One plan, when everyone has their own priorities.
District implementation planning under HSSP III — One Plan, One Budget, One Report.
Fragmentation → alignment → one coherent plan.
Founder experience · Ministry of Health, with FCDO & Global Health Initiative partners · 2025–26
One Plan.
One Budget.
One Report.
Many funders and priorities, converging on one plan.
The problem
Multiple funders — the Global Fund, Gavi, the World Bank — the Ministry, and districts each carry their own priorities, producing fragmented plans, duplicated effort, and money that does not follow need.
Why it was hard
A rapidly shifting post-election donor landscape, a hard equity focus on women, children and newborns, and the need to build district capability — not just produce a plan.
The approach
- 1
Provided embedded technical assistance to the Ministry of Health Department of Planning to strengthen the District Implementation Planning process.
- 2
Supported districts to finalise cost-effective, risk-informed, equity-focused plans.
- 3
Aligned Global Health Initiative resources to district-led planning, budgeting and monitoring.
- 4
Built pathfinder case studies tracing facility plans up into district and national 'One Plan' mechanisms, using respectful maternal and neonatal care as the tracer.
What was created
Strengthened District Implementation Plans
Pathfinder case studies
Recommendations on planning cycles, training modalities and DIP guidelines
Support to operationalise Direct Health Facility Financing
What changed
Designed to improve partner coordination, value-for-money and decentralised, locally owned planning. Recent work — outcomes emerging.
Frameworks & methods
What this demonstrates