The 5×5 Challenge

5x5 cover

What is the 5×5 Challenge?

DOWNLOAD STRATEGY:  2014..Africa AHEAD Strategic Plan

The 5 x 5 Challenge aims to improve the wellbeing and livelihood of over 5 million families in Africa over the next 5 years (2014-2018) by significantly decreasing the main causes of morbidity and mortality due to the 5 critical diseases in children under 5 years of age at less than US$ 5 per person.

Given our recent first-hand experience in Rwanda, Zimbabwe & Vietnam, we know this to be entirely feasible when using the Community Health Club (CHC) Model of development.

Why support this 5×5 Challenge through Africa AHEAD?

We believe our CHC Model should appeal to development investors for the following reasons:

  • Value for money: very low cost per beneficiary (<US$5)
  • Sustainability: Health Clubs build capacity of communities to manage themselves over time
  • Economies of scale: Large numbers of beneficiaries reduce the  per capita cost of training inputs
  • Measurable: CHC achievements can be accurately monitored and  progress is tracked in “real time”
  • Localised: Implementation is achieved by training & capacity building local VHWs & CBFs
  • Transparent: management of development investments  by professional fund managers
  • Integrated:  development that achieves holistic health and socio-economic outcomes
  • Low admin costs: A “flat organisation”:   minimal micro management through expatriates

A  S.M.A.R.T Challenge:

This means Specific, Measurable, Achievable, Relevant,and Time Bound

Specific Targets:

The five diseases are: Diarrhoea (cholera), Tropical Enteropathy (stunting), Malaria, Intestinal worms and Eye & skin diseases. Controlling these critical diseases will contribute substantially to improving child survival and reduce stunting and minimize early deaths and morbidity of under 5’s.

 Measurable Outcomes:

With a fixed target group within a defined number of CHCs, communities themselves actively monitor observable proxy indicators of non-risk hygiene behaviours that are proven to reduce the above targeted diseases using our standard monitoring tool, the CHC Household Inventory, collected using cell phone technology for data collation.

Achievable Numbers:

We are aiming to improve the health of  5 million people in 5 years.  This entails reaching an estimated 833,333 households in 5 years. Per year our target is  33,333 households (6 people per family)  in five countries. This is achievable but it needs committed funding at scale. For example in Zimbabwe alone in 2013, we reached 44,440 households exceeding this target  in one year.

Relevant  Objectives:

This objective is clearly in line with the MDG and post-MDG objectives and will reflect government priorities of the partner countries focusing on disease and poverty  reduction

Time Bound:

The target is to be achieved within   5 years: 2014 – 2018

Africa AHEAD Countries of Operation 2014-2018

Current Project Countries

Our first five countries are:

  • Zimbabwe
  • Rwanda
  • Uganda
  • Democratic Republic of Congo
  • Mozambique