Service Delivery Approaches

Typically service delivery system strengthening is considered to be a long term development agenda and humanitarian aid rhetoric focuses on delivering a package of support designed to meet immediate basic needs. Households living permanently with fragility or on the edge of crisis cannot wait until the crisis is over to access social services that are essential for their families’ wellbeing.

Communities in these areas need access to reliable health, nutrition, water, agriculture/livestock and education services. There is demand for these services and despite the fragility of their lives some households are willing and able to pay for services. In the absence or weakness of government in many fragile areas, private sector has grown up to fill the gap and a majority of people relies on this for basic medical, water and food needs. Can context specific, risk sensitive and locally accountable service delivery models be designed and put in place which respond to demand while also having flexibility to adapt to shocks? What are the alternatives to short term relief services such as water trucking? Is decentralized service delivery the answer? How can the strengths of the private sector be harnessed to develop service delivery mechanisms? Is governance and government the same thing? How can sustainable services be effectively delivered in peri-urban areas populated largely by marginalized Internally Displaced Persons (IDPs)?

CHC projects designed to answer these questions and change policy and practice:

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