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Theory of Change

Our Approach

A structured, evidence-driven model for closing the gap between diagnosis and survival — moving child health financing from charity to systemic equity.

The Problem

Structural Drivers of Under-5 Mortality

  1. 01

    Financial barriers — Out-of-pocket costs block access to treatment even when services exist.

  2. 02

    Late diagnosis — Symptoms are missed or mismanaged at primary care level, delaying referral.

  3. 03

    System navigation failure — Families cannot navigate fragmented referral pathways alone.

  4. 04

    Insurance gaps — NHIS coverage is incomplete for pediatric emergencies and complex conditions.

  5. 05

    Data invisibility — No equity-focused dashboards track who is falling through the cracks.

Logic Model

Theory of Change

If

We provide targeted gap financing, strengthen early diagnosis and referral, deploy health navigators to guide families, and build equity-focused data systems for accountability and advocacy…

Then

More children will complete treatment, fewer families will abandon care due to cost, referral pathways will function faster, and the evidence base will drive policy reform…

Impact

Child mortality from treatable conditions declines, health equity improves, and Ghana builds a replicable model for child health financing that transcends individual charity.

Accountability

Measurement Framework

Key indicators we track to ensure our interventions deliver measurable impact.

Case Fatality Rate

Reduce by 30% in target hospitals by Year 3

Treatment Completion

70% of funded cases complete full treatment protocol

Disbursement Speed

Funds reach facility within 48 hours of approval

Family Satisfaction

85%+ positive navigation experience rating

Policy Engagement

2+ active NHIS reform working groups by Year 2

Data Coverage

Equity dashboard live across 5+ partner facilities

Ghana Child Health Equity Report

Each year, JKAID will publish a Ghana Child Health Equity Report — tracking the geography of supported cases, income distribution, time from diagnosis to treatment, out-of-pocket costs avoided, treatment completion rates, and survival outcomes. This report will build the evidence base for policy reform and public accountability.

Positioning

From Charity to Equity Platform

Old Model
  • Case-by-case fundraising
  • Emotional storytelling as primary driver
  • Donor-dependent and reactive
  • No systemic data or policy engagement
  • Impact measured in anecdotes
New Model
  • Structured tiered financing with defined protocols
  • Evidence-based interventions with measurable KPIs
  • Diversified funding: grants, partnerships, NHIS reform
  • Equity dashboards driving policy conversations
  • Impact measured in survival rates and system change
Join Our Mission

Help Us Close the Gap

Every contribution strengthens a system designed to ensure that no child’s survival depends on their family’s ability to pay.