The delivery of impact in public health systems using platforms at scale can include four key elements.

 

First, providing governmental or global aid organization workers the digital capabilities they need to make it easier to do their job enables a scalable and sustainable solution beyond a pilot intervention.

 

Second, delivered capabilities should not only support the target user, but all upstream stakeholders in the ecosystem. In a healthcare context, we make sure capabilities and incentives are aligned to support the patient, healthcare workers and support staff since this drives adoption and sustained usage.

 

Third, solutions should be delivered with relative speed, following a change management plan developed in coordination with Government. This momentum facilitates the adoption and sustained use of a disruptive capability.

 

Finally, the development of success metrics and digital measurement tools early on in the delivery process enables refinement, continued improvement and ensures the solution is relevant compared to the original target goals.

 

An example is a platform intervention in Nigeria, as described under our work in MNCH.  We have developed a 30/60/90 impact strategy which targets 30% of population coverage in year 1 after an initial startup phase, 60% in year 2, and 90% in year 3, to facilitate rapid adoption and sustained usage.