National priorities first
We start from national health strategies and the priorities of the authorities, not from a product to sell.
Markets · Sub-Saharan Africa
Partners in building health systems that last.
We work with governments, healthcare operators, investors and development partners across sub-Saharan Africa, in English and in French, from first assessment to national scale.
Why sub-Saharan Africa
Where better management saves the most lives.
Sub-Saharan Africa carries a large share of the world’s preventable deaths with a small share of its health workers and resources. That makes management (deploying scarce people, money and equipment where they do the most good) a matter of life and death.
The region is also home to fast-growing private health sectors, ambitious national insurance schemes and governments investing in digital health. We bring the operating discipline that helps those investments deliver.
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How we work here
Respect, sovereignty and results.
Data sovereignty
Health data stays under national law and control, hosted in-country wherever possible.
Local capacity
We recruit, train and hand over to national teams. Our success is measured by how little you need us later.
Transparency
Clear budgets, fair procurement and regular reporting to the authorities and partners who fund the work.
Cultural fluency
We work in French and in English, and design services around the communities they serve.
Discretion
Engagements with governments and partners are confidential unless they choose otherwise.
What we bring
Programmes and advisory for public and private health.
Our work in the region combines our programme models with the full range of our advisory capabilities.
Mobile hospitals
Treat on the Street: screening, maternal and child health, telemedicine and chronic care on wheels.
ExploreWomen’s health
Maternal health and early detection of breast and cervical cancer, aligned with WHO targets.
ExploreNational digital health
Electronic medical records and in-country data centres connecting every province.
ExploreNew facilities
Feasibility, design, equipment, staffing and launch for hospitals, clinics and diagnostic centres.
ExploreOperations and revenue
Performance improvement and revenue cycle work for public and private facilities, including national insurance.
ExploreInvestment and M&A
Operational due diligence and integration for investors and networks entering or growing in the region.
Explore
Who we work with
Partners across the health system.
- Governments
- Presidencies, ministries of health, finance and digital economy, and public health agencies.
- National institutions
- Health insurance funds, regulators, referral hospitals and universities.
- Development partners
- Multilateral agencies, bilateral cooperation, development finance institutions and foundations.
- Private operators
- Hospitals, clinic networks, diagnostic centres and their investors.
Bilingual by design
In French and in English.
Francophone and anglophone health systems differ in law, administration and language. Our briefings, reports, training and this website are available in both languages, so every partner works in the language of their institutions.
Frequently asked questions
In which countries do you work?
Our international practice focuses on sub-Saharan Africa, with particular attention to Central and West Africa. We do not publish government engagements without our partners’ agreement.
How are programmes financed?
Usually through a blend of national budgets, health insurance, development partners and, where appropriate, private investment. We prepare the financing case and costed plans that each funder expects.
Do you have local teams?
We build programme teams in each country, recruiting and training nationals, and work with local institutions and companies as partners.
Let us discuss your priorities.
We meet ministries, institutions and partners in confidence, in person or by video, in French or in English.
