Thriving Future Philanthropic Fund

Thriving Futures Fund (TFF) is a pooled philanthropic fund dedicated to improving maternal, newborn, and child health and nutrition (MNCNH) and advancing women’s livelihoods in Pakistan. By mobilizing philanthropic capital, strengthening partnerships, and investing in evidence-based interventions, TFF works to improve health outcomes, reduce poverty, and create long-term opportunities for women and children across underserved communities.

Thriving Future Philanthropic Fund

Year of Establishment:

2024

Focus Areas:

Healthcare, Nutrition, Women Empowerment, Livelihoods, Community Development

Geographical Areas of Operations:

Sindh

Beneficiaries:

Children, Youth, Women

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Brief Overview

Thriving Future Philanthropic Fund is Pakistan’s first strategic pooled philanthropic fund focused on improving maternal, newborn, and child health and nutrition (MNCNH) and strengthening women’s livelihoods. Structured as a Section 42 not-for-profit company, the fund seeks to mobilize approximately USD 100 million over five to ten years to address some of Pakistan’s most pressing development challenges affecting women and children.

The fund responds to critical challenges including preventable maternal and newborn deaths, widespread child stunting, limited access to family planning, and women’s economic exclusion. TFF acts as a trusted intermediary by pooling resources from local and international philanthropists and channeling investments into evidence-based, high-impact interventions that improve health systems, expand women’s economic opportunities, and reduce fragmentation in the philanthropic landscape.

Through collaboration with philanthropic, private sector, and public partners—including technical partnerships with global organizations such as the Gates Foundation—TFPF supports scalable and data-driven solutions. The fund emphasizes evidence-based decision-making, ecosystem strengthening, innovative health interventions, and sustainable livelihood pathways to improve outcomes for women and children across Pakistan.

Core Programs and Services

  • Routine Immunization Program: The organization works to increase childhood immunization coverage in high-risk Union Councils by strengthening outreach systems, improving continuity of care, and coordinating across public, private, and nonprofit sectors. The program focuses on expanding immunization uptake and improving service delivery to achieve approximately 80% full immunization coverage in selected areas.
  • Postpartum Hemorrhage (PPH) / E-MOTIVE Program: The organization implements the E-MOTIVE model to reduce maternal deaths caused by postpartum hemorrhage through the scale-up of standardized maternal care interventions. This includes clinical and cascade training models, financing and distribution of calibrated drapes, monitoring and accountability systems, and regulatory coordination with relevant stakeholders. In partnership with institutions including Aga Khan University, Acasus, and MSI, the program aims to institutionalize E-MOTIVE as a standard maternal care practice across Sindh and Punjab.
  • Family Planning & Postpartum Family Planning (PPFP): The organization integrates family planning services within maternal, newborn, and child health systems by embedding family planning counselors in public health facilities and expanding postpartum family planning services. The program includes community outreach, the introduction of self-care contraceptive methods such as DMPA-SC, advocacy for commodity financing, and strengthened public-private coordination to reduce unmet contraceptive needs and integrate family planning into antenatal, delivery, and postnatal care pathways.
  • Ferric Carboxymaltose (FCM) Maternal Anemia Initiative: The organization works to reduce severe maternal anemia by supporting the transition from Iron Sucrose to Ferric Carboxymaltose (FCM) as a single-dose IV iron treatment. Key interventions include clinical SOP development, government policy adoption, master trainer development, procurement support, and DHIS-based monitoring systems. The initiative aims to reduce anemia-related complications, lower transfusion and stillbirth risks, and institutionalize FCM within government healthcare systems.
  • CPAP / Neonatal Respiratory Support Initiative: The organization supports neonatal survival by expanding access to Continuous Positive Airway Pressure (CPAP) interventions in secondary and tertiary healthcare facilities. The program includes tele-neonatology support, clinical mentorship, oxygen infrastructure strengthening, and government transition planning to establish CPAP as a standard neonatal respiratory support intervention for newborns experiencing respiratory distress.
  • AI-Enabled Ultrasound Program: The organization expands access to obstetric diagnostics in underserved and rural communities through AI-assisted “blind sweep” ultrasound technology. The program includes training for midwives and Lady Health Visitors (LHVs), DRAP regulatory engagement, smartphone-linked handheld ultrasound devices, community-level diagnostics, and strengthened referral systems to support early identification and management of high-risk pregnancies.
  • Women’s Livelihoods & Economic Empowerment Portfolio: The organization supports women’s economic participation and poverty reduction through livelihood and self-employment initiatives. This includes entrepreneurship support, access to loans and credit guarantees, skills development, mentorship, market linkages, and women-led enterprise financing. The portfolio also pilots demand aggregator models to connect women producers directly to markets, reduce intermediary dependence, and strengthen scalable business opportunities. In addition, the organization conducts poverty graduation research through rural and urban pilots to generate evidence for lower-cost poverty reduction models that can be scaled by governments and development finance institutions.

What Makes Our Approach Distinct

Thriving Future Philanthropic Fund’s model is distinct because it combines strategic philanthropy with evidence-based systems strengthening to address some of Pakistan’s most pressing challenges affecting women and children. As a pooled philanthropic fund, TFF acts as a trusted intermediary by bringing together local and global donors, private sector partners, technical experts, and government stakeholders to reduce fragmentation and improve coordination across the development ecosystem.

Rather than implementing short-term standalone interventions, TFF focuses on investing in high-impact, scalable solutions across maternal, newborn, and child health, nutrition, and women’s livelihoods. The fund emphasizes evidence-based decision-making, data and analytics, and high-return interventions that can be institutionalized within public systems and scaled sustainably through government ownership.

TFPF’s approach also combines innovation with long-term sustainability by piloting transformative solutions including AI-enabled diagnostics, postpartum haemorrhage interventions, neonatal respiratory support, immunization strengthening, and women’s economic empowerment models while simultaneously strengthening health systems, workforce capacity, regulatory pathways, and market ecosystems. By fostering public-private partnerships and demonstrating successful models for scale-up, TFPF aims to create lasting, systemic change for women and children across Pakistan.

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