Placing the frontline clinician at the heart of care
We run clinical programmes and training where the need is greatest, and we hold the trust of the communities we work in, because everything else depends on it.

5 billion
People lack access to safe, timely surgical, anaesthetic and obstetric care.
1.27 million
People lack access to safe, timely surgical, anaesthetic and obstetric care.
9 in 10
People in low and lower-middle income countries cannot access safe surgical care.
Source: The Lancet Commission on Global Surgery, Global Surgery 2030 (2015)
Where we begin, where we go
We start where the need is greatest and the evidence is thinnest: frontline facilities in East and West Africa. We build what works there, then carry it to the rural communities of wealthier health systems, where the same gaps appear in a different form.





Eight areas of our work
01
Clinician mental health and clinical wellness
Burnout prevention, peer support and confidential access to care for the workforce that holds health systems together.
02
Training, upskilling and clinical capability
Structured curricula, remote mentorship and continuing professional development built around frontline practice, not the classroom.
03
Communities of learning and practice
Peer networks and mentorship that reduce professional isolation and build collective competency.
04
Health systems strengthening
Clinical and systems-strengthening programmes with ministries of health, county governments, professional societies and academic institutions.
05
Digital tools and Meaningful AI for clinicians
Digital health technologies and clinical decision-support tools that give clinicians back the time and capacity for care.
06
Monitoring, evaluation and clinical evidence
Evaluation frameworks that accompany every deployment, testing what works and feeding findings back to the field.
07
Connectivity and power
Connectivity and power for rural facilities: last mile networks, solar generation and the clinical technology they carry, bundled rather than delivered piecemeal.
08
Equipment, supply and access
Routing devices, equipment and medical supplies to the frontline, and incubating new technology where nothing affordable exists.
Tell us where the gap is
We only take on a handful of engagements each year. If what you’re building doesn’t fit neatly into a category, that’s usually a good sign.