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Impact

A record of account.

Counted in the things that were built and are still standing, rather than in activities delivered.

Reach

The scale the work has operated at

Programmes, countries and networks reached through technical and strategic leadership.

18+

Years

Strategic and technical leadership across global health systems.

277M+

USD

Maternal and newborn health programme supported through IPC and WASH technical leadership.

22

Countries

Supported through UNICEF's Hand Hygiene for All initiative.

32

Networks

Country-level faith-based health networks strengthened under the USAID MCGL project.

Delivery

What was actually built

Capacity, facilities and accredited systems — the units that outlast a funding cycle.

1,044

Professionals

Laboratory professionals trained in biosafety and health security.

216

Facilities

Healthcare facilities strengthened across 44 counties.

21

Laboratories

Supported toward ISO 15189 accreditation and ISO 15190 safety compliance.

200+

Health workers

Capacity built across 34 facilities to institutionalize IPC and WASH within routine health system functions.

The work in practice

Where the figures were earned

Facilities, ministries, conferences and county governments — the engagements the ledger counts.

Health care workers seated around a conference table during a WASH FIT training session.
A group of health workers gathered around a desk reviewing documents together.
A document being handed over during a meeting, flanked by national and county flags.
A large group photograph outside the Executive Office of the Governor, Laikipia County.
Two people seated at a desk working with an ATP monitoring device and printed records.
Health care workers in masks holding printed IPC job aids and guideline documents.
A laboratory worker in a white coat handling specimens during a supervision visit.
Doris Bota presenting to a seated audience beside a projected slide.
Doris Bota facilitating a conference session with a microphone, delegates seated at tables.
A hand hygiene demonstration at a conference stand with bottles of alcohol-based hand rub.
A large delegate group photograph at the Global Summit on WASH in Health Care Facilities.
Five colleagues standing together in a Save the Children office reception.
Doris Bota crouching beside a group of children outside a community health building.

From the field

Laikipia County, Kenya

Training hospital managers, administrators and health care workers on the WASH FIT tool at Nanyuki Teaching and Referral Hospital.

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From scale to systems change

Four accounts of what changed

Named for what changed, not for the project that funded it.

A national system established

Provided technical leadership to establish East Africa's first structured national biosafety governance system in Kenya, connecting policy, governance, national curricula, implementation tools, and a technical working group.

Policy translated into practice

Technical support in the development of national IPC and occupational health and safety policy, and COVID-19 response implementation across more than 30 counties, training over 500 healthcare workers and frontline teams in IPC and WASH.

Improvement brought to facilities

Currently leading WASH–IPC systems strengthening in 34 healthcare facilities, including WASH FIT assessments, training for 200 healthcare workers, and facility improvement planning, with planned expansion to 90 additional facilities.

Evidence and leadership recognised

Recognised internationally with the IFBA Biosafety Hero Award, and published peer-reviewed evidence on strengthening biosafety, laboratory systems, and health security.

Recognition and peer-reviewed evidence are listed under insights and publications.

Geographic footprint

Where the work has been done

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.

KenyaSouth SudanGhanaNigeriaMalawiIndia

Programmes implemented directly

UNICEFSave the ChildrenManagement Sciences for HealthFHI 360University of MarylandArkangelo Ali Association

Through roles with

Next step

Bring this record to your system.

Engagements begin wherever the system is — with a diagnostic, a time-bound transformation engagement, or embedded advisory support.