This case study examines the first four chapters of the MM4H (Market Systems Development for Health) initiative, which applies a market systems approach to strengthen health outcomes.
It focuses on how MM4H addressed constraints in private health markets across countries such as Nigeria and Bangladesh by working with local actors to co-design sustainable solutions.
The study shows how MM4H shifted traditional development practice by emphasising facilitation over direct delivery, targeting systemic constraints rather than symptoms.
Key lessons include the importance of adaptive programming, understanding market actors' incentives, and embedding learning into implementation.
The report concludes that applying MSD principles in the health sector is both feasible and valuable, but it requires time, local knowledge and flexibility to succeed.