Working Notes

Structured thinking notes from real-world programme work in healthcare delivery. These are exploratory memos and implementation reflections, not a marketing blog.

Current Notes

This space is used to clarify thinking, document programme learning, and build practical frameworks for improving outcomes in constrained health systems.

Working note 01

Cancer screening follow-up: where continuity breaks in district implementation

A field analysis of referral leakage points and practical interventions to improve completion from screening to diagnosis to treatment initiation.

Working note 02

Designing indicators that support decisions, not just reporting

A framework for selecting operational metrics that teams can act on weekly, with examples from programme monitoring in resource-constrained settings.

Working note 03

Implementation constraints as design inputs for digital health products

How staffing, workflow variability and infrastructure limits should shape product requirements from the beginning, rather than being treated as deployment risks later.

Working note 04

From pilot success to system reliability: what changes after scale

A structured review of operating model shifts needed when moving from controlled pilots to multi-site programmes with heterogeneous partners.

Working note 05

Capturing programme learning as reusable operating playbooks

Methods to document context, assumptions and transferable practices so implementation lessons can be reused across geographies and teams.