Often the good work evaporates the moment the consultant leaves. These didn't, because in each case I was inside long enough to see whether the fix actually held, not just to propose one.
Nearly 7 years at one organisation. Nearly 4 at another. Nearly 3 at my bootstrapped business. Along with advising multiple leaders. So the results below weren't measured at the optimistic moment right after the intervention. They were measured after the system had been tested.
Community Empowerment Lab · public health research
A struggling trial, turned around in six months
Community Empowerment Lab is a public health research organisation where I led multiple programmes over nearly 7 years. In 2016 I was brought in to replace the intervention study team lead on a 27,000-participant health trial, at a point when the intervention operations were struggling.
More than 100 team members were spread across 2,000 sq km, and leadership couldn't see what was happening on the ground. Problems surfaced as crises rather than signals.
As part of the turnaround, I led the build of the intervention war room: a central, data-driven monitoring centre connected directly to every team member in the field.
Between April and September 2016, the intervention team's performance nearly doubled. The war room became the bedrock of the field operations, which are still running 10 years later, long after I left.
Community Empowerment Lab · a separate study
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.
Nirogam · 20-person health products company
From "I have no idea what's happening" to cash-flow positive
The founder's exact words when I joined were, "I have no idea what's happening in my business." It had been loss-making for a few years.
I cut the product line from 100+ SKUs to a dozen and rebuilt the operating system around automatic visibility rather than status meetings.
Cash-flow positive within five months, bringing in more than it spent after years of losses. 44% revenue growth. Around 60% less leadership time spent chasing updates.
The Agency Fund · multi-funder grantmaking nonprofit
A shared language for who decides what
A small, fully remote team doing a lot of work across funders, grantees and time zones. As that work grew, coordination had spread across four tools and a lot of know-how lived with individual people. Without a shared way of saying who owns which decision, many of them naturally flowed up to leadership.
Before proposing anything, I sat down with everyone on the team, one at a time. Without being prompted, every person named the same thing: how decisions got made.
I built a simple traffic-light framework. Green: the team decides. Yellow: the team decides and leadership is told, with two days to object. Red: the team recommends and leadership decides. Alongside it, I rolled out a single project management tool that gave the organisation real visibility into work that had previously run on memory, email and Slack threads.
By the time I left, the decision framework was still running without me, and another team lead had independently adopted their own version of it.
My own company
The startup I founded, built and closed
Not a turnaround. A specialty food business that brought produce grown by smallholder farmers in Meghalaya to customers across the rest of India.
With a team of three, I built it from the ground up: the logistics, supply chain, product design, financial systems and communications. Eventually it ran out of road, and the business didn't work out.
I know what it feels like to make decisions with your own money on the line, to watch something you built not work despite your best efforts, and to be the one who has to shut it down.
That's not a consulting experience, and it's why I understand what's actually at stake when you're the one in the room.