Africa Delivery Catalysts is an independent team of senior practitioners embedded inside African Ministries of Health, purpose-built to help governments turn health funding into healthcare delivered.
African governments have secured more than $30 billion in new external health funding over the next five years — through bilateral health performance agreements with the United States, Global Fund Cycle 8, and other major commitments. On current trends, less than two-thirds will reach the programmes and patients it was meant to serve.
Meanwhile, the overall pool of funding flowing into Africa is shrinking. Governments are being asked to do more with less. The old delivery model — heavy donor footprints, parallel implementation structures, fragmented coordination, slow procurement — is becoming harder to sustain.
Africa Delivery Catalysts was built for one purpose: helping African governments turn health funding into healthcare delivered.
Our team brings decades of senior leadership experience from organisations defined by complexity, accountability and delivery at scale — Coca-Cola, SABMiller, East African Breweries, Accenture, Bain & Company, UNICEF Supply Division, central medical stores — and the last decade-plus working inside African Ministries of Health. We have delivered across more than 16 countries, building deep, trusted relationships with Permanent Secretaries, Ministers of Health, Ministers of Finance, and donor partners along the way.
Across the core team and our network of specialists, we bring deep expertise across:
- Senior government engagement and policy reform
- Health financing and fiscal advisory
- Supply chain, distribution and procurement
- Service delivery model design
- Cross-sector partnership and coordination
- Digital systems and information architecture
- Senior talent placement and capability building
- Data analysis & insights for decision-making
These capabilities are deployed when and where ministries need them most.
When the right solutions are in place, when funding moves on time, when governance works and partners are aligned to one national plan — every implementing partner's work goes further. More impact per dollar. More patients reached. Everyone wins.
That is what we enable, across three connected fronts.
Governance
Enablement
Aligning government, funders and partners around the national plan.
We help governments strengthen coordination, accountability and decision-making across ministries, donors, contractors and implementing partners — so resources flow to national priorities, fragmentation is reduced, and health programmes move faster. We also build the structures and routines that keep coordination working.
Financing
Enablement
Making committed funding move — and making the case for more.
We work with Ministries of Health and Finance to keep funding moving through the system — mapping flows, tracking disbursements and clearing blockages so procurement moves on time, health worker posts are filled, facilities are equipped and medicines reach patients. We also build the case for sustained and increased domestic financing of health.
Solution
Enablement
Complementing partners.
Multiplying impact.
We work closely with implementing partners to shape solutions that fit the national plan and the wider portfolio of partners — so the pieces fit together rather than overlap or leave gaps. We help strengthen what partners are funded to deliver, so the same funding delivers more. We inject expert talent and bring new approaches and ways of thinking — drawn from the private sector, our own experience, and other countries.
Unlocking funding will allow the Ministry of Health to drive greater outcomes through increased investment in:
Essential medicines and supplies reach health facilities when patients need them.
Health facilities are built, upgraded, and maintained to deliver quality care.
Trained staff are recruited, deployed, and retained where they are needed most.
Governments build stronger institutional capability that continues long after ADC exits.
Examples from the team's prior work in partnership with African Ministries of Health.
South Africa
A chronic medicine dispensing programme scaled from 140K to over 3.7 million patients. ~40% of South Africans on ART now collect through the model, with ~$500M/year in sustained domestic financing.
South Africa
The safe nationwide HIV regimen switch of ~4.5 million patients to the WHO-recommended dolutegravir-based treatment, without stockouts that could have disrupted the transition.
Mozambique
National medical supply chain transformation. Monthly delivery reliability lifted from ~25% to 99% across over 2,000 facilities. HIV ARV stockouts cut from 27% to 7%.
Uganda
A public-private pharmacy partnership for HIV service delivery. Zero to over 54,000 patients in three years, with 98% satisfaction and over 95% retention in care. Now adopted as Ministry policy.
Ethiopia
Reframed and supported the parliamentary process that converted the Ethiopian Pharmaceuticals Supply Service into an autonomous public institute (January 2024). ~90% recovery of historic hospital debt, six new outsourced distribution contracts, and a new ERP commissioning.
Annual external health funding
Current absorption percentage
Current absorption in US Dollars
Potential unutilized funding:
What that funding could be utilized for, every year:
+ patients on HIV treatment
+ malaria treatments reaching communities
+ mothers with safe deliveries
+ frontline health workers hired and retained
+ facilities equipped to deliver quality care
+ medicines on shelves when patients arrive
The exact allocation of funding and programme priorities remains the responsibility of government and national planning processes.
Small teams of senior practitioners embedded inside government at three key intersections — government and its funders, Ministry of Health and Ministry of Finance, and government and its implementing partners — to help keep funding flowing through the system.
Each country team is supported by ADC leadership, cross-country expertise, and a deep, flexible network of specialists deployable into the programmes where ministries need them most — capabilities spanning the full value chain of health systems.
Quarterly cycles chaired by government and co-chaired by ADC bring funders and implementing partners around a single national plan — surfacing blockages, aligning workplans, de-duplicating overlap and consolidating resources behind government priorities.
Senior practitioners, executives and technical experts from organisations that know how to move products reliably, manage complex systems, solve bottlenecks and improve delivery at scale — brought directly into government teams.
Not a donor, not an implementer, not a contractor. No commercial stake in any supplier or programme. Paid by donors; accountable to government.
Governments own the strategy, the decisions and the outcomes. ADC strengthens execution, working in support of national health plans and government priorities.
A transition model, not a permanent parallel structure. Engagements typically run three to five years — long enough to institutionalise new ways of working, short enough that the government is running the cycle on its own when we leave.
We work with governments, funders, and partners committed to making African health systems deliver better healthcare for people.
partnership@deliverycatalysts.org
Making sure health
funding reaches the people
it was intended for.
© 2026 Africa Delivery Catalysts