Current Projects

Initiatives provides expert technical and managerial support to USAID and the governments and communities it supports. To date, Initiatives has worked in more than 30 countries in Africa, Asia, and the Middle East.

P indicates a project with Initiatives Inc. as prime awardee

Tuberculosis Public-Private-Mix Strategic Action Plan

Nigeria, June-September 2017

In partnership with the World Health Organization

Initiatives Inc., in collaboration with Nigeria’s National Tuberculosis, Leprosy and Buruli-Ulcer Control Programme (NTBLCP), the United States Agency for International Development, the World Health Organization, and local partners, is facilitating the development of a public-private-mix (PPM) Strategic Action Plan for TB treatment and control in Nigeria.

As one of the top five countries with the highest burden of TB in the world, Nigeria is in need of scaling up its TB control efforts to identify, diagnose and treat TB cases. Roughly 60 to 70 percent of Nigerians obtain TB care through the private sector, and in 2016 alone, 14 percent of identified TB cases were from private and faith-based organization facilities. To expand TB services, the PPM Strategic Action Plan will design and implement a PPM approach that incorporates all relevant TB care and control health providers. Eventually, this PPM strategy will become part of the NTBLCP and contribute to closing Nigeria’s TB case detection and treatment gap.

Under this partnership, Initiatives is coordinating action planning workshops, taking part in field visits and consulting with national stakeholders in order to draft the PPM Strategic Action Plan. Initiatives Senior Technical Advisor Rebecca Furth facilitated the first stakeholder workshop in June 2017. During this meeting, stakeholders defined key objectives, identified and agreed on priority PPM models and gathered inputs from partners on the ground, community representatives, donors, and other key stakeholders. A second stakeholder workshop will take place in September with Initiatives’ support and will focus on identifying funding and donor opportunities for the success of the PPM action plan as part of NTBLCP.

Eradicate TB

Zambia, 2017-2022

In partnership with prime contractor PATH

Eradicate TB – Zambia aims to improve TB screening and treatment in Zambia, where the TB burden is close to 560 cases per 100,000. In partnership with PATH, Initiatives Inc. will support the Eradicate TB project and the United States Agency for International Development’s objectives in Zambia to (1) increase the number of individuals screened for TB by 50 percent and (2) increase the TB treatment success rate by 85 percent in target provinces.

As subcontractor to PATH, Initiatives will devote much of its efforts to supporting the National TB and Leprosy Control Program (NTP), the African Society for Laboratory Medicine and other civil society groups dedicated to TB control. Through assessments of NTP’s governance structure, Initiatives’ Boston-based team and in-country staff will identify critical human resource gaps at both the national and provincial levels. This information will go on to inform the development of a human resource management plan in consultation with the Government of Zambia. Ideally, this activity will increase the productivity and efficiency of NTP in achieving its objectives for TB control. Civil society organizations focused on TB treatment and control will also benefit from Initiatives’ support in building and strengthening their resource mobilization and management capacities.

In addition to organizational capacity support, Initiatives will lead the development of an innovative mentorship program for staff members of the African Society of Laboratory Medicine.

Systems for Better Health

Zambia, 2015 – 2020
in partnership with prime contractor Abt Associates

Systems for Better Health – Zambia is designed to increase the quality, availability, and use of priority health services in Zambia by supporting health system improvements across 20 districts in five Zambian provinces. Subgrants to community based organizations (CBOs) and non-governmental organizations (NGOs) will support activities to improve access and quality of services in the key areas of HIV/AIDS, maternal and child health, family planning, and nutrition.

Initiatives is providing technical and programmatic support to design, implement and monitor national-level interventions to strengthen health stewardship of the Ministry of Health. The Initiatives team is also improving capacity to deliver quality health services at the community level by developing systems for NGO capacity building and leading capacity strengthening activities for community structures.

For example, our staff have developed a granting manual and worked with counterparts to establish criteria for application review and award. We have also developed the organizational capacity assessment process and are providing technical assistance and capacity building support to grantees supported by the project.

Advocacy for Better Health

Uganda, 2014 – 2019
in partnership with prime awardee PATH



The goal of Advocacy for Better Health – Uganda (ABH) is to improve the quality, accessibility, and availability of health and social services by (1) increasing citizen participation in planning and monitoring of health and social services; (2) strengthening the capacity of civil society organizations (CSOs) to conduct advocacy in target districts; and (3) strengthening the institutional capacity of CSOs. Armed with tools, citizens in 35 districts will be able to more effectively advocate for accessible, high-quality health and social services.

Initiatives’ in-country staff is working with more than 20 Ugandan CSOs to strengthen capacity in organizational management, human resources, advocacy technical skills, credibility and ability to influence, and organizational sustainability.

Following a progressive cycle of capacity assessment, capacity development support, benchmarking, and granting, ABH is strengthening the development of high-performing CSO partners that can lead advocacy efforts in Uganda and manage United States Government (USG) and other donor funds. Our innovative approaches include the use of a combined advocacy and organizational capacity assessment; the creation of an advocacy and grants management collaborative to share challenges and promising practices; and the design and launch of a fellowship program to strengthen the technical and management capacity of selected CSO members.


Small Business Contract Award

Initiatives currently holds a USAID TASC4-Africa small business indefinite delivery indefinite quantity (IDIQ) contract with partners PATH, RTI and Save the Children. TASC4-Africa has a broad technical scope and is designed to help USAID achieve its strategic objectives related to the expansion of basic health services, family planning, health system strengthening, HIV and AIDS, and other infectious diseases.

The small business TASC4-Africa mechanism allows for rapid response to task orders and places Initiatives and its partners in a limited pool of organizations that are eligible to bid on opportunities. Small business IDIQ task orders give USAID Missions flexibility to rapidly address their needs for a range of program support including targeted technical assistance, strategy papers, situation analyses, research, evaluations, and project bridging.

Challenge TB

Democratic Republic of Congo, 2015 – 2017
in partnership with prime awardee The Union



The Challenge TB Project in the Democratic Republic of the Congo assists the National TB Program (PNLT) to expand high-quality tuberculosis (TB) prevention, diagnosis, and treatment services, including TB-HIV and multi-drug-resistant (MDR)-TB services.

Building on work initiated under the preceding TB TO 2015 Project, Initiatives provides organizational capacity development support to local NGOs partnering with the Challenge TB Project. Our technical services are tailored to the organizations’ needs for capacity building in a variety of organizational management and project implementation areas.

Initiatives’ work with local organizations through Organizational Capacity Assessments (OCAs) has already strengthened governance, financial management, and administration capabilities. Participating NGOs have established boards, developed strategic plans and finance and administrative policies, revised their organizational structure(s), and documented human resources management systems and monitoring and evaluation plans.

Under Challenge TB, Initiatives will build on its earlier work with la Ligue Nationale Antituberculeuse et Antilépreuse du Congo (LNAC) and Club des Amis Damien (CAD) and expand to support La Fondation Femme Plus. Efforts will focus on sustainability and effectiveness through policy implementation and adherence, resource mobilization, community engagement, and enhancing board effectiveness.