Our Vision: The Critical Shifts

The critical shifts are a framework that identifies changes needed to move to a more country-driven, coordinated, and equitable system. Initially created by actors in the Democratic Republic of Congo and Nigeria—including government representatives, local and international implementing partners, funders, and community advocates—and later refined and validated with representatives from an additional 13 countries and experts from three funders, the framework calls for changes in how we: 1) set the agenda, fund, and partner; 2) plan, design, and implement programs; and 3) address inequity and manage power asymmetries. These shifts redefine relationships among funders, national governments, local and international implementing organizations, communities, and individuals.
Critical Shifts

From

To

1

Aligning to funder-driven priorities & decisions

Aligning to country-driven priorities & decisions

2

Creating technical & financial dependence

Respecting sovereignty & fostering independence

3

Following structures & standards that erode trust

Collaborating on the basis of trust & mutual accountability

From

To

4

Driving fragmented short-term efforts & resource allocation

Driving strategic & coordinated investments across the system for long term change

5

Using generalized & solution-centric approaches

Using approaches that contextualize & respond to the needs of the problem

6

Designing programs that are static, rigid & compliance-driven

Designing programs that are adaptive, iterative & foster innovation

7

Focusing on increasing capacity in TA recipients

Strengthening capacity of individuals, institutions &the entire system

From

To

8

Contributing to systems that perpetuate gender & power inequity

Fostering systems that promote equity in gender & power

9

Providing limited opportunities or mechanisms for community feedback or dissent

Promoting feedback & learning between communities & funders

DRC ministre de la sante