Nearly 40 years of experience in public health and primary health care in developing countries. Expertise in improving health systems, designing, and implementing interventions at local and national levels. Extensive work in 25 low-and middle-income countries in Africa and Asia.

Extensive clinical and program expertise in infection prevention and control; family planning; adolescent sexual and reproductive health; cervical cancer prevention; immunization, including HPV vaccine; and maternal and child health, including basic and emergency obstetric care. Managed and provided technical assistance to health programs in fragile states in Africa and Asia. Successful implementation of health services quality improvement interventions in India, Tanzania, Ethiopia, Uganda, and Liberia. Career long history of supporting developing nations establish and strengthen in-service training and pre-service education systems and health services delivery at community, secondary, and tertiary levels.