Annual reporting

Annual Impact Report 2025

Methodology, key performance indicators, results framework, cost-effectiveness and audited financial disclosure — compiled from the same dataset that drives every chart on this site.

Generated on demand, dated at the moment of download, with every table sourced from the live results dataset.

At a glance

Headline performance for the reporting year

0.0M

People reached

Countries of operation

Youth enterprises incubated

0.0%

Programme expenditure ratio

318

Health facilities strengthened

1,240,000

People with new safe-water access

Peer-reviewed and technical publications

Institutional and sovereign partners

2,100+

Health workers certified

National policies informed

Live charts

The figures behind the report

Each visualisation below is exported into the downloadable report as a labelled data table, so reviewers can audit the numbers rather than read the picture.

Reach and investment growth

Direct beneficiaries (millions) against annual investment (USD millions).

Portfolio allocation

Share of programme expenditure by thematic portfolio, FY2025.

Expenditure and income

IFRS-aligned consolidated figures, USD millions.

Use of each dollar

Allocation of every dollar received, FY2025.

Methodology

How these numbers are produced

Reporting boundary

All figures cover the consolidated AAHRED secretariat and its country programmes for the strategic period 2021–2025 unless a narrower reference period is stated in the indicator definition.

Reach counting rules

A person is counted once per reporting year regardless of how many services they receive. Indirect population coverage is reported separately and is never added to direct reach.

Attribution and comparison

Outcome effects are estimated against staggered-rollout or matched comparison groups. Where no counterfactual exists, results are reported as observed change and labelled as such.

Cost-effectiveness

Unit costs use total programme expenditure including delivery overhead. Benefit–cost ratios discount future benefits at 5% over the stated horizon.

Data quality assurance

Routine data passes completeness, consistency and outlier checks before aggregation. Facility reporting completeness is published alongside every surveillance indicator.

Financial basis

Financial figures are IFRS-aligned, presented in United States dollars and drawn from the externally audited consolidated statements for each financial year.

Highlights

Six results that defined the year

4.2 million people reached

Direct beneficiaries across health, WASH and livelihoods programming, up from 3.51 million in 2024.

Detection interval cut to 3.4 days

Median outbreak detection-to-notification fell from 9.1 days at baseline across 318 reporting facilities.

92.4% programme expenditure ratio

Share of total expenditure applied directly to programme delivery, on an unqualified audit opinion.

68% enterprise survival at 24 months

Youth incubation cohorts outperformed the 60% strategic target with 91% loan repayment.

1.24 million with new safe water

Solar-powered systems and community maintenance enterprises across arid and semi-arid districts.

19 national policies informed

Regulatory audit and legislative support across 21 jurisdictions in the East African Community and Horn of Africa.

Results framework

Outcome indicators against target

Indicator	Baseline	Target	Actual	Status
Under-five mortality in programme districts (per 1,000 live births)	58	42	39	Exceeded
Households with year-round safe water access	41%	70%	73%	Exceeded
Facilities reporting complete surveillance data weekly	52%	90%	88%	On track
Incubated enterprises trading after 24 months	—	60%	68%	Exceeded
Women in enterprise leadership positions	22%	45%	44%	On track
Median outbreak detection-to-notification interval (days)	9.1	3.0	3.4	On track
Diarrhoeal disease incidence in WASH catchments	24.6%	12.0%	11.2%	Exceeded
Programme districts with costed health investment plans	6	24	21	On track

Think tank, implementation partner and governance/MEL advisory in one institution

Evidence generation translates into execution and delivery, which is in turn evaluated and governed — closing the loop between research, policy design, operations and accountability. Each arm is independently staffed and independently reported, so evaluation is never marked by the team that delivered the work.

Pillar 1

Think Tank & Applied Research Arm

Evidence generation, policy analytics and horizon scanning

Translational policy research turning epidemiological, macroeconomic and spatial data into legislative roadmaps and ministerial briefs.
Econometric and micro-simulation modelling: cost-benefit analysis, UHC fiscal space assessment and predictive shock modelling.
Policy harmonisation with AU Agenda 2063, the Abuja Declaration, the Maputo Plan of Action and Africa CDC frameworks.
Ethics, bioethics and data sovereignty protocols safeguarding indigenous health data, genomic assets and vulnerable population registries.

Core outputs: Ministerial briefs, costed policy options, national investment cases, peer-reviewed papers and open data dictionaries.
Methods & instruments: Micro-simulation, spatial econometrics, cost-benefit and fiscal-space modelling, horizon scanning and political-economy analysis.
Delivery capacity: 42 researchers, economists and modellers across epidemiology, health financing, GIS and bioethics.

Pillar 2

Implementation & Programme Delivery Arm

Technical assistance, direct execution and capacity building

Direct programme rollout and pilot scalability across maternal-child health, cross-border surveillance, nutrition hubs and safety nets.
Embedded technical assistance seconding senior advisors, health economists and data architects into line ministries and RECs.
SOP development codifying clinical pathways, MISP emergency response and multi-agency coordination manuals.
Institutional capacity building for decentralised civil servants, local councils and community health networks.

Core outputs: Programme designs, SOP libraries, service-delivery pilots, supply and referral pathways, trained frontline cadres.
Methods & instruments: Embedded technical assistance, results-based grant execution, MISP emergency response, sub-award management and procurement support.
Delivery capacity: Field teams across 14 countries with surge deployment inside 72 hours for outbreak and displacement events.

Pillar 3

MEL & Governance Advisory

Accountability, systems strengthening and oversight

Third-party monitoring and independent verification of multilateral programmes in high-risk and cross-border corridors.
Impact evaluation using RCTs, difference-in-differences and mixed-method process evaluation to measure attribution and ROI.
Digital MEL infrastructure: mobile-first pipelines, geospatial dashboards and automated anomaly detection against data falsification.
Public financial management and governance audits covering procurement integrity and expenditure tracking.

Core outputs: Independent verification reports, impact evaluations, governance and PFM audits, live MEL dashboards.
Methods & instruments: RCTs, difference-in-differences, mixed-method process evaluation, third-party monitoring and anomaly detection analytics.
Delivery capacity: Evaluation unit operating to OECD-DAC criteria with a firewalled reporting line to the Board Audit Committee.

Programmatic lifecycle

Diagnose

Burden, equity and fiscal-space diagnostics using national datasets, geospatial layers and community consultation.

Design

Costed intervention design with theory of change, indicator framework and explicit assumptions on attribution.

Pilot

Controlled implementation with embedded measurement to test feasibility, unit economics and delivery risk.

Scale

Government-owned scale-up with SOPs, workforce training, procurement pathways and digital reporting rails.

Evaluate

Independent evaluation, public financial audit and open publication of results — including null findings.

Multi-level institutional engagement

Who AAHRED works with at each level of governance, what it delivers there, the legal instruments used and the cadence of reporting back to partners.

Governance level	Core institutional clients	Key service offerings	Engagement instruments	Reporting cadence
Continental & Multilateral	African Union, Africa CDC, UNECA, WHO AFRO, World Bank, Global Fund	Strategic framework development, regional public goods governance, cross-border treaty alignment and macro-level grant evaluation.	Framework agreements, technical secretariats, joint working groups	Multi-year (3–5 yrs)
Regional Economic Communities	EAC, IGAD, ECOWAS, SADC	Surveillance harmonisation, cross-border migration protocols and trade-related biosecurity standards.	Protocol harmonisation compacts, corridor surveillance MOUs	Annual review cycles
National Governments	Ministries of Health, Finance, Gender/Social Protection and Agriculture	Policy formulation, UHC benefit package design, fiscal space analysis and embedded ministerial technical assistance.	Embedded advisory placements, costed national plans, MoUs	Budget-cycle aligned
Sub-National & Local Governance	County and district health directorates, municipalities, local councils	Decentralised planning, budget execution tracking, frontline worker training and community engagement architecture.	County work plans, community compacts, frontline training grants	Quarterly

Closing the policy-to-execution gap

Unlike academic think tanks producing non-operational papers, or NGOs executing without rigorous evaluation, AAHRED unifies theoretical rigour with frontline delivery.

End-to-end programmatic lifecycle

Empirical research → policy drafting → pilot implementation → nationwide scale-up → independent impact evaluation.

South-led contextualisation

Endogenous African data models accounting for informal economies, pastoralist mobility and customary governance systems overlooked by external consultancies.

Evaluation standards

OECD-DAC criteria

Financial reporting

IFRS + 2 CFR 200

Data protection

GDPR / national DPAs

Safeguarding

PSEAH policy, independent channel