DAMBE, MALAWI - APRIL 25, 2016: Matilda Nikolasi talks with PIH clinician Joe Lusaka and was the first of many to be served during the new Dambe Health Center's first day.

Implementation and work planning tools will allow care providers to develop a strong plan up front. Laying out the goals, responsibilities, timelines, and strategy is critical for all members of the team moving forward.

Implementation and Work Planning Tools

Implementation in resource-limited settings is typically challenged by unexpected implementation gaps, which require frequent adjustments to the work plan and ultimately delays. Therefore, in addition to detailed planning and monitoring frameworks, timely adjustments are equally valuable to the execution of the implementation plan.

There exist several planning tools used across many fields of work that may be helpful, especially at the start of the work planning. Once implementation gaps arise, the updating of such tools may be useful in maintaining a clear, coordinated effort, depending on leadership style and team dynamics. Thus, the tool which is best suited for the size and scope of the work team should be selected.  Below are four such planning tools that may be explored and applied to your setting.

RACI Matrix

The RACI Matrix seeks to help identify implementation tasks in addition to who is ultimately Responsible, Accountable, Consulted, and Informed. This facilitates clarity for each person’s role for each task.


A GANTT Chart allows teams to plan out the timeline of program activities, including both starting and end points for each activity. The level of detail of each time segment can be modified to be in days, weeks, months, or even quarters, depending on the overall duration of the chart and needs for program planning.


Logframes not only focus on the necessary implementation activities but also specify the “big picture” upstream concepts (e.g., goals and objectives) as well as the finer downstream details (e.g., inputs and anticipated challenges) necessary for implementation success.

Key Performance Indicators (KPIs)

KPIs examine the specific implementation outputs through a quantitative monitoring and evaluation lens. Each output or outcome has at least one quantitative indicator that is clearly defined in terms of the necessary data required to compute the number and the data source.

Monitoring through Implementation Process Measures (IPM)

An IPM Tool provides key process metrics, which allow the implementer to monitor progress through a sequence of critical milestones. Such checklists provide both guidance and measureable reporting on progress.

Below is an overarching NCD program IPM tool. These milestones layout the key implementation steps necessary to establish a well-functioning and measurable NCD clinic in a district hospital.

Download all implementation work planning documents