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PROTOTYPE
PATHWAY

KLIC2025 Execution Mechanism

Country Prototype Acceleration Pathway

From country hackathon to authority-backed pilot execution.

Understand → Diagnose → Create → Commit → Adopt → Execute

What is the Country Prototype Acceleration Pathway?

Turning system bottlenecks into authority-backed pilots.

The Country Prototype Acceleration Pathway is the KLIC2025 mechanism that helps country teams transform priority system bottlenecks into practical prototype designs, prepare those prototypes for presentation to the relevant national authority, and support their adoption as pilots through structured 30-, 60-, and 90-day implementation roadmaps.

The pathway is not about producing ideas for their own sake. It is about helping countries produce prototypes that are country-led, grounded in real operational constraints, feasible within the direct responsibility of national teams, and simple enough to be tested quickly. Each prototype must be presentable to Ministries of Health, EPI, national immunization programmes, digital health units, supply chain authorities or other relevant decision-making bodies — and structured for validation, adoption, funding consideration and partner alignment.

KLIC2025 did not stop at convening knowledge. It created a pathway for countries to transform system bottlenecks into prototype designs, introduce those prototypes to national authorities, and move toward pilot adoption through structured 30-, 60-, and 90-day roadmaps.

Country team working on prototype design during KLIC2025

Strategic Rationale

Why KLIC2025 Needed a Country Prototype Acceleration Pathway

KLIC2025 responded to a recurring failure in health innovation: countries are exposed to many tools, pilots and partner-driven initiatives, but these often remain fragmented, poorly governed, disconnected from national priorities or impossible to implement quickly.

The problem KLIC2025 addressed

Health innovation tends to accumulate at the level of events, reports and knowledge exchanges. Countries attend, learn and then return without a defined pathway to move what they learned into institutional action. Prototypes get shelved. Commitments evaporate. Partners move on.

The approach KLIC2025 introduced

KLIC2025 positioned innovation as a country-led execution discipline. The goal was to help countries identify what could realistically change within 30–60 days, using available institutional authority, existing tools and practical partner support — not waiting for perfect conditions.

Six-Stage Mechanism

How the Pathway Works

Each stage of the pathway builds on the previous one, moving country teams from shared knowledge to institutional prototype adoption.

01
Step 1

Understand — Knowledge Labs

Knowledge Labs provided the technical and organisational foundations needed for country teams to analyse their own systems. They prepared country teams to diagnose their own bottlenecks with greater precision — not as training for its own sake, but as preparation for the Country Clinics.

Labs exposed participants to practical levers including:

  • Geo-intelligence and health equity
  • AI and predictive modelling
  • Interoperable digital platforms
  • Data ecosystems and collective intelligence
  • Climate-smart supply chains
  • Community-centred innovation
  • Innovation financing and governance
  • Workforce performance and digital coaching
Knowledge Lab session during KLIC2025
02
Step 2

Diagnose — Country Clinics

Country Clinics moved teams from general learning to country-specific diagnosis. Each country analysed real bottlenecks using its own context, data, workflows and institutional constraints. They were the bridge between knowledge and prototype design.

Bottlenecks addressed included:

  • Zero-dose children and missed communities
  • Weak microplanning
  • Fragmented HIS/LMIS systems
  • Poor data use at district level
  • Workforce performance gaps
  • Unclear governance and decision chains
  • Supply chain and cold chain vulnerabilities
  • Limited community engagement

What can we realistically change within 30–60 days, within our direct responsibility, using the systems and resources already available?

Country Clinic diagnosis session during KLIC2025
03
Step 3

Create — Hackathon Prototype Design

The KLIC2025 Hackathon was not a traditional ideation competition or technology showcase. It was designed as an execution tool. Each country team worked on one clearly defined priority problem through a two-sprint logic:

Sprint 1

Problem clarification

Each team reformulated their bottleneck into a clear, actionable and measurable challenge.

Sprint 2

Prototype design

Each team developed a practical solution that could be tested or initiated quickly.

Prototypes were intentionally pragmatic — workflows, operational diagrams, dashboards, microplanning tools, geospatial targeting maps, supervision checklists, community referral circuits, stock monitoring processes, lightweight digital tools, predictive models, maintenance protocols or coordination routines.

The Hackathon was the creation engine of the Country Prototype Acceleration Pathway: it transformed country-specific system bottlenecks into prototype designs that could be presented, tested and adopted.

KLIC2025 Hackathon prototype design sprint
04
Step 4

Commit — Implementation Pledges

KLIC2025 did not treat prototypes as final outputs. Each prototype became the basis for an Implementation Pledge — a formal commitment that prevents the innovation from dissipating after the event.

Each Implementation Pledge specifies:

  • What will be implemented
  • Which unit or authority will lead
  • What support is needed from partners
  • What first steps will be taken
  • What timeline will guide action

The prototype becomes meaningful only when it is translated into an implementation pledge — a clear commitment that assigns responsibility, defines support needs and creates a short-term execution horizon.

Country team presenting implementation pledge during KLIC2025
05
Step 5

Adopt — Presentation to National Authorities

The final pitch at KLIC2025 was not only a communication exercise. It was a leadership rehearsal and authority-engagement mechanism. Each country presented:

  • The priority challenge
  • The prototype solution
  • Why this solution was chosen
  • Feasibility within 30–60 days
  • First implementation steps and responsible unit
  • Support required from partners or national authorities

The prototype package then becomes the basis for presentation to the relevant country body — Ministry of Health leadership, EPI or National Immunization Programme, digital health directorates, supply chain authorities, district or provincial health leadership, financing and planning departments, or partner coordination platforms.

The authority-facing package helps decision-makers understand what the prototype addresses, why it matters for equity and system performance, how it works, what is needed to test it, and what can be done in 30, 60 and 90 days.

The Country Prototype Acceleration Pathway gives each prototype a route into the national decision system. KLIC does not stop at prototype creation; it supports the preparation of prototypes for institutional review, endorsement, funding consideration and pilot adoption.

Country team presenting prototype to national authority representatives at KLIC2025
06
Step 6

Execute — 30-, 60-, and 90-Day Roadmaps

KLIC2025 emphasised 30–60 day feasibility as the foundation of execution discipline. The full 90-day post-KLIC roadmap gives authorities and partners a concrete, phased sequence of decisions, resources and actions needed to test and adopt each prototype.

First 30 Days

Validation & Mobilisation

Country teams refine the prototype package, confirm ownership, validate the problem-solution fit with the relevant authority, and clarify immediate support needs.

Outputs:

  • Authority briefing note
  • Refined prototype concept
  • Named institutional owner
  • First pilot site selected
  • Initial partner support mapped

Days 31–60

Pilot Preparation & Early Testing

The country team prepares operational conditions for testing — adapting tools, training users, setting up workflows, confirming data collection methods and launching a limited test.

Outputs:

  • Pilot workplan
  • Adapted workflow or tool
  • Trained users
  • Operational checklist
  • Initial field test launched

Days 61–90

Review, Adjustment & Adoption Decision

The team reviews early results, documents lessons, adjusts the prototype and prepares a decision point for continuation, expansion, partner funding or integration into national planning.

Outputs:

  • Early results note
  • Lessons learned
  • Revised prototype
  • Funding or partner ask
  • Scale-up or continuation recommendation

The 30-, 60- and 90-day roadmap is what turns the prototype into an execution pathway. It allows authorities and partners to see not only the idea, but the sequence of decisions, resources and actions required to test and adopt it.

The Role of KLIC

From Prototype to MoH-Backed Pilot

KLIC does not position itself as a convener or knowledge platform. Its role in the pathway is operational: ensuring each prototype reaches the decision-maker with the authority to endorse, fund or adopt it.

Prototype preparation support

KLIC supports country teams in developing authority-facing prototype packages — helping them articulate the problem, the solution logic, the feasibility and the 30–60 day implementation sequence in a format appropriate for MoH or EPI review.

Partner and donor alignment

The prototype and implementation pledge create a structured basis for aligning partner portfolios with country priorities — replacing fragmented project reporting with a shared execution framework that Gavi, UNICEF, WHO, ADB and others can connect to.

Pilot readiness assessment

Before a prototype is presented to the national authority, KLIC helps country teams assess whether the institutional conditions for piloting exist: who owns the decision, what budget or resources are available, what systemic constraints must be addressed first.

Cross-country learning

Countries working on similar bottlenecks — zero-dose communities, cold chain weaknesses, fragmented HIS — can learn from each other's prototype designs and early results. KLIC builds this cross-country learning layer across each cycle.

KLIC2025 in Action

Prototype design. Authority engagement. Execution.

Political & Operational Anchor

Link with the Hanoi Declaration

The Hanoi Declaration gave political and operational weight to the Country Prototype Acceleration Pathway. It did not simply summarise the event — it consolidated the short-term country commitments emerging from the Hackathon and Implementation Pledges into a collective framework.

The Declaration functions as:

  • A collective execution framework
  • A country-led commitment mechanism
  • A tool to reduce fragmentation across partner portfolios
  • A basis for partner alignment around shared country priorities
  • A reference for the 2026–2027 post-KLIC trajectory

The Hanoi Declaration anchors the Country Prototype Acceleration Pathway in a broader movement for country-led innovation, health justice and system modernisation. It turns individual prototype commitments into a collective execution trajectory for 2026–2027.

Hanoi Declaration signing and collective commitment session KLIC2025

Post-KLIC Infrastructure

Post-KLIC Follow-Up: KLIFT, KLIConnect and Innovation Agora

The pathway does not end with the Hackathon or the final pitch. It requires a post-event infrastructure that keeps prototypes alive, tracks progress and maintains accountability.

Post-KLIC Support

KLIFT

KLIC Local Implementation & Field Testing

KLIFT is the KLIC post-event support mechanism that helps country teams test their hackathon prototypes in real field conditions during the first 30–60 days, validate assumptions, identify implementation barriers, and refine the solution before wider adoption.

KLIFT supports:

  • Field validation and workflow testing
  • Identification of operational barriers
  • Adjustment of tools, roles and timelines
  • Early evidence generation
  • Preparation for MoH review or partner support

Tracking Infrastructure

KLIConnect

KLIConnect is the tracking and learning infrastructure for the pathway. It monitors progress against implementation pledges, identifies operational risks and bottlenecks early, and surfaces early results and visible impact across countries.

KLIConnect tracks:

  • Prototype implementation progress
  • Operational risks and bottlenecks
  • Early results and visible impact
  • Support needs from partners

Peer Learning & Accountability

Innovation Agora

The Innovation Agora is the peer-learning and accountability space where countries share progress, obstacles and adjustments. It keeps the pathway active and prevents prototypes from disappearing after the KLIC event — maintaining the discipline of execution across the 2026–2027 trajectory.

The Country Prototype Acceleration Pathway does not end with the Hackathon. KLIFT, KLIConnect and the Innovation Agora provide the post-KLIC infrastructure needed to test, track, adjust and share prototype implementation.

Concrete Deliverables

Expected Outputs

Each country team that completes the full pathway produces a set of concrete, authority-ready outputs.

Country challenge statement

Clear, measurable framing of the bottleneck from the Country Clinic

Root-cause analysis

Structured diagnosis from Country Clinic work

Prototype design

Practical, testable solution developed in the Hackathon

3-minute pitch

Concise authority-facing presentation delivered at KLIC2025

Authority-facing prototype package

Full documentation for MoH, EPI or national authority review

Implementation pledge

Formal commitment with owner, support needs and timeline

30-, 60-, and 90-day roadmap

Phased action plan for prototype testing and adoption

Pilot decision note

Summary document for institutional endorsement

Partner support or funding ask

Defined resource requirements for pilot activation

Monitoring indicators

Defined measures for tracking pilot results

Post-KLIC learning update

Early results and lessons shared through the Innovation Agora

For Countries, MoH and Partners

Why This Matters

For Ministries of Health and EPI

The pathway gives country teams a structured mechanism to develop, present and gain institutional backing for practical prototype solutions — without waiting for external funding cycles or partner-led processes. Countries leave KLIC with a prototype their own authority can endorse.

For Donors and Technical Partners

The pathway produces authority-facing prototype packages and implementation pledges that provide a concrete basis for partner alignment. Gavi, UNICEF, WHO, ADB and national foundations can connect their portfolios to country-defined priorities rather than driving their own parallel processes.

For Health Justice and Equity

The pathway systematically addresses bottlenecks that affect the most marginalised communities — zero-dose children, missed populations, fragile supply chains, weak community referral systems. Country-led execution is the most reliable path to health equity.

Align your programme with the Country Prototype Acceleration Pathway

Ministries of Health, donors and technical partners can engage with the pathway — supporting country teams in prototype preparation, institutional adoption and pilot activation through 30-, 60-, and 90-day roadmaps.