International Federation of the Red Cross (IFRC)

Reconstructing the Health System in the Central African Republic: The IFRC, KFW and Delta Monitoring

The International Federation of Red Cross and Red Crescent Societies (IFRC) is the world’s largest humanitarian network.

Their secretariat supports local Red Cross and Red Crescent action in more than 191 countries, bringing together more than 16 million volunteers for the good of humanity.
The IFRC acts before, during and after disasters and health emergencies to meet the needs and improve the lives of vulnerable people.

Through their work they enable healthy and safe communities, reduce vulnerabilities, improve people’s resilience and promote peace around the world.


The Central African Republic (CAR) has long been embroiled in political and civil unrest, leading to a crippled healthcare system. To rectify this, the International Federation of the Red Cross (IFRC), financed by the German Bank KFW, embarked on a significant health system reconstruction project. However, managing this multi-faceted project, from planning and development to monitoring and reporting, presented a colossal challenge. There was also a critical need for a system that could integrate all project documents, send field data to the central level, perform most of the analyses, and provide access to all stakeholders, ensuring transparency and efficient communication.


The solution was the adoption of the Delta Monitoring platform, a robust, dynamic, and integrated monitoring and evaluation tool. The platform was designed to handle all project activities, including planning, development, monitoring, and reporting. It is capable of integrating all project documents like the logical framework, indicators, activities, etc., and sending all field data to the central level. 

Moreover, Delta Monitoring has an analytic capability that conducts at least 80% of the necessary analyses. The platform is also designed to monitor all field activities and tasks and allow all project stakeholders to have access to the information.


Upon implementation, the Delta Monitoring platform streamlined the entire process of the health system reconstruction initiatives. All the critical components were integrated into one platform, improving communication, data management, monitoring, and reporting. The system’s ability to analyze activities, finances, indicators, and data has been instrumental in keeping the carry-out on track and maintaining accountability.

The platform’s real-time monitoring and reporting feature have significantly improved the initiatives’ transparency. The donor, KFW, had the ability to monitor activities in the field in real time, ensuring that funds are utilized appropriately.

Furthermore, the tool’s capability to incorporate all construction activities and tasks has improved task management and reduced overall completion time. By giving all stakeholders access to the platform, collaboration and communication have been enhanced, promoting a harmonious working environment.

At least 80% of the necessary analyses are now carried out by the platform, leading to a considerable reduction in time and resources that were previously allocated to this task. With all the activity reports and complete documentation accessible via the platform, information sharing and decision making have significantly improved.


The adoption of Delta Monitoring for the health system reconstruction project in the CAR has demonstrated how the advanced monitoring and evaluation tool can optimize complex, large-scale projects, particularly in challenging environments. 

The platform has not only streamlined the entire process but also improved transparency, efficiency, and communication among all stakeholders. 



Due to persistent political and civil turmoil, the Central African Republic’s healthcare system suffered significant setbacks. To address this, the IFRC, backed by the German Bank KFW, launched a major health system reconstruction project. 

The challenge lay in managing this complex initiative, requiring a system capable of unifying documents, centralizing data, conducting the majority of analyses, and ensuring efficient communication and transparency for all stakeholders.


Delta Monitoring, a comprehensive monitoring and evaluation (M&E) tool, was implemented to manage all aspects of the health system reconstruction initiative. 

It facilitated the planning, development, and monitoring, integrated all documents, centralized data, conducted the majority of required analyses, and enabled stakeholders to access crucial information.


The implementation of the Delta Monitoring Solution, financed by the German Bank KFW and adopted by the IFRC, significantly improved the efficiency and transparency of the health system reconstruction program in the Central African Republic by integrating all project activities, documents, data, and stakeholder communication into one platform.

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