What we do

Four pillars. One accountable partner.

Policy, Supply, Projects, Investment β€” every Sanafra engagement draws on one or more of these pillars, assembled around your priority and delivered through trusted partners.

01

Policy

We help governments move from intention to implementation β€” with advice from people who have run one of the world's most studied health transformations.

πŸ›οΈ Health Policy & Systems Advisory

Practical, implementation-first advisory across the health system.

  • Country Health Snapshot β€” complimentary baseline diagnostic of financing, procurement, access and quick wins
  • Medicine pricing reform: reference pricing, negotiated discounts, central procurement design
  • Reimbursement and essential medicines list design
  • Budget impact analysis and pharmaceutical expenditure control
  • Procurement and tender system strengthening
  • Anti-counterfeit and supply-chain integrity programmes
  • Health insurance and primary-care design, adapted from TΓΌrkiye's reform experience
  • Executive study visits and delegation programmes

The first analysis is on us. We earn the commercial relationship by being useful before being paid.

⚑ Rapid Impact Programmes β€” β€œFirst 90 Days in Health”

Visible improvements citizens can see β€” designed for new administrations that need early, honest wins.

  • Facility experience upgrades: entrances, waiting areas, signage, hygiene
  • Patient-flow redesign in emergency and outpatient departments
  • Faster registration and triage processes
  • Dedicated maternity and child waiting areas
  • Medicine stock visibility at facility level
  • Complaint and feedback mechanisms
  • Weekly KPI dashboard for the minister's office
  • Before/after evidence the public can see

Big reforms need political room. Quick, visible wins create it β€” and build the public trust that finances the next phase.

02

Supply

Quality-assured medicines and medical products, moving through licensed and traceable channels only β€” in both directions: into your market, and for manufacturers, into ours.

πŸ’Š Pharmaceutical Supply & Trade

From GMP-certified manufacturers to your central medical stores β€” documented end to end.

  • Essential generics: antibiotics, analgesics, hypertension, diabetes, gastrointestinal and hospital medicines
  • Oncology products with strict cold-chain, provenance and pharmacovigilance management
  • Maternal & child health essentials
  • Complete export files: GMP, CoA, CPP, stability data
  • Cold-chain logistics, door to door
  • 48-hour quotations and emergency procurement readiness
  • Registration support with the national medicines authority
  • Supply continuity commitments β€” not one-off shipments

We do not operate grey channels, and we walk away from business that requires them.

πŸš€ Market Access for Manufacturers

For pharmaceutical and medtech companies entering or growing in African markets.

  • Country market analysis and entry strategy
  • Product registration pathway management
  • Distributor identification and due diligence
  • Tender intelligence and bid support
  • Pricing and reimbursement strategy
  • KOL and clinician engagement
  • Launch programmes and local representation
  • Receivables risk monitoring

Engagement models: monthly retainer, country-entry project fee, registration fee, sales commission or annual representation β€” sized to the opportunity.

03

Projects

We turn health priorities into funded, delivered programmes β€” designed with ministries, financed through global mechanisms, implemented with local partners.

🌍 Development Finance & Donor Programmes

We help governments prepare competitive proposals for β€” and then implement programmes funded by:

  • The Global Fund
  • Gavi, the Vaccine Alliance
  • World Bank and the Global Financing Facility
  • African Development Bank
  • Islamic Development Bank
  • UNICEF
  • UNDP
  • WHO programmes and bilateral donors

What we deliver: government-endorsed programme design, costed implementation plans, procurement strategies, monitoring & evaluation frameworks funders trust, co-financing structures, and audit-ready implementation support.

Governments know the need; funders need a credible plan. We write the bridge between the two β€” and stay for implementation, where most programmes fail.

🀱 Maternal & Child Health Programmes

The fastest, most meaningful health gains in most of our priority markets β€” and a natural focus for donor financing.

  • Safe delivery kits and postpartum haemorrhage response bundles
  • Midwife and birth-attendant training
  • Emergency obstetric care capacity building
  • Referral chains and ambulance coordination
  • Blood bank organization
  • Antenatal tracking systems
  • Maternal death review committees
  • Essential medicine packages for delivery wards

Proven, low-cost interventions β€” prioritized with the ministry, funded nationally or through donor programmes, delivered with local health workers.

✈️ Medical Travel Coordination

Complex treatment abroad, managed end to end β€” with the local physician kept in the loop.

  • Case review and second medical opinions
  • Hospital and specialist matching in accredited centres
  • Transparent, all-inclusive treatment packages
  • Visa, travel, transfer and accommodation coordination
  • Interpreters and patient companions
  • Oncology, cardiovascular, transplant, orthopedics, neurosurgery, IVF, pediatric surgery
  • Post-treatment follow-up shared with the referring physician
  • Institutional agreements for ministries, insurers and employers

We coordinate care; hospitals deliver it. Pricing is transparent, commissions are documented, and clinical records return home with the patient.

04

Investment

Bankable healthcare assets that serve patients and sustain themselves β€” structured for public systems, operated to international standards.

πŸ₯ Hospital & Diagnostics Development

From feasibility to operations.

  • Hospital feasibility studies and business models
  • Public-private partnership structuring
  • Imaging centres: MRI, CT, X-ray β€” investment or revenue-share models
  • Laboratory, dialysis and oncology diagnostics facilities
  • Hospital management systems and clinical process design
  • Quality, accreditation and patient-safety programmes
  • Cost management, procurement and revenue-cycle design
  • Telemedicine and remote consultation infrastructure

Where public hospitals outsource imaging or laboratory services, we structure investment-backed operations with local partners β€” quality service for patients, fair returns for investors, capacity for the system.

πŸ“ˆ Investment Structuring for Healthcare

For local and international investors entering African healthcare.

  • Bankable project pipelines: imaging, laboratories, dialysis, clinics
  • Revenue-share and PPP structures with public providers
  • Operating partners and management systems included
  • Full compliance: KYC, beneficial ownership, anti-bribery covenants
  • Portfolio pathway from single asset to regional platform

Where public officials or their relatives could hold interests, conflict-of-interest and anti-corruption rules are applied without exception.

Not sure which pillar you need?

Start with the need. One conversation, and we will tell you honestly what we can deliver, with whom, and by when.

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