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East Africa 2020 – 2023 Regional · 3 countries Regional capacity

A multi-country East African standards cohort

Multi-year capacity-building programme with the digital-health authorities of three neighbouring East African countries.

Role

Programme design lead & senior mentor

Region

East Africa

Period

2020 – 2023

Scale

Regional · 3 countries

The programme

Three neighbouring East African countries, each running its own national digital-health programme, wanted to build shared standards-development capacity. Rather than commission three parallel country programmes, a donor coalition funded a multi-year regional cohort that would work on the same standards challenges together.

The role

Ron served as programme design lead and senior mentor. The programme covered:

  • curriculum design for a multi-week practitioner course on architecture, standards, and governance;
  • mentored delivery in three cohorts across three years;
  • regional council design: the standing body that would carry the work forward after the programme ended;
  • on-call mentorship for national architecture leads across the cohort.

The craft

Three choices worth naming:

  1. Cohort, not classroom. Participants were selected as national architecture leads or deputy leads: people whose day job was the subject matter. The programme’s outputs were their own national artefacts, developed in the course.
  2. Shared vocabulary, national ownership. The programme insisted on a shared reference vocabulary (adopted from the WHO/ITU handbook) so that participants could compare notes across borders. Each country retained ownership of the actual standards decisions and profiles.
  3. A regional council as the exit condition. The programme was explicitly designed to leave behind a standing regional council, with rotating chair, published charter, and a modest working budget, so that the standards work would outlive donor funding.

The outcome

By the end of the programme all three countries had national architecture leads mentored to peer-recognised competence and the regional council had been convened. The council has since carried on the cohort’s work independently of continuing donor support.

What it teaches

The engagement is a case study in capacity-building that is designed to be self-sustaining. The success measure is not “the programme ran”; it is “the practice continues without us”. That test is the one Parker DHC applies to all capacity-building work.

Start the conversation

Bring national-scale rigour to your programme.

A short briefing is the fastest way to see whether the practice is a fit. Half an hour, no obligation, and you leave with two or three specific ideas.