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:

From 2016-2019, CHC in partnership with REACH conducted research on pastoralist women in Maasai and Samburu counties, Kenya, exploring the links between women empowerment and water security specifically deep diving into the constraints pastoralists women face regarding access to water and how this affects water security in relation to resource sustainability, inclusive services and sustainable […]

These projects were to help improve the understanding and analysis of households living in famine or famine-like conditions to enable improved prevention, mitigation and response. One of the challenges facing food security analysts across the region is accurately distinguishing household characteristics between different phases of the Integrated Food Security Phase Classification (IPC) tool. CHC’s role […]

CHC collaborated with Feinstein International Center at Tufts University to conduct a study in 6 countries, Yemen, South Sudan, Somalia, Ethiopia, Kenya and Nigeria, to consider the constraints on data collection and analysis in extreme food security emergencies in countries with a high risk of famine. There are demonstrated limitations in the availability of high-quality […]

Undernutrition increases the risk of mortality and illness; it impedes physical growth and cognitive development irreversibly. It therefore reduces achievements at school, reduces physical productivity and results in a decrease in income potential later in life. An undernourished child is at risk of losing 10% of their lifetime earning potential (World Bank, 2015). At national […]

Supported the Inception phase (Phase 2) of Karamoja Nutrition Programme the Refugee Context through: Providing guidance to the teams during planning meetings, during missions, and during the development of the respective deliverables, drawing on existing evidence and knowledge Reviewing & Providing feedback on Health Systems Strengthening Approach for Karamoja, Clear trajectories towards improved results and […]

Support for the Inception phase (Phase 2) of Karamoja Nutrition Programme & the Refugee Context through: – NutritionWorks – providing general support – HPI – supporting Health Systems Strengthening • – PATH – supporting monitoring and evaluation

Support to DFID Kenya’s Nutrition Work.  The aim was to provide nutrition expertise to advise, guide and challenge DFID to improve resilience and response programming for nutrition and to strengthen its work with development partners and the Government of Kenya. This was through a  Case study on system strengthening and transition to government ownership of […]

Mercy Corps was leading the implementation of Strengthening Community Capacity for Resilience and Growth components for a USAID funded Kenya Feed the Future Livestock Market Systems (LMS). This was to enable people, households and communities to escape poverty and chronic vulnerability and strengthen their resilience so they can do so sustainably. CHC’s specific objective was […]

BRCiS (Building Resilient Communities in Somalia), is a  Humanitarian Consortium that takes a holistic approach to supporting Somali Communities in developing their capacity to resist and absorb minor shocks without undermining their ability to move out of poverty. CHC worked with BRCiS Consortium to ensure that through effective learning and adaptive management they challenge their […]

Climate change and resulting weather extremes threaten the lives of millions of children worldwide.  The security of water sources are increasingly threatened, investments in WASH infrastructure is lost & the lives of millions of children are at risk. The impacts of the 2017 drought in Kenya were exacerbated by the high proportion of non-functional rural […]


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