Expertise
Each is usually planned by a different team against a different indicator. Patients meet them as one thing: whether care is safe.
Translating evidence and implementation learning into policies, financing approaches, institutional arrangements, and coordinated action across ministries, donors, and partners.
Closing operational gaps between WASH services and infection prevention performance to strengthen patient and health worker safety, quality of care, and outbreak readiness.
Strengthening diagnostic networks, point-of-care testing, specimen referral, surveillance linkages, quality management, biosafety, and biosecurity across levels of care.
Aligning ministries, donors, and implementing partners around one shared technical and policy agenda, and turning that alignment into policy decisions, investment cases, and systems change.
Directly implemented programmes in Kenya, South Sudan, Ghana, Nigeria, Malawi, and India, while providing regional and global remote technical assistance across Sub-Saharan Africa, Europe, and Central Asia through roles with UNICEF, Save the Children, MSH, FHI360, University of Maryland, Arkangelo Ali Association, and independent consultancy engagements. This includes support to Christian Health Associations across 32 African countries.
The methodology
From policy to practice. From projects to institutions.
Strategic focus
Leveraging WASH, infection prevention and laboratory systems to advance respectful maternity care, newborn safety, specimen referral and surveillance, outbreak preparedness, and the safety of patients and health workers — while improving quality of care and building resilient, integrated health services.
Transformation outcome
Embedding health priorities into governance structures, policies, institutions, financing mechanisms, and accountability systems that endure beyond projects and funding cycles.
Strategic enabler
Turning evidence, implementation learning, and stakeholder partnerships into policy decisions, investment cases, governance reforms, and systems change.
Knowledge management and MEAL — monitoring, evaluation, accountability and learning — run through every pillar, tracking quality, capturing learning, and generating evidence for adaptation and scale.
The instrument
Eight domains that decide whether infection prevention and WASH are a function of the health system or a project running alongside it. Select any one of them, or let the wheel turn.
Pillar 02 · Health systems strengthening through governance and institutionalization. Institutionalized, accountable, and financed health systems that sustain quality of care, health security, and country ownership.
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Domain 1 of 8
One set of rules, owned by government, covering both functions at once.
The WASH and IPC Health Systems Wheel™ · Evidence-informed strategies for health care facilities (2024–2026)
Collective impact
Download the full wheel · Image credit: Doris Bota, IPC/WASH and health systems consultant.
Engagement structure
Engagements can begin at any tier, depending on where the system is. Monitoring, evaluation, learning and knowledge management are integrated throughout.
1
Tier 1
Find out where the system actually is.
A focused review of diagnostic networks, WASH–IPC, policies, quality systems, governance, workforce, and data, producing priorities, findings, and a practical action plan.
2
Tier 2
Build the arrangements that make change stick.
A time-bound strategic and technical engagement that aligns governance, policy, financing, and partnerships, and develops standards, tools, workplans, capacity, and MEAL mechanisms for implementation.
3
Tier 3
Stay until the institution owns it.
Ongoing embedded advisory and technical support that stewards implementation, strengthens capacity, resolves emerging challenges, and sustains institutional ownership. Includes the Learning and Evidence Loop, which turns implementation learning into policy, investment, and system-wide change.
Next step
The diagnostic scores ten domains of integration in about five minutes and returns the three that most need attention — a reasonable place to begin a scoping conversation.