Most of my work has been from the inside, staying long enough to see whether a change held. A few examples, each tied to a step above.
Built to outlast · Community Empowerment Lab
Field operations still running 10 years later
I was brought in to turn around struggling intervention operations on a 27,000-participant health trial, with more than 100 team members spread across 2,000 sq km. I led the build of a central, data-driven war room connected directly to every one of them.
The team's performance nearly doubled in six months. The war room is still running, long after I left.
Diagnose, then pilot · Nirogam
One place for the work, rolled out team by team
The first thing I did was run a diagnosis, interviewing the founder and the team. The biggest issue they raised: work scattered across eight different tools, and context trapped in people's heads, so people waited on each other for even basic questions across teams.
We chose a single project management tool that covered everything we needed: chat, tasks, documentation, message boards, direct messages and scheduling. Then we rolled it out over three months. I pitched it to the team, a couple of teams volunteered to try it first, and their success stories became the pitch to everyone else. Internal-facing teams moved over first, external-facing teams after them.
Years later, it's still how Nirogam runs as a remote team spread across cities and time zones.
Adjust what isn't sticking · Nirogam
Swapping a heavy system for one people actually used
We first rolled out a full-featured performance management tool. Within months, nobody was using it. So we replaced it with something much lighter: monthly team and individual targets, and six-monthly learning goals, posted in the project tool everyone already opened every day.
For the first time, in the founder's words, people were putting their goals in writing and answering for them.
Without authority · Community Empowerment Lab
A stalled study, fixed without any authority
A separate study at the same organisation had stalled for months. I was brought in specifically to fix it, with no authority over any of the people who actually mattered: government health workers, district officials, and a senior hospital doctor actively steering patients away.
I treated it as a behavioural problem, not a management one.
A public ranking system made health workers compete for training instead of avoiding it. I figured out what the antagonistic doctor actually wanted, recognition in front of international visitors, and made sure he got it.
Within seven months of my taking over as programme director, the study was back on track. The results it delivered helped secure $1M CAD in scale-up funding.