- Our Work
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Horn of Africa
Flagship Program
South Sudan
Our largest active engagement — third-party monitoring for the World Bank-financed Health Sector Transformation Project, plus national UNICEF campaigns.
Explore South Sudan
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Horn of Africa
Our largest active engagement — third-party monitoring for the World Bank-financed Health Sector Transformation Project, plus national UNICEF campaigns.
Explore South Sudan
Our Work
Over 10 years running third-party monitoring and evaluations in fragile and conflict-affected settings, with more than 5 years of continuous operational experience inside South Sudan — working across all 10 states and 3 administrative areas, backed by a security management framework built for safe access to remote and high-risk areas.
Under HSTP, PHC serves as the independent Third-Party Monitor for Package 2 of the World Bank-financed Health Sector Transformation Project, verifying that health services, infrastructure investments and system strengthening activities are being delivered as designed and reaching the populations they are intended for. The assignment is structured as eight distinct, independently resourced survey components, each with its own methodology, data collection instruments and reporting cycle, running concurrently across the seven states and administrative areas of Package 2.
Coverage (Package 2)
Survey components
Eight independent workstreams, run concurrently, each covering a different dimension of health system performance under Package 2.
A structured, facility-by-facility assessment of operational status across Package 2, covering staffing levels against approved establishment, availability and functionality of medical equipment, essential drug stock levels, physical infrastructure condition, water and power supply, and adherence to standard infection prevention and control protocols. Enumerators carry out direct physical verification alongside record review, cross-checking what facilities report against what is observed on-site, and the resulting facility-level dataset is used to flag underperforming sites for follow-up and to inform World Bank disbursement decisions tied to facility functionality indicators.
Independent verification of the broader system-level investments financed under HSTP — including county health department governance and planning capacity, supply chain and commodity distribution performance, health workforce deployment and retention, and the functionality of referral pathways between community, primary and secondary care levels. This component tracks whether system-level inputs (training delivered, systems installed, positions filled) are translating into functioning processes on the ground, rather than only confirming that activities took place on paper.
Clinical observation and case-record review benchmarked against South Sudan's national service delivery standards, with a particular focus on maternal, newborn and child health services, alongside management of common childhood illnesses and management of malnutrition. Assessors observe live consultations where consent allows, review clinical documentation and partographs, and score facilities against standardized quality checklists — producing a quality-of-care index per facility that can be tracked over successive rounds to show whether care quality is improving, stagnant, or declining.
Systematic cross-checking of routine service data reported through South Sudan's national Health Management Information System (DHIS2) against primary source documents held at facility level — registers, tally sheets and patient records — to establish reporting accuracy and identify systematic over- or under-reporting. Discrepancy rates are calculated per facility and per indicator, giving the World Bank and Ministry of Health an independent accuracy score for the routine data the health sector's own performance monitoring depends on.
Exit interviews and structured surveys with patients and caregivers immediately after they receive care, capturing their direct experience of wait times, staff conduct, availability of medicines at point of care, out-of-pocket costs incurred, and overall satisfaction. Because this data comes directly from service users rather than from facility records or staff, it surfaces gaps between what facilities report delivering and what patients actually experience — informing corrective action where the two diverge.
Household- and community-level data collection to establish health needs, service-seeking behavior, and barriers to accessing care within catchment populations — including distance and transport barriers, cost barriers, and awareness of available services. Findings are triangulated with facility-level HSF and QOC data to distinguish supply-side problems (a facility not delivering a service) from demand-side problems (a service being available but not accessed), which require different corrective responses.
Verification of the deployment status, training completion, supervision frequency, and reported activity levels of Boma Health Workers — the community-level cadre delivering basic primary health care, health promotion and referral at the village (boma) level across Package 2 states. This component confirms whether BHWs are actually present and active at their assigned posts, whether they are receiving the supervision and supply support they are meant to, and whether the community health layer is functioning as the first point of contact it is designed to be.
Assessment of blood transfusion service availability and safety at facilities designated to provide it — covering cold chain integrity for blood storage, donor screening and testing protocols, stock levels against demand, and adherence to national blood safety guidelines. Given the direct link between reliable blood transfusion capacity and maternal mortality from postpartum hemorrhage, this component pays particular attention to whether facilities can actually deliver a safe transfusion at the moment it's needed, not just whether a blood bank exists on paper.
Other Assignments
Alongside HSTP, our track record in-country includes national campaigns and earlier baseline research, in partnership with UNICEF and World Vision.
Coverage
Independent third-party monitoring of UNICEF's long-lasting insecticide-treated net (LLIN) mass distribution campaign, verifying that net stock reaches distribution points on schedule, that household registration and targeting match planned coverage, and that distribution point operations run according to protocol. The assignment includes post-distribution coverage surveys to confirm net receipt, hang-up rates, and correct usage at household level, and tracks any commodity losses or diversion across the campaign's supply chain from central warehousing through to the last-mile distribution point.
Coverage
Direct implementation support for the national COVID-19 vaccination rollout on behalf of UNICEF South Sudan, covering cold chain management and vaccine distribution to county-level stores, deployment and supervision of vaccination teams, community mobilization and demand-generation activities to drive turnout, and real-time monitoring of vaccination sessions across 18 counties and 3 administrative areas. The assignment included tracking and reporting of adverse events following immunization (AEFI), daily coverage reporting against county-level targets, and troubleshooting supply and logistics bottlenecks in hard-to-reach counties.
Designed the research methodology and data collection tools, trained research assistants on ethics and data collection, supervised field data quality assurance, and led qualitative (NVIVO) and quantitative (SPSS/STATA) analysis and reporting.
Working In South Sudan
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