Advising public health institutions under pressure
We work with senior leaders in multilateral and national public health institutions.
The firm draws on experience gained within senior roles across multilateral health, United Nations, and philanthropic institutions, including global and country-level emergency management, governance reform, executive communication, and donor engagement.
Our focus is institutional judgement: how governance structures respond, how emergency protocols operate, how evidence informs executive action, and how communications and financing sustain credibility.
Areas of Work
Governance and institutional strategy
Advisory on governance structures, mandate interpretation, institutional strategy, and cross-level alignment across headquarters, regional, and country settings.
Support during organisational reform, restructuring, and realignment processes.
Clarification of decision-making pathways, accountability frameworks, and resource allocation mechanisms to strengthen institutional coherence and performance
Emergency preparedness and response governance
Advisory during outbreak escalation and major health emergencies, including governance arrangements, incident-management structures, and inter-agency coordination.
Alignment of operational decision-making with legal frameworks, political oversight, and resource constraints.
Integration of climate-related risk into preparedness and response planning.
Evidence, analytics, and decision-making support
Translation of epidemiological, environmental, and operational data into structured policy options and executive-level briefings.
Development of risk assessments, scenario analysis, and evidence summaries aligned to decision timelines.
Support to leadership where information is evolving, incomplete, or contested.
Strategic Communications and Resource Mobilisation
Advisory on executive messaging, member-state engagement, and stakeholder positioning in sensitive political environments.
Development of funding strategies, investment cases, and donor alignment approaches linked to institutional priorities.
Integration of communications and financing considerations into governance and operational planning.
Contact us at hello@picoalto.global
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