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:

Pastoralist societies in Northern Kenya are facing more and more constraints from climatic changes to land loss, dislocation and population growth. The increased frequency of drought with consecutive seasons of failed rains over the past 5 years has had devastating effects on the pastoral communities living in the arid and semi-arid lands of Northern Kenya.  […]

Somali-led NGOs were looking to play a greater and more equal role in tackling the humanitarian crisis in Somalia using the Surge Capacity Model which enables the health system. A two-day dialogue for action on aid localization in Somalia was held in Nairobi aimed at bridging the gaps that existed between local and international actors. […]

Evidence for the contribution of WASH to Nutrition outcomes, particularly reducing stunting, has been growing over the last 5 years.

The Northern Rangelands Trust is a community conservancy membership organization, whose mission is to develop resilient community conservancies, which transform people’s lives, secure peace and conserve natural resources. This was a 4-year project which was to develop sustainable water supplies in 4 conservancies. The program’s aim was to implement a holistic water resource management strategy, […]

CHC was contracted by UNICEF to develop a Nutrition Resilience framework to provide support to stakeholders implementing programmes. The framework was constructed using a theory of change approach that allows indicators at process, output, outcome and impact level to be designed and used to monitor progress and allow an iterative approach to improving programming. The […]

USAID defines resilience as “the ability of people, households, communities, countries and systems to mitigate, adapt to and recover from shocks and stresses in a manner that reduces chronic vulnerability and facilitates inclusive growth.” This concept may play a significant role in development strategies for years to come as it promises to provide a solution […]

This project sought to enhance the extent to which support by partners in the nutrition sector is sustainably strengthening the Nutrition system and more widely the health sector in Kenya.  CHC, through a consultative process, enabled UNICEF to identify What Works and what were the bottlenecks to integrating nutrition into the health system and strengthening […]

CHC developed a training and resource pack for USAID funded Wash Plus project Uganda led by FHI 360. The overall objective of the Resource Pack is to facilitate the training of village health teams (VHTs), community knowledge workers (CKWs), peer support groups (PSGs), and other outreach workers on how they can help household and community […]


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