Service Delivery Integration

This initiative used human-centered design (HCD) to adapt and co-design a multifaceted implementation strategy for integrating HIV and non-communicable disease (NCD) services in Lusaka, Zambia. The approach involved healthcare workers in the design process to ensure the strategy's appropriateness, feasibility, and adoption in local healthcare settings.

This program focuses on improving HIV assisted partner services (APS) by continuing partner elicitation for 12 months after the initial diagnosis. The study highlights the benefits of ongoing partner elicitation in identifying and testing additional partners, leading to higher rates of new HIV diagnoses and addressing behaviors associated with HIV transmission.

This study examines HPV vaccination policies, delivery strategies, barriers, and enablers for immunocompromised girls, including those living with HIV, in Eswatini, Malawi, and Uganda. It identifies promising strategies, such as using Teen Clubs and adolescent HIV clinics for vaccine delivery, while highlighting barriers like stigma and limited cold chain infrastructure.

The Gates Foundation supported development and scale-up of next-generation insecticide-treated bed nets to combat growing pyrethroid resistance in malaria-endemic regions. The Interceptor G2 net uses dual insecticides (pyrethroid + chlorfenapyr), reducing malaria infection among children by nearly half in trials in Tanzania and Benin. The initiative combines technology innovation with behavior change campaigns to ensure proper and consistent bed net use, partnering with countries for digitized distribution systems.

The BEST (Behavioral Economic Incentives to Support HIV Treatment Adherence) study in Uganda tests lottery-based incentives to overcome "present bias"—the tendency to prioritize immediate costs over long-term health benefits. Unlike costly traditional incentives ($1000+), behavioral economics-informed small, frequent prizes leverage probability overweighting. The study compares incentives tied to clinic visits/viral suppression versus electronically measured daily adherence, addressing why only ~60% of people with HIV take medications as prescribed.

Sustaining Health Outcomes through the Private Sector Plus (SHOPS Plus) is USAIDs flagship private sector health initiative, making contraceptives and health products accessible through pharmacies and shops using commercial marketing techniques. Operating across Africa, Asia, and Latin America, the project strengthens NGOs and private providers to address family planning, HIV, TB, and child health. SHOPS Plus developed sustainability frameworks for social marketing programs transitioning from donor funding.

ideas42 is a non-profit that applies behavioral science to design scalable health solutions. Their portfolio includes a 10% increase in NYC flu vaccinations through appointment prompts, 33% increase in emergency room opioid use disorder treatments, and 78% increase in medication adherence for Medicaid cardiac patients. They use behavioral economics insights—present bias, loss aversion, commitment devices—to redesign health interventions in both the U.S. and low-income countries, with a focus on women and children under 5.

Young Africa Works is the Mastercard Foundation flagship strategy to enable 30 million young Africans (predominantly women) to access dignified work by 2030. Operating in Kenya, Ghana, Nigeria, Ethiopia, Rwanda, and Uganda, it strengthens TVET systems, supports labor market development, and enables access to finance. The Kenya TVET program offers skills certification and Recognition of Prior Learning. Nigeria focuses on agriculture, creative industries, and digital economy sectors.

Generation is a global nonprofit launched by McKinsey in 2014 addressing youth unemployment through intensive 4-12 week boot camps combining technical, behavioral, and mindset skills. Operating in 13+ countries across healthcare, technology, customer service, and skilled trades, the program uses a demand-driven model identifying employer needs first. 83% of graduates are employed within 90 days, earning 2-6x their previous income. Curriculum focuses on breakdown moments that differentiate high performers.

The Challenge Initiative, led by Johns Hopkins Bloomberg School of Public Health, builds on the Urban Reproductive Health Initiative to scale proven family planning interventions across urban areas globally. Operating through regional hubs in East Africa, Francophone West Africa, India, Nigeria, Pakistan, and Philippines, TCI focuses on coaching local governments to institutionalize high-impact practices for sustainability. The initiative emphasizes adolescent and youth sexual reproductive health alongside general family planning services.

PEPFAR Faith and Community Initiative (FCI), launched in 2018 with 100 million USD, leverages the trusted community presence of faith-based organizations to find undiagnosed men, youth, and children with HIV and prevent sexual violence against children. FBOs deliver an estimated 20-70% of healthcare in sub-Saharan Africa. In Zambia, faith-engaged community posts achieved a 12-fold increase in HIV case-finding with 95% linkage to care. In Kenya, faith leader-led HIV self-testing doubled case ascertainment.

The Penn Medicine Nudge Unit, established in 2016, is the world's first behavioral design team embedded within a health system. By changing default options in electronic health records (EHRs), the unit increased generic prescribing from 75.4% to 98.4% (saving millions), reduced opioid prescriptions by 22.8% in emergency departments, and decreased unnecessary daily imaging in palliative care. The approach focuses on making the "right choice the easy choice" for both clinicians and patients.

IOMs global Migration Health Programme ensures migrants access high-quality, culturally and linguistically appropriate health services while strengthening health systems. The programme takes a route-based approach, strategically planning interventions along migration corridors with local communities. In MENA region alone, IOM provides approximately 1 million consultations annually through health facilities and mobile clinics, conducts 34,000+ health promotion sessions, and supports immunization services. Mental Health and Psychosocial Support (MHPSS) uses community-based, interdisciplinary approaches including psychosocial mobile teams. The programme addresses communicable diseases (TB, HIV), non-communicable diseases, and climate-related health risks. Aligned with Global Compact for Migration and SDG Goal 3.

Swisscontact implements skills development programs across developing countries focusing on behavior change through learner-centered pedagogy, soft skills integration, and private sector engagement. Programs like Swiss Skills for Competitiveness (SS4C) in Indonesia integrate dual Vocational Education and Training elements. In Uganda, the organization works to change societal perceptions that deter youth from practical trades despite high labor market demand. Curricula include green skills, digital skills, and entrepreneurship.

The Khalil Center developed the Muslim Mental Health First Responder Training (FRT), an 8-hour workshop for imams and community leaders in North America. The Islamically-integrated approach teaches identification of mental health issues, empathetic listening, referral systems, and collaboration with mental health professionals. 80% of participants valued the Islamic integration, and 92% would recommend it to colleagues. The program addresses the reality that imams are often the first contact for Muslims in psychological distress but lack formal mental health training.