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4D CHeSS Theoretical Model

4D CHeSS represents a solid model of how to sustainably strengthen health systems.

Based on a solid, efficient, inclusive, and broad stakeholder engagement, we build out the Health System along 4 axes: 

  • Data and Digitisation: provide connectivity, deploy digital tools where necessary, and integrate data flows.
  • Community Integration: community guidance, engagement and management, along with infrastructure upgrades and quality improvement, in order to restore public faith in the health system.
  • Pillar Integration: avoid duplication of efforts and resources by integrating programmes, projects and campaigns in the public health domain.
  • Sector Integration: involve the private sector, civil society, NGOs and government, ensuring a broad buy-in and support for the health system.


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This is a generic view of our Theory of Change. To find out how it could apply to your context or project, reach out to us.

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