Health workers reviewing microplanning sheets outdoors
Mothers and infants at a primary health centre in Nasarawa State

Work

Answers with a budget attached.

We are commissioned when a decision is consequential, the data is imperfect, and someone will audit the reasoning later. These are the engagements we can describe publicly.

A vaccinator gives drops to a small child outside a house while two women look on

Zero-dose children, Nigeria

NPHCDAUNICEFGaviPrincipal Investigator

Nigeria's first national predictive model of zero-dose children, built for the National Primary Health Care Development Agency with UNICEF and Gavi from January to July 2026, for every local government area. It was handed over as a platform the agency runs, with ZARA, its plain-language analyst.

The findings will be released shortly, and the full study will appear here at that point.

Ask to hear when it is released

Selected engagements

Global health first: immunisation, HIV and epidemic response, from national programmes to multi-country analytics.

  • Integrated health analytics

    UNICEF, New York · AHEAD programme · Nov 2025 to Mar 2026

    An integrated framework across maternal, newborn and child health, HIV, immunisation and nutrition, tracking 27 harmonised indicators in 8,871 health facilities from national DHIS2 extraction to multilevel analysis and decision dashboards. Multilevel models separated facility, district and national contributions to inequity, with CUSUM early warning on monthly series and a fourteen-dimension data-quality tool.

    The same pipeline, indicator definitions and data-quality checks are reusable by country teams and extendable to other AHEAD countries, and the subnational briefs are written for programme managers rather than statisticians: where gaps are widest, how certain the estimate is, and which level of the system the gap sits at.

    DHIS2Multilevel modelsCUSUMData quality

  • Quality metrics and geospatial targeting

    Henry M. Jackson Foundation · Walter Reed Army Institute of Research environment · 2022 to 2025

    Technical direction of quality metrics, analysis and scientific reporting across the Philippines, Nigeria, Tanzania, Kenya and Uganda. Geospatial targeting with geographically weighted regression and empirical Bayesian kriging redirected effort toward high-yield areas in Tanzania and raised service uptake by about 15%. Classification models for case finding reached 93% accuracy.

    To show where prevention should differ, we screened 49 candidate variables from the 2022–23 Tanzania HIV Impact Survey and the 2022 Tanzania DHS across all 31 regions with three Lasso models (cross-validated, minimum-BIC and adaptive), then mapped each driver with geographically weighted regression (adjusted R² 0.784). The drivers were regional: men's alcohol use in the north-east, women's primary education in the south-east, and women receiving their HIV test results in the south-west. The result was region-specific prevention and case-finding priorities rather than one national package.

    LassoGWRKrigingClassification

  • A $15 million cooperative agreement

    USAID and PEPFAR, Abuja · 2015 to 2022

    Activity Manager and data scientist across more than thirty implementing organisations. A twelve-year retrospective cohort of 497,620 patients was analysed with survival analysis, competing-risks methods and unsupervised clustering to characterise attrition and loss to follow-up. Data validation standards designed here were adopted nationally; data-quality reporting improved by 30% and analytical cycle time fell by 25%.

    Survival analysisCompeting risksM&E systems

  • HIV testing-yield forecasting

    Independent research · 29 countries · 2026

    EvidenceLab Program Forecast Studio turns routine PEPFAR programme reports into country-led case-finding plans. It forecasts HIV testing yield one to four quarters ahead for every reporting unit, age band and sex in 29 sub-Saharan African countries, explains each forecast with exact SHAP values, and converts it into the testing volume needed to reach a target number of positive results.

    Developed on 87,946 records from 296 reporting units, 2020 to 2024. Four-quarter forecast error is 20% lower than carrying the last quarter forward, and the published model card says plainly that one quarter ahead it is no better.

    About the platform

  • Paediatric HIV hotspots in Kenya

    Research collaboration · medRxiv preprint, 2026

    Machine learning and geostatistical analysis to locate paediatric HIV hotspots for better-targeted case finding.

    Read the preprint

  • Forecasting inequity in paediatric HIV treatment

    With Dr Adedayo Adeyemi · Preprint, 2025

    The first spatial-temporal, state-specific Bayesian projections of paediatric HIV seroprevalence and unmet antiretroviral therapy need in Nigeria, for children aged 0 to 9, from 2025 to 2030. A hierarchical Beta regression combined PEPFAR programme data with Demographic and Health Survey indicators (antenatal care coverage, skilled birth attendance, under-five mortality and paediatric ART uptake), with clean convergence: R-hat 1.00, effective sample size above 1,000 and no divergences.

    National averages hide the gaps. Even with ART coverage assumed to expand by 5% a year, unmet treatment need stays concentrated in a few states, notably Anambra and Bauchi, and southern states such as Ebonyi and Anambra keep the highest projected seroprevalence. The projections show where PMTCT and paediatric ART scale-up should come first.

    Read the preprint

  • Record deduplication for ART cohorts

    Makerere University Walter Reed Project · 2024

    Three machine-learning models to deduplicate antiretroviral therapy records, reducing redundancy by about 25%, delivered with a two-day workshop so the team could maintain and retrain them.

  • AI safety evaluation for healthcare

    Independent research · medRxiv preprint, January 2026

    AlignInsight: keyword filtering missed 83% of high-risk outputs from large language models in ten healthcare domains; semantic analysis reached full detection with perfect expert concordance.

    About AlignInsight

A health worker marks the finger of a vaccinated child
Oral polio vaccination in a rural community
Aerial view of the old city of Kano in 1959

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We will say early and plainly whether the available data can support the question you want answered.