Evidence-led change, built with the communities it serves.
Extended Impact Health and Development (EI4HD) partners with governments, INGOs, professional bodies and private enterprises to design and deliver health and development solutions across Zambia and Africa.
OHS & First Aid training in session, Lusaka
A trusted partner for evidence-informed health and development work
Extended Impact Health and Development Limited (EI4HD) is a proudly Zambian, locally owned non-profit organisation established to drive innovation and catalyse transformative change in health and development across Zambia and the broader African region. Operating from our headquarters in Lusaka, we serve governments, international NGOs, professional bodies, private enterprises and communities seeking solutions to complex health and development challenges.
Our collaborative network brings together seasoned professionals with over 50 years of combined experience spanning public health, health systems strengthening, research and evaluation, community development, business development and occupational health. We believe sustainable development is only achievable when it is grounded in rigorous evidence, shaped by community voices, and aligned with national and global development frameworks.
To enhance the health and wellbeing of underserved populations and foster sustainable development through innovative and community-driven solutions in Africa.
A Zambia and Africa where every individual, regardless of location, gender or socio-economic status, has access to quality health services, lives in a sustainable environment, and participates fully in a thriving society.
What guides every engagement
Innovation
We embrace creative, evidence-based problem-solving to design programmes that are fit-for-purpose and future-ready.
Integrity
We operate with transparency, honesty and accountability in all our engagements — with partners, communities and funders alike.
Inclusivity
We centre the voices of underserved and marginalised populations, ensuring no one is left behind in our work.
Impact
We are relentlessly focused on measurable, sustainable outcomes that improve lives and strengthen systems.
Collaboration
We believe the best solutions emerge through genuine partnerships across sectors, disciplines and communities.
Excellence
We uphold the highest professional and technical standards in every assessment, report, training and programme.
Four commitments that shape how we work
EI4HD's programming and operations are anchored on four strategic pillars that guide how we design, deliver and evaluate our work.
Tackling health disparities
Identifying and addressing systemic inequities in access to quality health services, with a focus on underserved rural and peri-urban communities across Zambia.
Addressing climate challenges
Integrating climate change mitigation and adaptation strategies into health and development programming, recognising the interconnection between environmental sustainability and wellbeing.
Empowering through technology
Leveraging digital innovation, data systems and technology-enabled approaches to extend reach, improve efficiency and amplify impact across programmes.
Building lasting partnerships
Cultivating strategic, long-term relationships with government ministries, international organisations, the private sector, civil society and community structures.
Evidence-based, community-centred, systems-aware
Effective interventions must be grounded in a deep understanding of local context, validated by rigorous data, and co-designed with the communities they are intended to serve.
Design principles
- Evidence-based programming
- Every initiative begins with needs assessments, baseline studies and evaluations that keep interventions relevant and measurable.
- Theory of Change
- We articulate the logical pathway from inputs and activities through to outputs, outcomes and long-term impact.
- Systems thinking
- We analyse challenges within their broader socio-economic, political and environmental context, addressing root causes rather than symptoms.
- Community-centred design
- Solutions are developed with communities, not just for them, prioritising local participation and ownership.
Programme integration
- SDG alignment
- Programmes explicitly align with the UN SDGs, particularly SDG 3, SDG 10, SDG 13 and SDG 17.
- Climate integration
- Mitigation and adaptation strategies are embedded into programme design from the outset.
- Technology & digital tools
- We harness data management systems and mobile health solutions to improve reach and precision.
- Emerging disease readiness
- Pandemic preparedness and emerging disease response are built into health systems strengthening work.
Research rigour
- Mixed-methods research
- We deploy quantitative surveys alongside qualitative methods — interviews, focus groups and ethnographic approaches.
- Capacity building focus
- Every engagement leaves behind stronger institutions, more capable staff, and communities equipped to sustain change.
A comprehensive, integrated portfolio
Delivered by experienced professionals and adapted to the specific needs of each client and community.
Research, Surveys & Needs Assessments
Rigorous quantitative and qualitative research that generates actionable evidence, spanning nationwide facility assessments to community household surveys.
- Diagnostic and infrastructure needs assessments at health facilities
- Community health and development needs assessments
- Market research and business-enabling environment surveys
- Baseline, midline and endline evaluations
- Key informant interviews and focus group discussions
Policy Analysis & Development
Expert analysis and advisory services that help organisations and governments navigate policy landscapes and build evidence-informed frameworks.
- Healthcare policy review and gap analysis
- Alignment assessment with national strategies, SDGs and WHO guidelines
- Policy brief development and stakeholder consultations
- Regulatory environment mapping
Programme Management & Monitoring, Evaluation & Learning
Support across the full programme cycle — from design through implementation to evaluation — so interventions stay effective and improving.
- Programme and project design using Theory of Change frameworks
- Monitoring & Evaluation (M&E) framework development
- Data collection tools design, management and analysis
- Impact assessments and programme evaluations
- Learning and knowledge management systems
Capacity Building & Training
Accredited training programmes tailored to client needs, covering occupational health and safety, clinical skills and organisational development.
- First Aid training (basic and advanced)
- Occupational Health & Safety (OHS) programmes
- Incident reporting systems and protocols
- HIV/PrEP management for healthcare facilities
- ISO/IEC 17020 inspection body certification support
- Healthcare worker clinical skills development
Strategic Planning & Organisational Development
Robust strategic and operational frameworks that position partner organisations for sustained impact and growth.
- Strategic plan development and facilitation
- Organisational capacity assessments
- Standard Operating Procedure (SOP) development
- Change management and leadership support
- Business development planning for health enterprises
Healthcare Facility Mapping & Health Information
Mapping and cataloguing health infrastructure into centralised, accessible databases that support coordination and planning.
- Nationwide healthcare facility mapping and directory creation
- Ministry of Health office network documentation
- Health information system design and data support
- Digital health infrastructure advisory
Health Enterprise Development & Market Analysis
Specialised advisory and research services supporting the establishment and growth of private health businesses in Zambia.
- Pharmacy and health facility establishment surveys
- Community pharmaceutical needs analysis
- Competitive market analysis and pricing research
- Regulatory and licensing requirement mapping
- Market entry strategy development
Demonstrated impact across sectors
EI4HD has delivered projects for a diverse portfolio of clients — international NGOs, professional associations, private health enterprises and industrial organisations.
| Organisation | Industry | Training delivered |
|---|---|---|
| Wonderful Industry Zambia Company Ltd | Manufacturing (PVC & Packaging) | First Aid, OHS, Incident Reporting |
| Boffar Machinery Equipment Zambia Ltd | Industrial & Medical Equipment Supply | First Aid, OHS, Incident Reporting |
| Marcopolo Tiles Company Ltd | Manufacturing (Porcelain Tiles & Sanitaryware) | First Aid, OHS, Incident Reporting |
| United Capital Fertilizer Zambia Company Ltd | Fertilizer & Chemical Manufacturing | First Aid, OHS, Incident Reporting |
| Africa Automotive Analysis (AAA) | Vehicle Inspection & Automotive Services | First Aid, OHS, Incident Reporting, ISO/IEC 17020 Training & Certification (Nakonde Border) |
employees trained across Zambia's industrial, manufacturing and automotive sectors in First Aid, Occupational Health & Safety and Incident Reporting — delivered by certified professionals.
Where we apply our technical capabilities
EI4HD works across a broad range of health and development sectors, applying our capabilities in an integrated, cross-cutting manner.
Primary & Community Health
Strengthening community-based service delivery, community health worker systems, and primary care access for underserved populations.
HIV/AIDS & Infectious Diseases
Supporting HIV prevention (PrEP), treatment literacy, facility capacity for HIV management, and emerging infectious disease preparedness.
Health Systems Strengthening
Improving facility infrastructure, human resource management, supply chain systems, health information systems and governance.
Maternal, Newborn & Child Health
Supporting nutrition, maternal health, early childhood development and child health programming aligned with national MNCH strategies.
Occupational Health & Safety
Designing and delivering OHS frameworks, training and compliance systems for industrial, commercial and healthcare organisations.
Research & Evidence Generation
Conducting needs assessments, surveys, evaluations and policy analyses that inform programming and policy.
Climate & Environmental Health
Integrating climate change mitigation strategies and environmental health considerations into programming.
Private Sector Health Development
Supporting the establishment and growth of private health enterprises, pharmaceutical services and health-oriented businesses.
A distinctive combination of local expertise and technical excellence
Local ownership, African perspective
As a Zambian-owned and operated organisation, EI4HD brings deep contextual knowledge of the regulatory, socio-cultural and health landscape in Zambia and across the region — something international consultants rarely replicate.
50+ years collective expertise
Our team brings together professionals with over five decades of combined experience across public health, research, development and organisational management.
Evidence-driven & results-focused
We ground every engagement in rigorous data collection and analysis, so clients receive insights they can act on, not generic reports.
Full programme cycle support
From initial assessment and strategy through implementation, monitoring, evaluation and learning, we support every stage of the programme lifecycle.
SDG & national strategy alignment
All our work is explicitly aligned with Zambia's National Health Strategic Plan and the UN Sustainable Development Goals.
Trusted by diverse stakeholders
Our portfolio spans INGOs, professional associations, private health enterprises, equipment suppliers and major industrial organisations.
Agile & responsive
A lean, adaptable organisation capable of mobilising quickly to deliver high-quality work within tight timelines and budgets.
Capacity-first approach
Every engagement is designed to leave behind stronger institutions, more capable teams and communities equipped for sustained progress.
Let's talk about your next project
For project enquiries, partnership proposals, or more information about our services, reach out through any of the channels below.