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.
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