Independent advisory · Digital health and public systems · East and West Africa

Still running after the funding ends.

S&G Digital Advisors helps foundations, governments and founders turn digital health and public sector strategies into systems that African institutions own, run and keep improving.

// The problem

A successful pilot is not yet a working system.

Funding can deliver software, equipment, training and an encouraging pilot within a few years. Whether any of it is still in use five years later depends on other things: whether it connects to the national system, who owns it, who pays to run it, and whether the institution expected to run it has the mandate, people and budget to do so.

Those questions are far cheaper to answer at the start than at handover. That is where we work.

From project to systemA funded project in the centre, connected to four conditions it must meet: national systems, ownership and governance, institutional capacity and long-term financing.National systemsOwnership and governanceInstitutional capacityLong-term financingFunded project
From project to system: what a funded project has to connect to.

// Who we work with

One question, three vantage points.

Foundations

Make programmes last.

Connect your programmes to national systems and plan for government ownership from the first year, not the last.

For foundations →

Governments and development partners

Strengthen national systems.

Get digital health systems working together, ready for everyday use and fully in your institution's hands.

For the public sector →

Founders

Build to fit national systems.

Align your product with national standards, find the right institutional partners and prepare to raise.

For founders →

// How we work

Small by design. Senior throughout.

The people you meet do the work.
A small senior team, with no handover to junior teams.
Focused engagements.
We take on a limited number at a time, each with a clear scope and end point.
Local technical partners.
We work alongside trusted technical partners in the countries where we work and build on the expertise already there.
Independent advice.
No vendor commissions and nothing to sell. Our recommendations follow what will work for you.
About our model →

// Experience

Lessons from the systems countries depend on.

Our team has worked on health information systems, national identity, banking and smart city planning. Different sectors taught the same lesson: technology lasts when ownership, governance and capacity are designed in from the start.

Our team contributed to Sierra Leone’s national digital health ecosystem, now connecting more than 1,000 health facilities.

Experience from before S&G; not an S&G engagement.
See our experience →

// Get in touch

Investments that outlast the funding.

If you are planning, running or handing over a digital health or public sector programme, we would be glad to hear what you are working on.