AAHRED logoAAHRED home

Evidence library

Case studies and evaluations

Eight programme evaluations written in peer-review structure: design, sample, findings with confidence intervals, cost-effectiveness, implementing partners and a citable reference for each.

8 of 8 studies shown.

Peer-reviewedWASH & water healthKenya2021–2024

Solar-powered water systems and diarrhoeal disease in arid districts

Installation of solar-powered boreholes with community maintenance enterprises across four arid sub-counties, evaluated against staggered rollout controls.

SDG 3SDG 6SDG 13

−55.1%

Diarrhoea incidence

−107 min/day

Collection time

USD 62

Cost per person reached

Design

Stepped-wedge cluster design with difference-in-differences estimation

Sample

48 clusters · 96,400 residents · 24-month follow-up

Principal findings

  • Acute watery diarrhoea incidence in children under five fell 55.1% (95% CI ±6.2).
  • Household water collection time fell from 148 to 41 minutes per day.
  • Community maintenance entities reached operational cost recovery at month 18.

Implementing partners

Ministry of HealthCounty water departmentsNational statistics office

Citation

AAHRED Evaluation Series ES-11 (2024). Reference CS-01. DOI 10.5281/aahred.es.11.

Registered trialEconomic empowermentKenya, Uganda2020–2024

Youth enterprise incubation and 24-month firm survival

Incubation, mentorship and soft-loan linkage for graduates and school leavers, benchmarked against waitlisted applicants.

SDG 1SDG 8SDG 10

+27 pts

Survival at 24m

+42%

Median revenue

5.8:1

Benefit–cost ratio

Design

Randomised encouragement design with administrative tax-registry linkage

Sample

5,240 participants · 1,880 enterprises tracked

Principal findings

  • 68% of incubated enterprises still trading at 24 months versus 41% in the comparison arm.
  • Average 3.1 additional jobs created per surviving enterprise.
  • Loan portfolio repayment rate of 91% across four cohorts.
Peer-reviewedSurveillance & dataMulti-country2020–2025

Event-based surveillance and detection-to-notification intervals

Deployment of interoperable registries and event-based alerting with ministry-owned data pipelines and weekly completeness auditing.

SDG 3SDG 17

−5.7 days

Notification interval

+47 pts

Completeness

7.4:1

Benefit–cost ratio

Design

Interrupted time-series across 318 reporting facilities

Sample

318 facilities · 61 districts · 6 countries

Principal findings

  • Median detection-to-notification interval fell from 9.1 to 3.4 days.
  • Weekly reporting completeness rose from 41% to 88%.
  • Cost per person under surveillance of USD 0.42 per year.
External evaluationGender & inclusionTanzania2021–2024

Women's financial access and household nutrition expenditure

Micro-credit linkage, business advisory and leadership pathways for women-led enterprises and informal savings groups.

SDG 1SDG 2SDG 5SDG 8

+27%

Nutrition spend

+22 pts

Leadership share

6.2:1

Benefit–cost ratio

Design

Propensity-score matched cohort with savings-group administrative data

Sample

3,900 women · 260 savings groups

Principal findings

  • Nutrition and hygiene expenditure rose 27% in participating households.
  • Women held 44% of enterprise leadership positions by endline.
  • Group savings mobilisation multiple of 4.6x initial capitalisation.
External evaluationNutrition & child healthEthiopia, Somalia2022–2025

Integrated nutrition screening in drought-affected pastoralist districts

Non-invasive field screening, referral pathways and climate-shock livelihood support integrated in a single delivery platform.

SDG 2SDG 3SDG 13

−26.2%

Stunting

+41 pts

Referral completion

3.6m

DALYs averted

Design

Quasi-experimental with anthropometric panel surveys

Sample

41,700 children screened · 18 districts

Principal findings

  • Stunting prevalence in programme districts fell 26.2% (95% CI ±2.7).
  • Referral completion within seven days improved from 38% to 79%.
  • Screening cost of USD 1.90 per child per round.
Working paperPolicy & governanceEast African Community2023–2025

Regulatory audit of sanitation mandates and enforcement outcomes

Systematic audit of sanitation mandates, penalty frameworks and enforcement capacity across member-state authorities.

SDG 6SDG 16

19

Policies informed

9.1:1

Benefit–cost ratio

21

Jurisdictions

Design

Comparative statutory audit with enforcement-pipeline tracing

Sample

37 statutory instruments · 21 authorities

Principal findings

  • 19 national or sub-national policies amended or informed by audit findings.
  • Enforcement action rates rose in 12 of 21 audited jurisdictions.
  • Audit cost of USD 0.19 per capita in the audited jurisdiction.
Peer-reviewedDigital healthRwanda, Zambia2022–2025

Health information exchange interoperability in ministry systems

Standards-based registry harmonisation and role-based access governance implemented inside ministry infrastructure.

SDG 3SDG 9SDG 17

−9.6 pts

Duplicate records

14

Registries linked

4.1m

Records harmonised

Design

Implementation study with data-quality auditing

Sample

14 registries · 4.1m records harmonised

Principal findings

  • Duplicate record rate reduced from 11.4% to 1.8% after deterministic matching.
  • Median query response time for district dashboards under 900 ms.
  • All exchanges operate under ministry data ownership and audit-trail retention.
External evaluationClimate & resilienceSomalia, South Sudan2021–2024

Climate-resilient livelihoods after consecutive failed rain seasons

Market-driven livelihood recovery paired with emergency WASH in displacement-affected and pastoralist communities.

SDG 1SDG 8SDG 13

−11 months

Recovery time

−34%

Coping index

22,300

Households

Design

Panel study with composite vulnerability index stratification

Sample

22,300 households · 9 districts

Principal findings

  • Household income recovery to pre-shock levels achieved 11 months earlier than comparison districts.
  • Negative coping strategy index reduced by 34%.
  • Water-point functionality sustained above 92% through the dry season.

Research integrity

How these studies are produced and reviewed

Every study is registered with a protocol and pre-analysis plan before data collection, reviewed by the Scientific & Ethics Review Board, and published with its limitations stated.

  • Protocols and pre-analysis plans are registered before enrolment or data extraction begins.
  • Independent evaluators are contracted for external evaluations and report to the Programme Quality Committee.
  • Effect sizes are published with confidence intervals; null and negative results are published alongside positive ones.
  • De-identified analysis datasets are available to accredited researchers under a data-sharing agreement.
Field technician conducting water quality testing in a laboratory

Co-delivery

Institutions we produce evidence with

Sovereign & regional bodies

  • Ministries of Health
  • National Public Health Institutes
  • Regional economic communities
  • National statistics offices
  • County & sub-national governments

Multilateral & development finance

  • UN technical agencies
  • Development finance institutions
  • Global health financing mechanisms
  • Regional development banks
  • Humanitarian pooled funds

Academic & research

  • African universities & schools of public health
  • International research consortia
  • Health economics institutes
  • Data science and geospatial labs
  • Clinical trial networks

Philanthropy & private sector

  • Family foundations & endowments
  • Corporate social investment funds
  • Impact investors & blended finance vehicles
  • Technology and connectivity partners
  • Diaspora giving circles