Health Strategy and Delivery Foundation
Public records raise at least one point you should look into before giving.
What it says it does
To be the leading thought partner and trusted advisor to a multitude of stakeholders for developing effective solutions and driving transformative impact in the health and social sector in Nigeria and the African Continent.
- Income
- $4.9 million
- Spending
- $4.9 million
- Spent on programs
- 88%
- Reserves
- 1.3 months of spending
- Largest source of income
- donations and private grants, 97%
- Employees
- 2
- Highest pay
- $160,999, associate director
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 54 out of 100. Higher than 16% of charities in its peer group (international, $1m to $10m).
Reserves
10 of 35Spendable reserves would cover 1.3 months of spending.
Debt
2 of 20It owes 87% of what it owns.
Living within its means
12 of 15Income exceeded spending by 2% of income.
Income trend
15 of 15Income rose 45% on the year before.
Spending floor
15 of 1588% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Fair: 55 out of 100. Higher than 12% of charities in its peer group (international, $1m to $10m).
Independent board
5 of 252 of 5 voting board members are independent.
Conflict of interest policy
0 of 15Reports no written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
0 of 10Did not give the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (7)
- $1.7 million spent. PPH: Progress Summary of the 'Scaling Up Postpartum Hemorrhage (PPH) Bundle in Nigeria' Project. The Scaling Up PPH Bundle in Nigeria project has three strategic outcomes; outcomes one, two and three each assigned to Solina Center for International Development (SCIDaR), Clinton Health Access Initiative (CHAI) and Health Strategy and Delivery Foundation (HSDF) respectively. *Outcome Three focuses on Improved access to affordable high-quality PPH care within secondary and primary health facilities in focus states, is being implemented by HSDF in two states (Kano and Niger) out of the 7 project states. Other states include Lagos, Katsina, Plateau, Delta and Ebonyi. *Conducted 3-day DRF training and problem identification workshops where 31 senior supply chain and RMNCAH+N program personnel in Niger and Kano states were engaged. The workshops were used to assess unique challenges faced by each state and context-specific mitigation strategies developed. *Ongoing recruitment of six (6) state technical assistants (STAs) to be deployed to Kano and Niger states (3 per state). The personnel will be responsible for routine implementation of DRF and state health insurance strengthening interventions. *Conducted two advocacy meetings in collaboration with other Gates partners to push for the inclusion of the PPH bundle into the NHIA benefit package. Stakeholders included the FMOH&SW, NPHCDA, Gates grantees, among others. A formal engagement with the NHIA to be led by the FMOH&SW is being planned. *The team is preparing to commence formal engagements with the States Health Insurance Agencies (SHIA) of Kano and Niger in November as soon as the deployment of the STAs is completed. *The team is currently conducting a SHIA benefit package review across the 7 focal states and the outcome will inform the advocacy strategy for the inclusion of heat-stable carbetocin (HSC) and calibrated drapes in the benefit package of insurance schemes.
- $1.1 million spent. MSD for Mothers, sustainably addressing delays in seeking and receiving appropriate maternal and obstetric care by strengthening healthcare systems and empowering women and providers in Lagos and Kaduna States. *Reduced maternal deaths and deaths from PEE, PPH, and OL by 47% and 58%, respectively. *Developed a How-to-Guide to support integrated model implementation. *Successfully implemented 13 QI initiatives across 55 health facilities improving maternal outcome. *Hosted the inaugural Maternal QI Summit to share impact and drive action. *Empowered 52,210 women to make informed maternal health decisions. *Integrated co-designed NaviHealth.ai? dashboard into Lagos EMR for sustainability. *Successfully piloted GANC in 2 private facilities. *Submitted 5 abstracts and presented 6 at 3 conferences.
- $462,258 spent. CLOSA: The Connect and Learn for Sustainable Associations CLOSA project is a USAID-funded locally led initiative that is targeted at private sector associations in West Africa to connect with peer associations, evidence of best practices, and private sector experts to support and prepare them to become financially sustainable, commercially viable, and self-reliant.Over the lifespan of the project, CLOSA achieved remarkable progress in strengthening the capacities of Private Sector Associations (PSAs) in Ghana, Nigeria, Senegal across multiple components of its learning agenda, including financial management, marketing and branding, membership engagement, gender-based violence and harassment (GBVH), and revenue generation. Notably, PSAs such as NASPAN and NACOTAN (Nigeria), ANSFES (Senegal) and FAGE (Ghana) enhanced their membership engagement through the development of digital membership databases and the publication of newsletters that spotlight members and foster community interaction. Mentorship and collaborative sessions on marketing and branding with American Business Council (ABC) and AmCham Morocco improved PSAs' ability to develop sustainable partnerships, advocacy tools, and brand strategies. Additionally, through virtual GBVH training in Senegal, four PSAs established gender desks and onboarded 12 Gender Points of Contact across PSAs to institutionalize gender practices. To boost revenue generation, CLOSA facilitated peer learning with the Abuja Chamber of Commerce, resulting in NASSI FCT's successful maiden trade fair and new membership growth of 54 new members, while a new partnership between NACOTAN and Hello Tractor improved operational efficiency and asset management. Abbreviations: 1.NASPAN - National Association of Shea Products of Nigeria 2.NACOTAN - National Cotton Association of Nigeria 3.ANFES - Association Nationale des Sages-Femmes d'etat du Senegal 4.FAGE - Federation of Associations of Ghanaian Exporters 5.NASSI - Nigerian Association of Small-Scale Industrialists
- $355,828 spent. KSSDP
- $324,986 spent. Diabetes Awareness and Care Project WDF Phase 2
- $295,125 spent. Results for Development Institute R4D - HSDF is a sub awardee to Results for Development Institute R4D on the Health Systems Strengthening Accelerator HSS Accelerator is a global, USAID Cooperative Agreement to strengthen institutions and processes, and build local expertise, to ensure that health systems can tackle future challenges and weather shocks with less reliance on external support.
- $27 spent. Redesigning care, protecting the vulnerable Project NCDI
Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Worth knowing.
Status was revoked on May 15, 2016 for not filing returns for three years, and reinstated on May 15, 2016.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Caution.
The IRS master file records contributions to this 501(c)(3) charitable organization as not deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since October 2017.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.