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Clear Solutions

ORSZ is a well-evidenced intervention, even if the evidence for free door-to-door distribution increasing coverage is limited to one RCT. Clear Solutions is already layering their intervention onto an existing commodity distribution in Chad, and could grow extremely rapidly if they can find partners, secure their supply chain and develop replicable training materials. The biggest caveat is whether they can execute better than their competition (CHAI, New Incentives, Dimagi) by being a single-issue organization.

Key Information

Overview

Clear Solutions is focused on preventing child mortality due to diarrhoeal disease in Nigeria and Chad, by delivering oral rehydration solution (ORS) and zinc directly to households.

The programme intends to expand coverage across high-burden states, integrate ORS + zinc with routine immunisation touchpoints, and strengthen last-mile supply chains.

Registration
England & Wales
Turnover (USD)
$ 545,000
Stage
Early mid-stage
Countries Active
Nigeria, Chad

The UP Index

UP Score™ 3.2 out of five InterventionEvidenceQuality OrganisationEvidenceQuality Potential forScale Payer-at-scaleInterest Bar for GlobalHealth Fund

Pathways to Scale


Payer-at-scale Interest
Government Adoption
Franchise/Replication (by other NGOs)
Commercial Revenue

Impact Metrics


Death prevented (per $1M at scale) 455
Confidence Medium
Cost per DALY averted
N/A
Total annual reach
280,000 children treated for acute malnutrition

International Evidence


Intervention Evidence Quality
Rationale: Single RCT & a quasi-experimental meta analysis
Low
Quasi-Experimental
Single RCT
Multiple RCTs
Meta-Analysis

Implementation Evidence


Organisation / Programme Evidence Quality
Rationale: Successful pilot
Medium
Pilot Study
Quasi-Experimental
Single RCT
Multiple RCTs