Most health pilots work, then collapse the moment they are handed to government. I help you design for scale from day one, so the programme outlives the donor.
Every year, donors fund health innovations that succeed as pilots and fail at scale. The intervention was sound; the handover was never designed. As donor funding shrinks, the cost of that failure climbs: more proven interventions, fewer resources to sustain them, and governments inheriting programmes they were never equipped to run.
The AI wave has rushed past this. Almost all health-AI attention sits on clinical tools. The work that actually decides whether an innovation lasts is the unglamorous part: scale-up, institutionalisation, financing continuity. That is where I work.
Practitioner know-how, plus tools you can use on your own programme today.
Free, practical checks built on the ExpandNet/WHO framework: assess your programme's readiness to scale, and pressure-test a proposal for the scale-killers funders miss.
Open the tools →Hands-on support to move a real programme from a funded pilot toward institutionalised, government-owned delivery, designed for the handover rather than bolted on at closeout.
Work with me →A plain-language video series teaching the systematic scale-up framework to the people who carry scale: programme managers, government leaders, and implementing partners.
Watch on YouTube →Pilots prove an idea works. Institutionalisation is what lets it last.
A plain-language video series on systematic scale-up, one idea at a time, grounded in real practice. Episode 1 introduces BWEIM: how to design a health programme that is built to scale from day one. New episodes regularly.
A two-minute, honest check against the four scale-killers and the design choices that decide handover survival.
Run the scalability check →