PERFORM was a €3 million research project under the EC-funded FP7 programme, led by Liverpool School of Tropical Medicine (LSTM) and working in partnership with the University of Ghana, Makerere University in Uganda, the University of Dar-es-Salaam (Institute of Development Studies) in Tanzania, the Swiss Tropical and Public Health Institute and the University of Leeds.  The research was a collaboration with district level management teams in decentralised contexts in sub-Saharan Africa (Ghana, Tanzania and Uganda) to strengthen management through an action research process to improve health workforce performance. The project was completed in August 2015.