Theory of Change

Theory of change

Spark Health Africa’s theory of change is predicated on the assertion that when people change the way they think about health challenges, they can adopt better practices that in turn bring about better health outcomes. As such, the goal of our intervention is to effect a culture change, which starts with transforming work groups into well-functioning teams as a way of developing resilient health leadership that is able to navigate the complex and challenging African public health systems. Our approach therefore seeks to ignite and develop a mind-set shift- “a new way of thinking”- for public sector health teams to achieve measurable and sustainable health outcomes by leveraging existing resources. Consistent with our philosophy, health teams will be able to:

    • Better articulate health service delivery breakdowns at sub-national and health facility level that hinder the effective working of frontline health workers as they interact with communities. This allows them to advocate for policies that support a working environment conducive to devising effective strategies to address health service delivery gaps. They are also able to better understand the role of social determinants on community health, which in turn fosters social accountability for health,
    • Recognize that communities are not simply recipients of health services, but that they can also be part of the solution to addressing health service delivery gaps. This inspires health teams to create a trust-based interaction with communities, which in turn results in the effective utilization of not only health services (encourages demand for health services) but also assets within the communities (communities become part of the solution to health service delivery gaps),
    • Guide implementing partner efforts in order to avoid parallel/duplicative programs which result in a more coordinated and effective health system that delivers health services in line with governments strategic priorities, 
    • Effectively and efficiently utilize both internal and external financial resources in areas that support the effective working of frontline health workers and in so doing, achieving the greatest impact with the available resources

Health Resilience Development Model