From national strategy to community delivery.

The foundational work, and the spine everything else connects to. We design governance structures, delivery architectures, and accountability mechanisms built for the systems they actually have to enter, which takes fluency in the policy environment and operational reality at the same time.

Two areas of particular depth sit here. In reproductive, maternal, newborn and child health, over a decade of programming across Northern Nigeria spanning family planning, skilled birth attendance, postpartum and newborn care, and adolescent services, designed to work at community, facility and system level at once. In vaccines and immunization, end-to-end strategy across the product lifecycle, from zero-dose and equity-focused delivery to Gavi alignment, grounded in the subnational realities that decide whether specific communities vaccinate.

The layer between a program's design and its outcomes, and the most distinctive part of our work. These are the systems that decide whether intended behavior change actually happens: how communities are organized to participate in services rather than just receive them, how demand is generated and measured rather than assumed, how referrals and follow-up are tracked, and how communities feed data back into programs and hold them accountable.

This work is grounded in behavioral science, using COM-B and the Behavior Change Wheel to move from behavioral analysis to communication strategy and demand generation. Most programs skip this layer or treat it as an afterthought. We design it deliberately, and we build it to be measured.

Evaluation that explains the mechanism, not just the magnitude. Programs generate numbers; what governments and donors usually lack is a credible account of what those numbers mean, why coverage moved in one community and stalled in the next, or what community health workers understood about a protocol versus what the training assumed.

Good measurement is built into a program from the start, not added at the end. We combine qualitative depth with mixed methods, from thematic and framework analysis to indicator and instrument design, so evidence changes decisions rather than sitting in a compliance report.

Business case development, landscape analysis, concept notes and full proposals, partner positioning, and investment design. The value is knowing what a funder needs to believe, what a government needs to own, and how to speak to both in the same document.

This draws on experience structuring global vaccine delivery business cases, Gavi Matching Fund proposals, and executive strategy briefs for state and federal government.