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:

The work was to develop a strategy for integrated WASH Nutrition for Action Against Hunger (and the wider WASH cluster) in South Sudan that was expected to guide programming for a period of 3 years. In the highly dynamic socio-political situation in the country, strategies were re-examined and revised at regular intervals. The strategy was […]

CHC conducted a comparative case study on famine-risk emergency context in Nigeria and identified practical recommendations and best practices.  This research analyzed political constraints and factors constraining the linkage between information, analysis and action to develop better practice to protect the independence of analysis underpinning declarations of famine or other severe humanitarian emergencies. The Objectives […]

This was a consultancy project, commissioned by ReDSS (Regional Durable Solutions Secretariat), a coordination and information hub that stimulates forward-thinking and policy development on durable solutions for displaced affected communities in East and Horn of Africa. The objective of this consultancy was to develop ReDSS comprehensive knowledge management and capacity development strategy using various learning […]

Director of CHC, Nancy Balfour, worked in partnership with Mercy Corps Kenya to develop a strategy for their programming in the Arid and Semi-Arid Lands (ASALs) of Kenya. This was a contributory framework to the overall country program and was intended to be implemented using a resilience approach and adapted to the risk context in […]

CHC with partners, Global Emergency Group (GEG), carried out an interactive and iterative evaluation alongside UNICEF’s response to the 2018/17 drought in Kenya, closely monitoring program activities throughout six counties severely impacted by the drought.  Over a time period of six months, and through a combination of thorough desk review and a series of extensive […]

Somalia WASH sector is operating in an extremely complex environment where socio-economic, environmental and political factors place WASH actors under tremendous pressure. Somalia is a water-scarce country but it is also a country at war with collapsed infrastructure, limited sector governance and low availability of skilled. The WASH sector has been dominated by short duration […]

Nutrition Resilience is the concept that good nutrition results in a more resilient person or household and Resilience for Nutrition is the concept that a resilient person or household results in good nutrition. CHC worked with Save the Children to redefine the model for aid in Somalia using evidence of local models of What Works […]

The aim was to ensure equitable and effective humanitarian support to the most vulnerable. The objectives were: To provide a core team of advisors to bring the latest research and contextual knowledge to inform programming to mitigate marginalization and exclusion and to promote the transfer of learning for resilience programming. Specifically: To guide BRCiS and […]

Focused on nine of the most vulnerable and high-risk areas of the 23 counties, PREG works with the Kenyan government both at the National and County level to address underlying community vulnerabilities in the ASAL (Arid and Semi-Arid Lands) region. The partnership linked both humanitarian and development partners to invest in order to increase community […]

CHC conducted a series of workshops to design a resilience framework for USAID East Africa Regional Resilience programming. In order to inform the resilience framework, CHC ensured there was a joint understanding of the USAID resilience approach and its impact on programming, improving programming by sharing experiences and perspectives gained through implementation, and improving collaboration, […]


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