
Health
Health
Overview
We work with our clients to develop solutions aimed at improving the health of populations throughout Sub-Saharan Africa.
Our region faces the challenges of the quadruple burden of disease, which includes both communicable and non-communicable diseases, as well as violence and injury.
Coupled with this are relatively weak health systems, heavy reliance on donor funding and inequitable public and private sectors. Within this context, we provide experts with decades of experience in the design, implementation, costing and evaluation of health programmes, and strengthening of sustainable health systems.
Leading The Team
Areas of Expertise

Research, monitoring and evaluation
We design and implement a variety of research projects - from national household surveys to discrete and focused programme reviews or process evaluations. Our researchers have decades of experience in quantitative and qualitative research methodologies, and of applying these in a practical way, which ensures that our findings can be confidently used by the commissioning companies and organisations.
We work with clients on the design of appropriate evaluations for their programmes, using robust methods and a cost-effective approach. We also work with clients to develop user-friendly M&E frameworks and plans, and find ways to represent routinely collected data to encourage better decision making.

Behavioural sciences
Insights from behavioural sciences foster an understanding of human behaviour within given contexts that allow us to design systems or interventions that result in behaviour change. The behavioural sciences is an umbrella term that draws on psychology, anthropology, cognitive science, behavioural economics (BE), and social and behavioural change communication (SBCC). Our work builds on the evidence base provided by behavioural sciences and applies it to effect behaviour change in wide-ranging contexts or settings. We use our deep sector expertise and experience in applying behavioural sciences insights to influence behaviour through communication, interventions, processes and systems. We design and deliver human-centred systems and processes, and effect scalable, sustainable behaviour change along the full impact pathway.

Health economics and costing
Sustainable financing and the achievement of value for money in health interventions are increasingly recognised as key pillars in achieving the sustainable development goals for health and universal healthcare. At a time when many countries face large cuts to donor funding and competing demands for domestic resources, we provide technical support to decision makers in navigating this new reality.

Sustainable health systems
When already strained health systems are hit with unforeseen circumstances, such as COVID-19, we demonstrate our flexibility and technical expertise to help our clients redesign and adapt programmes and systems for resilience and sustainability.
Strengthening health systems involves managing various stakeholders, building capacity, and preparing for unexpected circumstances. It also means working on longer-term projects with an array of different components. Our technical and strategic expertise has thus prepared us to navigate not only existing programmes but other aspects of public health through times of uncertainty.

Digital heath
The Genesis team leverages its experience and skills to support the use of digital applications and services to collect and integrate diverse datasets to conduct innovative analysis for improving access to, and quality of, health services.
We conduct landscape assessments of national or specific health information systems, and develop health sector specific strategies or policies to ensure that health information systems are integrated and able to share information in an efficient manner. We also co-ordinate and manage digital project implementation, and provide specific technical support for data analytics and data management.
To support South Africa in reaching its 90-90-90 targets, we developed behaviourally informed messaging for a low-cost messaging platform that is used to engage all HIV-positive patients as part of a GP network.

Technical support services
We work with governments, UN agencies, civil society partners and development partners to support the provision of high-quality technical support across the East and Southern Africa region. We source the required expertise and deploy and manage consultants as required by our clients.
As part of the Oxford Policy Management-led consortium, Genesis manages the provision of technical support to countries across the East and Southern Africa regions on behalf of UNAIDS.
Genesis was contracted by the Gates Foundation to provide technical advisory support to the Solidarity Fund. Starting in June 2020 we used our multi-sectoral knowledge and experience to advise the fund across a wide range of investment decisions.
Projects

Strengthening HIV prevention through facilitated South-to-South learning
Genesis, in partnership with the University of Manitoba, is supporting the Global HIV Prevention Coalition (GPC) to establish and strengthen shared learning of best practice among 10 African countries heavily burdened by HIV. This is facilitated through the South-South Learning Network (SSLN), a GPC initiative.

Evaluating NHI Phase 1 pilot implementation for Department of Health
Genesis undertook the evaluation of the Phase 1 implementation of the government’s policy of National Health Insurance (NHI) in South Africa. The main aim was to assess whether the NHI Phase 1 interventions had achieved their objective of health system strengthening in primary health care facilities.

Campaign does improve men's perceptions on HIV testing
South Africans (18-34 years) who are exposed to the Testa Boy campaign are 50% more likely to agree that men who test for HIV are strong and responsible, according to a study done by Genesis Analytics for the Centre for Communication Impact.

Improving the accurate costing of HIV programmes in Africa
Genesis has been awarded a contract to undertake a number of learning activities that will improve countries’ abilities to accurately cost their HIV programmes, using national data systems, and interpret existing cost data, thereby enabling more effective planning, budgeting and ongoing decision-making.

Sexual and reproductive services will improve health of SA's youth
Genesis Analytics supported the Department of Basic Education (DBE) to investigate the understanding, accessibility and acceptability of providing sexual and reproductive health (SRH) services to boys and girls attending school in South Africa.

Behaviourally informed messaging increases medication adherence
Genesis Analytics was commissioned by PPO Serve to help improve medication adherence among HIV-positive patients enrolled on the GP Care Cell (GPCC) programme. The programme offers free HIV treatment through a network of private GPs.

Genesis counts cost of lifestyle diseases for Gauteng government
The Gauteng Office of the Premier’s Planning Division contracted Genesis Analytics to determine the health and financial effects of non-communicable diseases on Gauteng’s health system for 2017-2030 and to recommend policies and best practices to address the growing burden in Gauteng.
Related Focus Areas

Human development
We work for a world where everyone can develop to their full potential. We are focused on expanding meaningful rights and opportunities for people who are marginalised. Part of a global African firm, we are particularly committed to children, women and young people in Africa and the Middle East.
We work in key human development areas: health, nutrition, and WaSH (water, sanitation and hygiene); youth, education and early childhood development; and social protection and social care. Rapid changes in demography, climate and technology are generating massive challenges and tremendous opportunities for human development. At the same time, Covid-19 has caused a severe shock to human development from which people and systems need to recover.
We help governments, their global partners, and private and non-state clients to improve the delivery of key human development services while navigating these changes. To do so, we provide services in diagnostics; regulation, governance and oversight; strategy, planning and implementation; financing and budgeting; service delivery; and monitoring and evaluation.

Competition economics
As the leading provider of competition economics services in Africa, Genesis Analytics has an unmatched breadth and depth of skills and experience. Blue-chip companies across Africa routinely rely on us for expert advice and support when they interact with competition authorities. We also work extensively with regulators and competition authorities, giving us a position of trust based on a strong reputation for providing robust and independent expert economic views.