Staged Development Tool


NPHIs often stuggle with defining the most critical next steps for improving capacity both to carry out core public health functions and to ensure effective and efficient internal operations. The SDT uses  maturity models to help the NPHI assess its current stage and develop a road map for achieveing the desired stage.


What is the Staged Development Tool?

A process and tool-kit to help NPHIs function better and increase impact. The product of SDT planning is a road-map to better capacity and impact in areas that the NPHI considers a priority.

Involves 3 steps:


*We strongly recommend that the SDT be facilitated by a trained individual from outside the NPHI. The facilitator's role is to ask probing questions, help synthesize the discussion, and assist in development of concrete plans to achieve the desired future. 

Internal Discussion Guides

Topics such as leadership, managtement, workforce, IT, etc

View Sample Guides

External Discussion Guides

Topics related to Core Public Health Functions

View Sample Guides

What Happens Next

  • CDC and IANPHI are in the process of identifying countries to pilot the tool and train staff, as well as partners to facilitate the SDT process in selected countries. Pilots will begin in 2016.

  • CDC and IANPHI are in the process of making the tool public on CDC and IANPHI websites

Where We Use the SDT

GUINEA-BISSAU: used to assess capacity and prioritize identified gaps at the Instituto Nacional de Saúde Pública (INASA)

MOZAMBIQUE: used as part of Data-to-Action training RWANDA: used as prompts during informal discussions

SOMAILA: used as a basis for a robust discussion about leadership, management, and internal communications

SOUTH AFRICA: used as prompts during informal discussions

TOGO: used to assess capacity and prioritize identified gaps at the Institut National d'Hygiène (INH)


The Staged Development Tool (SDT) was created through a collaboration between U.S. Centers for Disease Control and Prevention (U.S. CDC) and the International Association of National Public Health  Institutes (IANPHI) with the assistance of a consultative group of national public health institute (NPHI) leaders from around the world.


SDT Consultative Group

Dr. Placido Cardoso, Guinea Bissau National Institute of Public Health

Courtenay Dusenbury, IANPHI U.S. Office

Dr. Mohamed Guled Farah, Somalia National Institute of Health

Dr. Frode Forland, Norwegian Institute of Public Health

Dr. Anthony Kessel, Dr. Mark Salter, Public Health England

Dr. Mohamed Rhajaoui, Morocco National Institute of Hygiene

Dr. Felix Rosenberg, FIOCRUZ Brazil

Anne Catherine Viso, Dr. Jean Claude Desenclos, Dr. Bertrand Xerri, Dorianne Fuchs, French Public Health Agency