Independent Advisory · East and West Africa &Localisation, Global Health, Assistive Technology

Matt Thomson

Managing Transitions: aid-dependency exits, outcomes systems, organisational governance

I help NGOs, donors, and health networks move from donor-dependent delivery to accountable, locally led operating models. Specialist depth in assistive technology and localisation across East and West Africa, with wider experience spanning the MENA region.

Regional experience
The Gambia Uganda Kenya Tanzania Tunisia

Philosophy

Localisation has to mean something, or it's just paperwork.

Too much of what gets called localisation is administrative relocation dressed up as empowerment: the reporting burden moves south, the funding rules stay exactly where they were, and the people doing the actual work absorb the risk without ever holding the budget or the veto.

Genuine ownership looks different. It means a local partner can set the agenda, not just deliver against someone else's logframe. It means they can say no to a donor's terms and the relationship survives it. My research and my field work both start from that distinction, and I don't call something local ownership unless the power actually moved with it, not just the paperwork.

At the same time, I don't treat local actors as passive until a donor grants them power. My doctoral research looks closely at how people find real agency inside rigid systems: adapting imported components, reinterpreting a project's stated goals, quietly building the workaround that keeps a clinic running when the official process can't. I call this harnessing constraint, and it's the other half of the picture. Good localisation design has to build on that existing agency rather than design around it as if it isn't there.

Advisory Services

AD · EXIT DESIGN

Aid-Dependency Exit Design

Designing the handover frameworks that move regional NGO and health networks off multi-year donor grants and into locally owned, self-sustaining operating models, without breaking the service in the process. Built from ongoing work leading multi-country transitions across Uganda, Kenya, and Tanzania.

OE · OUTCOMES

Outcomes & Evidence Architecture

Turning activity data (consults, sessions, distributions) into longitudinal outcome evidence donors can actually rely on, at both the individual and population level. Grounded in monitoring and evaluation work for EU-funded health and rehabilitation programmes, plus independent outcomes-design engagements for health platforms operating in fragile or divided systems.

GA · GOVERNANCE

Organisational & Governance Advisory

Independent evaluation of NGO structures, board governance, and practitioner-researcher partnerships. Delivered as a strategic advisor to the South West International Development Network, working directly with secretariat staff, boards, and member organisations.

PE · POLITICAL ECONOMY

Political Economy & Localisation Analysis

Rapid political economy and governance-risk analysis for programmes operating across fragile, parallel, or non-state systems. Grounded in doctoral research into how localisation actually functions on the ground, not how it reads in a policy paper.

How I Work

A structured process, from inception to delivery.

01

Inception & desk review

Kickoff briefing, review of existing strategy and reporting documents, and interview guides built for each stakeholder tier.

02

Consultation & data gathering

Semi-structured interviews across the organisation, from board members to frontline partners, alongside a systems audit of internal processes.

03

Synthesis

Interview evidence triangulated against documentary review, so every finding is verified from more than one angle before it's written up.

04

Delivery

A full report plus a short, non-technical summary suitable for a board briefing or donor audience.

Typical engagements run 12 to 20 working days, scoped and quoted before work begins.

Engagements usually take one of three shapes: a rapid strategic briefing (2 to 4 weeks), a deeper systemic assessment (6 to 12 weeks), or ongoing advisory support for a longer transition.

Research & Analysis

Doctoral research, University of Bristol (SPAIS)

My PhD examines the politics of localisation in Sub-Saharan Africa, focused on assistive technology and prosthetics and orthotics networks across East and West Africa.

Rather than treating localisation as an ethical promise or a donor checklist, I look at how it actually functions as governance in practice: a set of everyday administrative tasks, funding rules, and reporting routines that shape who holds real decision-making power, regardless of what the strategy document says.

The research traces this across four levels, from global donors and multilateral agencies, through intermediary NGOs and research hubs, down to frontline clinics and the technicians and patients navigating them day to day.

I bridge this with field experience across The Gambia, Uganda, Kenya, and Tanzania, and translate it into evaluation methodology, outcomes design, and strategic advice for the organisations actually doing this work.

Long-form essays and field dispatches are linked below via Substack and LinkedIn.

Localisation Theatre
Following Femke Mulder: the performance of participation, consultation, and local sign-off, staged to satisfy donor compliance, while the funding, the timeline, and the real decisions stay exactly where they were.
Governance-in-Practice
Localisation understood not as a policy commitment but as the accumulation of ordinary administrative tasks, funding rules, and reporting routines that quietly decide who actually holds power.
Harnessing Constraint
The small, repeated adaptations through which local actors work inside donor-imposed limits: reinterpreting a brief, adjusting an imported part, building the workaround that keeps a clinic open.
Project Logic vs. Systemic Coherence
The gap between individual interventions that each look successful in isolation, and a wider system that never stabilises, because funding cycles, leadership, and reporting requirements don't talk to one another.

Building On

Anthony Giddens, structuration: the same rules that constrain action are also what enable it, so structure and agency are produced together rather than opposed.
Femke Mulder, on localisation as performance: naming participatory process as staged compliance rather than an actual transfer of power.
Séverine Autesserre, on the meta-relationships that quietly decide which interventions are considered credible, and on finding real hope in the unglamorous, local relationships that international actors usually overlook.

Field Note

A new prosthetics and orthotics clinic in Bansang, The Gambia, opened with proper ramps and wide doors, exactly what accessible design guidance asks for. The path leading to it was steep, rocky, and unpaved. The hospital CEO explained that the funding covered the building itself; the ramps and the clinic were in scope, the path wasn't.

"It wasn't said defensively. It was just a fact."

The regional governor's office was sympathetic but realistic: the most likely route to a funded path ran through the British High Commission, the UN, or the EU lobbying central government to release money. To put concrete on a path. That's what governance-in-practice actually looks like on the ground, not a failure of goodwill, a question of who gets to decide what counts as "in scope."

The Waste End The NHS pays roughly £369 per tonne to dispose of prosthetic titanium and carbon fibre once components are flagged as clinically expired, while clinics across Sub-Saharan Africa scrape together $1,000 to $3,000 for whatever components they can afford.
The Workaround Some of the most durable solutions never touch that pipeline at all. In Ghana, Dr Eric Gaba has developed prosthetic socket liners from pineapple leaf fibre, a renewable local material that sidesteps imported supply chains entirely.

Credentials & Track Record

Operational leadership meets academic depth.

Operational Leadership & Governance

Community Partnerships & Research Manager, INGO (Global Health & Disability)2022 – present

Co-manage a multi-year, EU co-financed programme in The Gambia, and lead multi-country transitions across Uganda, Kenya, and Tanzania, moving regional grassroots networks from grant dependency to self-sustaining operating models.

Strategic Advisor, South West International Development Networkongoing

Freelance consultancy helping NGOs evaluate their organisational structures and build effective practitioner-researcher partnerships.

Statutory Bid Writing & Institutional Growth

Documented success authoring high-value institutional bids and designing strategies that scale smaller NGO operations into larger institutional footprints.

Academic & Institutional Appointments

PhD Researcher & Lecturer (Politics), University of Bristol2024 – present

School of Sociology, Politics and International Studies (SPAIS), examining power dynamics, capital flows, and the politics of localisation.

Exceed Research Network (ERN)

Contributor partnering with universities, health ministries, and NGOs to build the evidence base for prosthetics and orthotics services in low-resource settings.

Postgraduate Guest Lecturer

University of Southampton, MSc in Amputation & Prosthetic Rehabilitation, bridging international policy with clinical field realities.

MSc Development & Security (Distinction), University of Bristol2019 – 2020

Thesis on how small-scale NGOs maximise structural impact through cross-sector partnership design in Uganda.