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:

Since 2017, the Cabo Delgado province, located in the north of Mozambique, has been facing an increasing humanitarian crisis caused by ongoing conflict by armed groups. The situation deteriorated significantly in 2020 with increased attacks, internal displaced people (IDPs) and access constraints in the northern districts. In November 2020, the International Organization for Migration (IOM) […]

Indonesia has a well-developed disaster response framework with established systems for command and coordination of response activities which delivers relief and essential services to affected populations efficiently and effectively. The International humanitarian system has supported the Indonesian government during major, national level, emergencies including activating the cluster coordination mechanism for key sectors. While WASH is […]

The Productive Safety Net Programme (PSNP) in Ethiopia was set up in 2005 by the government as part of a strategy to address chronic food insecurity. The PSNP provides cash or food to people who have predictable food needs in a way that enables them to improve their own livelihoods and therefore become more resilient to […]

Sanitation is a significant challenge in Kenya. The Country did not meet the Millennium Development Goal (MDG) targets for sanitation or drinking water. It is estimated that today 70% of Kenya’s population, almost 33 million people, lack access to basic sanitation and 10% practice open defecation, representing 5 million people. Open defecation is largely a […]

Extreme weather events, or climate shocks, such as floods, wildfires, heatwaves, or droughts, can have major impacts on public health and nutrition status, and on the functioning of health systems in low- and lower middle-income counties. Demand for health and nutrition services grows when these events result in physical injury and psychological trauma, and increase […]

CHC supported Department for International Development (DFID) Zimbabwe to understand how effectively partners are achieving an impact on nutrition through their delivery, design, monitoring systems and strategic approach to coordination with other actors. This was done through a technical assessment of the delivery approaches and standards DFID’s implementing partners (IPs) have used to date, and […]

To support to strengthen nutrition information systems in Yemen with support from the United Kingdom Foreign, Commonwealth & Development Office (FCDO) in close collaboration with the United Nations Children’s Fund (UNICEF)/Yemen country office. To review the Nutrition Information and Analysis Systems (NIS) in Yemen through a rapid scoping exercise, an analysis of the pathways of […]

Despite significant investment by government and donors to address acute malnutrition in Kenya’s Arid and Semi-Arid Lands (ASALs) over many years, acute malnutrition rates frequently remain above emergency levels and even when households’ access to food and quality healthcare increases, there is little improvement. County level, context-specific, integrated, multi-sectoral initiatives that leverage ongoing emergency and […]

CHC supported the Global WASH Cluster (GWC) and UNICEF as cluster lead agencies in the development of an International Phased Classification (IPC) system for the WASH humanitarian coordination platforms to fulfill their key functions of response planning in an evidence-driven manner. The overall aim is to improve WASH response, with two specific objectives: better strategic […]

Oxford Policy Management (OPM) was commissioned by the Research, Evidence and Development Department (RED) within DFID to carry out the Maintaining Essential Services After Natural Disasters (Maintains) programme. Maintains is a cross sectoral research programme cutting across education, health, social protection, nutrition, and water and sanitation in six countries, including looking at underpinning issues such […]


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