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 Organisation’s building blocks framework by facilitating whole-of-government and multisector approaches to healthcare strategic 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 programmes. 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 localisation drives sustainability, and we recognise the importance of working with and within national systems and priorities. As such, we place our host governments and national partners in the lead and invest in local capacity enhancement at all stages of programme delivery. Furthermore, we have a proven track record in fragile and conflict-affected environments, where we leverage 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.
Palladium maximises financial resources through a combination of domestic resource mobilisation, efficiency gains, and private sector engagement.
We help governments secure funds for key services and institute budget equity. 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.
We also maximise resources by improving fiscal responsibility, building capacity for better information and financial management, improving expenditure tracking for better budget execution, and supporting evidence generation for better decision making.
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, policymakers, and civil society in areas such as HIV/AIDS, orphans and vulnerable children, and family planning and reproductive health. We undertake quantitative, qualitative, and operational 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 building to strengthen the data and information that guide public health programmes, 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.
Palladium works to advance equitable health policies that are country-led, inclusive of all voices, evidence-based, and supported through adequate financing. 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.
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:
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.
Behaviour Change: We address behaviour as an essential part of sustainable change by integrating behavioural dynamics into our programmes and activities using research and theory-driven approaches informed by communication, behavioural economics, and social network applications. In addition to designing, implementing, and measuring behavioural change initiatives, we support national and local strategy development, capacity building to implement behaviour change, and formative and evaluative research to inform it.
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 to make their work more impactful and connect to new ways of financing and sustaining Positive Impact.
Public-Private Partnerships: Palladium identifies and facilitates the development of partnerships that create shared value for public sector impact and private sector interests. 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.
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.
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 programmes, 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.