The Northland District Health Board (DHB) was one of 11 district health boards delivering a locally relevant response to address rheumatic fever rates in the community. The Northland rheumatic fever prevention programme involved several Māori providers delivering targeted throat swabbing services in their communities. The DHB wanted to understand the delivery model that provided the greatest value (best outcomes) for money (lowest cost), and Standard of Proof was contracted to implement the evaluation to inform future funding decisions.

Standard of Proof pulled together data from various sources, and worked with providers and the DHB to understand how different activities contributed to their achievements as well as the cost and efficiency of activities.

As a result of the evidence and evaluation process, the DHB and providers are now in an informed position to support programme providers achieve success in the most cost-effective way.