The Inside of Context is King

The Inside of Context is King

By Anna Winters on January 31, 2019 in Capacity Building, Health Data Systems, News

Akros is a bit different than most development NGOs. Instead of a large corporate office in a distant setting, Akros bases its team in Southern Africa. If we are solving problems in rural developing contexts, shouldn’t we be near enough to the challenges so we understand them? We have chosen to be close to the beneficiaries of our work to receive feedback, learn from what works and what doesn’t, and provide simple yet innovative solutions to the everyday problems that are faced. Since our goal is to provide support to communities and their governments and to transition lessons learned into sustainable programs, shouldn’t we work very closely with our government partners both in the office and in the rural communities we serve?

We think yes. And that’s driven our design.

At Akros, we bring innovative ideas for gathering and using data to solve development challenges through a “boots on the ground” approach. We’ve built our organizational culture and nuanced approach to implementation by being where our work is: in Southern Africa. Akros has been supporting government and partner counterparts from our headquarters in Lusaka, Zambia for over ten years. This close partnership has helped to contextualize our work and to ensure that we are only scaling ideas and approaches that are proven to make impact and be sustained in under-resourced settings.

Being close to the challenges has meant the solutions that we’ve fostered gain ownership by community leaders. This type of accountability has created a huge impact. In Zambia, a chief’s wishes and commands hold a lot of weight. Getting these leaders data about their community, talking to them about health standards, and teaching them about health promotion and awareness can mean significant positive change for rural areas. For example, in some rural communities, open defecation was quite common. Our people went into communities, brought data and statistical evidence to the chiefs in formats they appreciated, and succeeded to get these community leaders on board with several water and sanitation interventions. Chiefs encouraged their communities to build latrines and use them. And then, the people did! The problem and effects of open defecation were therefore greatly reduced. The result was that some of the first open defecation free districts in all of Africa were named within Zambia.

If we had been based far from the situation, we may have missed the nuances of the problem by being outside of its context. We may have designed solutions that were too tech heavy for the environment. We may have created a “mobile tool” but not helped build an enabling environment for its success. We may not have understood how chiefdoms work and just gone into the situation blindly, wasting time and resources. We may have done “business as usual” and missed our mark. In short, we may have not made the impact on health that we strive to make.

There’s a joke in here somewhere about inside jobs. But for now, we’ll just say that at Akros, context is king.

About Anna Winters, PhD

Anna Winters founded and serves as the CEO of Akros. Winters holds a PhD and MS in epidemiology coupled with extensive field experience leading the development and implementation of community-wide surveillance systems in sub-saharan Africa aimed at targeting health interventions to maximize impact. Through Akros and previously with the Centers for Disease Control and Prevention, Dr. Winters works directly with host country governments to ensure viability and integration of health innovations. Contact her at