Health

Economic growth, social stability, and quality of life all depend on the well-being of a nation’s citizens. When children are healthy, they can learn. When parents are healthy, they can earn for their families. Healthy families and communities invest in themselves and their future. Utilising Palladium’s Positive Impact Methodology, our teams design, develop, deploy, and sustain social determinants of health interventions that are patient and provider accessible, improve health and overall well-being, and deliver more value at a reduced overall cost.

By working with international development partners, government ministries of health, the private sector, and other key stakeholders, Palladium’s experts apply unique user-centred models and approaches that improve health systems and supply chains; provide an evidence base for health policy and program reform; and address governance and financing challenges that create barriers to healthcare. Palladium’s focus is on creating self-reliant, sustainable health systems that are flexible and responsive to emerging economic and health shocks such as the COVID-19 pandemic. Our expertise cuts across a range of health areas, including family planning and reproductive health; HIV and AIDS, tuberculosis, COVID-19, and other infectious diseases; maternal, newborn, child, and adolescent health; nutrition; water, sanitation, and hygiene; and chronic diseases.

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    Building Resilient Health Systems

    At the heart of our approach to delivering positive health impact is building resilient health systems so that developing countries can provide sustainable, quality healthcare to all their citizens.

    Palladium innovates beyond the World Health Organization’s building blocks framework by facilitating whole-of-government and multisector approaches to healthcare planning and delivery, with active participation of public and private actors. We intentionally seek out innovations in demand for and supply of high-quality services, allowing entry of new players into health markets. This dual approach enables us to contribute to short-term gains in health-related goals as well as to longer-term systemic change, such as institutional arrangements, governance, and accountability.

    We support evidence-based, adaptive approaches to designing, implementing, monitoring, and evaluating health programs. We perform rigorous—but cost-effective—action-oriented research, monitoring, and evaluation that informs project start-up, refines implementation, and provides insight into sustainability and scalability.

    We believe that local leadership and ownership drives sustainability, and we recognise the importance of working with and within national systems and priorities. As such, our host governments and national partners take the lead in identifying needs and we invest our expertise in developing local capacity enhancement at all stages of program delivery. Furthermore, we have a proven track record in fragile and conflict-affected environments, where we utilise our global footprint and security infrastructure to partner with non-state actors to meet the health needs of poor and vulnerable populations in challenging operating areas.

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    Health Policy and Governance

    Palladium works to advance equitable health policies that are country-led, inclusive of all voices, evidence-based, and supported through adequate financing. Our support has contributed to the development of laws, action plans, and policies that enable access to affordable healthcare for millions of people. We use analytical models, tools, and data to uncover priority needs and best practices that enable better decision-making, supporting evidence-informed leadership at all levels from global to local. We design, implement, and conduct legal and regulatory analysis, and we identify and work with partners to reduce operational barriers around access to health services.

    We believe in a multi-sectoral approach to improving health outcomes, and we work with policy makers to formalise processes for involving civil society and the private sector, as well as working to build the technical, advocacy, and organisational capacity of civil society organisations and vulnerable populations. Furthermore, we promote policies that mandate accountability and transparency from government departments and ministries, and we work to enable citizens to hold their governments accountable for health service delivery.

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    Sustainable Health Financing and Economic Analysis

    Palladium is an expert in developing pragmatic strategies and employing innovative financing mechanisms in multi-stakeholder, politically complex, and financially constrained environments. We support health systems to attain financing self-reliance to ensure sustainable financing for healthcare. We do this by maximising financial resources through a combination of domestic resource mobilisation, improved efficiency, and evidenced-based decision making.

    We mainstream vertical programs into health financing arrangements and support health financing reform for universal access to high-quality services and financial protection. We strengthen partners’ capacity to conduct health financing system assessments, budget planning, and execution at national and subnational level. We also build capacity to manage national health accounts and fiscal space analyses, apply costing and efficiency tools, and develop investment cases that prioritise funding for key health issues and uncover ways to better use existing resources. We also strengthen the capacity of civil society to monitor use of government funds and advocate for adequate, accessible, and sustainable domestic resources. We also improve fiscal transparency and accountability by building capacity for better information and financial management, and improving expenditure tracking for better budget execution.

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    Building Sustainable Health Markets

    Palladium engages and strengthens the total health systems of developing countries by supporting the coordination of public, private and civil society actors and addressing behaviour at the individual, community, organisational and governmental levels as integral dynamics for sustainable change.

    Our work encompasses:

    Private Sector Engagement: Palladium identifies and facilitates the development of partnerships that create shared value for public sector impact and private sector interests, including those with non-governmental organisations, faith-based organisations, and commercial actors. Our work includes financing development activities and outcomes, supporting direct implementation of interventions, outsourcing services, and developing other partnership structures that provide tangible benefits for society and a positive impact on the bottom line of participating companies. We foster public-private partnerships to engage the private sector in providing priority services and commodities, and we take a total market approach that creates dialogue amongst all stakeholders in health markets to find opportunities for greater impact and sustainability of health interventions.

    Total Market Approach: Palladium supports government agencies, private actors, civil society, and others active in health markets to establish effective coordination, improve the efficient use of subsidies, identify and resolve policy and other barriers, and find opportunities for greater sustainability of health interventions.

    Social Marketing: We work with local and multi-national manufacturers, commercial and NGO distributors, and wholesalers and retailers to ensure health products and services reach and are used by underserved populations. We support market entry and scale-up through partnerships with product and distribution companies. Our data-driven marketing and logistics are responsive to changing market dynamics and make discrete use of subsidies.

    Markets for Health: We have adapted the Making Markets Work for the Poor or M4P methodology for the health sector through which we promote sustainability at the national, local, and facility levels by building on existing interconnected market systems. We identify where market systems fail to serve the needs of the poor and correct these failings by better aligning key market players with incentives and capacity to work more effectively.

    Market Assessment & Entry: We design and perform broad sector-wide and specifically targeted assessments for donors and corporate clients to help them make important investment and programming decisions, inform designs, and understand the fast-changing contexts of developing markets.

    The Process of Innovation: We apply core process of innovation in many of our projects to distil and truly understand problems and co-create solutions alongside those who experience those problems. We manage health innovation funds and support donors, companies, and NGOs in applying innovation processes.

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    Global Health Supply Chain

    Palladium’s expertise in supply chain shines in humanitarian settings, where rapid, organised deployment is critical. We implement end-to-end managed supply chain solutions across the globe, specialising in post-disaster, post-conflict, and less-developed countries. We reduce inventory storage and distribution costs that are often associated with operating in challenging environments through efficient systems, longstanding supplier relations, and agile category management.

    We have acted as first responders to infectious disease outbreaks including Ebola and COVID-19, providing essential medicines, trained medical personnel, and field hospitals in time-critical and politically challenging environments. We utilise technologies, such as DHIS2 to store data, logistics, and information systems for governments and other institutions.

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    Delivering Quality Health Services

    To achieve improved health outcomes, Palladium applies its extensive technical and clinical expertise in service delivery to ensure implementation of high quality and locally led, evidence-based approaches that prevent newborn, child, and maternal deaths; control the HIV epidemic; and address non-communicable diseases and infectious disease threats. We focus on institutionalisation of structures and processes—grounded in data systems and use—that enable countries to regulate and sustain quality in service delivery to bring about widespread improvements in health. We partner with countries to harmonise existing approaches to quality services, expand high-impact practices, and cultivate a cycle of learning, culture change, and capacity building appropriate to each country context.

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    Health Research, Evaluation, and Learning

    Palladium’s state-of-the-art monitoring and evaluation tools connect the dots between seemingly unrelated pieces of data and uncover essential solutions for national governments, service delivery organisations, policy makers, and civil society in areas such as COVID-19, HIV/AIDS, orphans and vulnerable children, and family planning and reproductive health. We undertake quantitative, qualitative, and operations research to support evidence-based policy and programmatic decision-making, ensuring that service delivery is on track and delivers results.

    We offer technical assistance and capacity development to strengthen the data and information that guide public health programs, working with local institutions in country to build their capacity to carry out monitoring and evaluation activities and to ensure data quality. We also provide global leadership in pioneering approaches to increase demand for and use of health data, helping decision makers make the best use of data to identify health issues, monitor interventions, and make mid-course corrections when necessary.

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    Strategic Information, Modelling, and Technology

    Palladium provides customised, easy-to-use, and fit-for-purpose information systems and data management solutions to drive informed decision-making. We design and deliver technology solutions to healthcare providers to facilitate collection and use of data for improved outcomes by developing highly configurable tools such as dashboards and interoperable data collection instruments, platforms, and warehouses.

    We develop innovative forecasting tools that analyse economic and epidemiologic data to determine the future consequences of current development programs, policies, and resource allocation decisions at international, regional, national, and sub-national levels. We also design powerful but easy-to-use software and applications to help decision makers, public health professionals, the private sector, and health advocates better understand the impact of current and future policy, epidemiology, and budget priorities.

    We provide technical assistance to ministries of health and regional governments in the adoption and roll-out of health management information systems for integrating and improving health outcomes and generating evidence for decision-making processes. Most of our solutions and tools are designed for use in resource-constrained countries with under-developed infrastructure, including rural areas with intermittent electricity.

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    Social Determinants of Health

    Applying Palladium’s Positive Impact Methodology, Palladium teams design, develop, deploy, and sustain social determinants of health-targeted interventions that are patient and provider accessible, that improve health and overall well-being, delivering value efficiently. This includes convening, coordinating, and engaging independent, community stakeholders. To improve health and cost outcomes, Palladium works with clients to foster a holistic understanding of each patient’s situation and a plan to effectively address each one. Targeted interventions that remediate issues related to housing, employment, neighbourhood, education, emotional and social support networks that often have a greater impact on health outcomes than clinical treatment alone.

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