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.
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, 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 →The WHO 2026 scaling toolkit and the ExpandNet/WHO framework, fitted together on one page. Plus the coming Vacant Seat Standard.
See the four layers →Free five-page pack: a real case with the numbers, the nine-step strategy tool, and the 16-question readiness checklist with the four scale-killers tagged.
Get the free pack →You do not need a clinical degree. Get the free Break-In Checklist: the first 90 days of a public health career, in order, with AI as your study partner.
Get the free checklist →Bring it early, while the design choices that decide handover survival are still open. That is when this work is cheapest, and when it works best.