Kyanamukaka village.

Uganda: CHW performance remains stable in our Uganda learning sites. We attribute this to proactive performance management tactics, such as focusing on household coverage;the continued implementation of the family planning acceleration plan which includes providing buffer stocks to CHWs; and data reviews through peer group meetings. In June, as planned, we transitioned all 219 CHWs in Mpigi District to eCHIS, where they will continue to be supported by the district and another partner. This has reduced the number of Living Goods-supported CHWs to approximately 2,500 CHWs in 8 districts. Despite this, CHWs in our learning sites continue to have extensive reach, visiting over 200,000 households in June alone.