Epistemology
Clarify who defines success and what evidence counts.
How We Imagine Change
From fragmented intervention to institutional resilience, grounded in the vision of Reimagining Global Health.
Global Systems Context
Global health systems face donor contraction, sovereign debt pressure, workforce constraints, and fragmented accountability. The opportunity is not incremental improvement, but structural renewal anchored in integration, legitimacy, and locally led innovation.
Integration
Private Sector, Accountably Used
Self-Care and Community Voice
Locally Owned Innovation
Consultancy Philosophy
Sustainable impact in global health does not come from better projects. It comes from better institutions. My work focuses on the structural level where governance, financing, workforce design, data systems, and public trust intersect.
The approach is directional: clarify the public good, align incentives, build coherence, embed adaptive learning, and transfer ownership. The goal is to move from project logic to sustained public value.
From Paradigm Shift to Practice
Reimagining Global Health identifies six paradigm shifts. With & For translates these into institutional design and delivery decisions.
Financing
Align budgets and incentives with outcomes and equity.
Governance
Strengthen accountable authority for delivery performance.
Innovation
Integrate digital and service innovation into system architecture.
Climate
Design resilience into planning, surveillance, and delivery models.
Pro-Sociality
Build legitimacy through community value and social trust.
Directional Theory of Change
- Clarify Public Good: define the problem, for whom, and measurable success; this is normative before it is technical.
- Align Incentives: reward outcomes, equity, and retention rather than disbursement or activity volume.
- Build Coherence: connect governance, financing, workforce, delivery, and digital architecture into one operating system.
- Embed Learning: institutionalize real-time feedback loops so strategy can adapt under pressure.
- Transfer Ownership: strengthen domestic capability, authority, and social legitimacy beyond donor cycles.
Result: from donor-dependent projects to resilient institutions that sustain public value.
Structural Alignment
Reimagining Global Health provides the normative and structural critique. With & For provides the applied pathway to institutional transformation.