Actual impact in
real-world contexts
Actual impact in real-world contexts
Selected Project Outcomes: from published findings
A selection of outcomes illustrating the range of results achieved across LEAD Framework projects.
Selected Project Outcomes: from published findings
A selection of outcomes illustrating the range of results achieved across LEAD Framework projects.
|
Project
|
Country
|
Health Area
|
Challenge
|
Outcome
|
|---|---|---|---|---|
|
Malaria elimination (LEAD)
|
Zimbabwe
|
Malaria
|
Low LLIN distribution and incomplete case investigation
|
LLIN distribution rose from 37% to 98%; case investigation within 3 days improved from 88% to 98%
|
|
Malaria elimination (LEAD)
|
Namibia
|
Malaria
|
Low cross-border case tracing
|
Cross-border tracing rose from 41% to 79% (district 1) and 20% to 45% (district 2)
|
|
OPTIMISE
|
Zimbabwe
|
HIV prevention (VMMC)
|
Low service uptake in southern area
|
Medical circumcisions increased from 33 to 143 through stakeholder engagement and local cadre certification
|
|
OPTIMISE
|
Zimbabwe
|
HIV prevention (VMMC)
|
Insufficient sterilisation capacity
|
Sterilised packs increased from 10 to 300 per month through a public-private partnership
|
|
Health system strengthening
|
Zimbabwe
|
Maternal health
|
Ambulance travelling 100 km to collect blood supplies
|
Maternal deaths fell from 9 to 1 through improved on-site supply of misoprostol and blood
|
|
Health system strengthening
|
Zimbabwe
|
HIV
|
Poor viral load monitoring
|
Viral load monitoring coverage rose from 15% to 60%
|
|
Health system strengthening
|
Zimbabwe
|
Infectious disease
|
Low COVID-19 vaccination coverage
|
First-dose vaccination rate rose from 34% to 78% through door-to-door community campaigns
|
Qualitative Outcomes
Improved teamwork
Greater Accountability
Reduced stockouts
More Effective Communication
Better multisectoral collaboration
Increased Staff Motivation
Stronger community engagement
Better Problem
Analysis
Measurable Clinical Outcomes
Qualitative Outcomes
Improved teamwork
Greater Accountability
Reduced stockouts
More Effective Communication
Better multisectoral collaboration
Increased Staff Motivation
Stronger community engagement
Better Problem
Analysis
Measurable Clinical Outcomes
"No longer waiting for orders — solving things ourselves."
Field Story
In Zimbabwe’s Matabeleland South province, Dr Rudo Chikodzore — then Provincial Medical Director — describes the transformation she witnessed when her teams began working with the LEAD approach.
Before, critical decisions would stall for weeks waiting for approval from the national level. Teams lacked the authority, the confidence, or the space to act on what they already knew.
With LEAD, task teams began setting their own goals, diagnosing their own challenges, and solving problems within their control — with senior staff as facilitators rather than gatekeepers.