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Impact

A record of account.

Counted in the things that were built and are still standing, rather than in activities delivered.

Reach

The scale the work has operated at

Programmes, countries and networks reached through technical and strategic leadership.

18+

Years

Strategic and technical leadership across global health systems.

277M+

USD

Maternal and newborn health programme for which Doris led the WASH and IPC technical portfolio across multiple countries.

22

Countries

Supported through UNICEF's Hand Hygiene for All initiative.

32

Networks

Country-level faith-based health networks coordinated and strengthened under the USAID MCGL project.

Delivery

What was actually built

Capacity, facilities and accredited systems — the units that outlast a funding cycle.

1,044

Professionals

Laboratory professionals trained in biosafety and health security, reached through a 48-person national trainer cadre built and directed for the programme.

216

Facilities

Health facilities strengthened on biosafety and biosecurity across 44 counties.

21

Laboratories

Supported toward ISO 15189 accreditation and ISO 15190 safety compliance.

200+

Health workers

Capacity built across 34 facilities to institutionalise IPC and WASH within routine health system functions.

The work in practice

Where the figures were earned

Global level, Ministries of Health, County governments, Health facilities, Conferences, Global and National technical working groups, and Communities of practice.

Health care workers seated around a conference table during a WASH FIT training session.
A group of health workers gathered around a desk reviewing documents together.
A document being handed over during a meeting, flanked by national and county flags.
A large group photograph outside the Executive Office of the Governor, Laikipia County.
Two people seated at a desk working with an ATP monitoring device and printed records.
Health care workers in masks holding printed IPC job aids and guideline documents.
A laboratory worker in a white coat handling specimens during a supervision visit.
Doris Bota presenting to a seated audience beside a projected slide.
Doris Bota facilitating a conference session with a microphone, delegates seated at tables.
A hand hygiene demonstration at a conference stand with bottles of alcohol-based hand rub.
A large delegate group photograph at the Global Summit on WASH in Health Care Facilities.
Five colleagues standing together in a Save the Children office reception.
Doris Bota crouching beside a group of children outside a community health building.

From the field

Laikipia County, Kenya

Leading hospital managers, administrators and health care workers through the WASH FIT tool at Nanyuki Teaching and Referral Hospital — the assessment that turns a facility’s water, sanitation, hygiene and infection prevention gaps into an improvement plan the management team owns and budgets for.

01 / 13

From scale to systems change

Accounts of what changed

Named for what changed, not for the project that funded it.

A national system established

Led the technical work that established East Africa's first structured national biosafety governance system in Kenya, and convened the technical working group that connects its policy, governance, national curricula and implementation tools.

Policy translated into practice

Led the technical support behind national IPC and occupational health and safety policy, and directed COVID-19 response implementation across more than 30 counties, training over 500 health care workers and frontline teams in IPC and WASH.

Improvement brought to facilities

Currently leading WASH–IPC systems strengthening in 34 health care facilities, including WASH FIT assessments, training for 200 health care workers, and facility improvement planning, with planned expansion to 90 additional facilities.

Evidence and leadership recognised

Recognised internationally with the IFBA Biosafety Hero Award, and published peer-reviewed evidence on strengthening biosafety, laboratory systems, and health security.

Biosafety and biosecurity taken to scale

Built and directed a 48-person national trainer cadre that reached 1,044 laboratory professionals across 216 facilities in 44 counties, with five sensitisation meetings bringing 264 health managers behind the programme. Site visits were conducted in 51 facilities, with biosafety achievements assessed in 21. These included improvements in eye wash stations, spill kits, waste segregation, incident documentation, hepatitis B vaccination, and designated phlebotomy areas. The model enabled rapid scale-up, strengthened understanding of biosafety, and translated management buy-in into practical improvements at facility level.

Two of these accounts are set out in full — context, challenge, approach and results — as case studies. Recognition and peer-reviewed evidence are listed under insights and publications, and colleagues and partners give their own account under testimonials.

Geographic footprint

Where the work has been done

Directly implemented programmes in Kenya, South Sudan, Ghana, Nigeria, Malawi, and India, while providing regional and global remote technical assistance across Sub-Saharan Africa, Europe, and Central and Southern Asia through roles with UNICEF, Save the Children, MSH, FHI 360, University of Maryland, Arkangelo Ali Association, and independent consultancy engagements. This includes support to Christian Health Associations across 32 African countries.

KenyaSouth SudanGhanaNigeriaMalawiIndia

Programmes implemented directly

UNICEFSave the ChildrenManagement Sciences for HealthFHI 360University of MarylandArkangelo Ali Association

Through roles with

Next step

Bring this record to your system.

Engagements begin wherever the system is — with a diagnostic, a time-bound transformation engagement, or embedded advisory support.