Most population-health failures are distribution failures
The intervention usually exists. What is missing is the route to the household: a channel that reaches people where they already are, a financing arrangement that does not push them into poverty, and a prevention programme designed for how people actually live rather than how a guideline assumes they do. A hotline on a bar of soap is the shortest version of that argument, and it was a real programme.
- Access and distribution strategy. Partnership channels that put a health service inside something people already buy or use, the way a soap brand became a nationwide patient-acquisition channel.
- Prevention programme design. Evidence-based programmes for outcomes where elimination is unrealistic, from campus harm reduction to the first 1,000 days.
- Health financing and household protection. The case for prevention and resilience as investment rather than cost, and the mechanisms that stop a health shock becoming a financial one. This is HSREP's standing focus.
- Surveillance and data partnerships. Population-scale access programmes that also produce public-health surveillance data, in partnership with the Directorate General of Health Services.
- Health-system resilience planning. What a system needs before the next shock, not after. The workforce crisis and the community-health-worker answer.
Proof, not promises
Three engagements that show the pattern. Each one opens the full case study.
HSREP: resilience and economic protection as one problem
HSREP is the platform I founded to work on health-system resilience and economic protection together, because in most of the world they are the same problem: a health shock is a financial shock, and a system that cannot protect households from one cannot protect them from the other. Its standing lenses are household financial protection, system resilience and preparedness, health financing as investment, and prevention and adoption. The consulting work on this page and the platform inform each other.
Who this is for, and who it is not
It is for health systems and ministries, NGOs and development programmes, funders who need an operator's read on a population-health investment, and universities and research groups that need a practitioner on the team, in Bangladesh and the United States. It is not for clinical epidemiology or modelling; I work alongside epidemiologists on what the numbers mean for the programme.
Start with a thirty-minute call
Bring the number you are trying to move. I will tell you what I would look at first, and whether I am the right person to look at it.
Questions people ask before we talk
How is population health different from health communication?
Health communication changes what people believe and do. Population health changes what a system does for a whole population: access, financing, prevention and resilience. I work on both, and they usually need each other.
What is HSREP?
Health System Resilience and Economic Protection: a platform I founded on the link between health shocks and household finances, with a public prevention-adoption initiative and a research and advocacy programme.
Do you work with funders and NGOs?
Yes. Most population-scale work involves a funder, an implementing partner and a public agency, and much of the job is making those three pull in the same direction.
Do you work in both Bangladesh and the United States?
Yes. The population-scale programmes are from Bangladesh; my public-health training and the campus programme are from Michigan; the resilience and financing work spans both.
What does the first month look like?
A systems diagnosis: who is not being reached, why, what it costs the household when they are not, and a written read on the single point in the system where a change would reach the most people.
Md Shafaat Ali Choyon (also written Shafaat Choyon) is a population-health, growth and communication strategist based in Redford, Michigan. MBA, MCIM, MPH and CHES®. Founder of HSREP, a health-system resilience platform. The same body of work, presented for other needs: growth marketing, Michigan, growth marketing, Bangladesh, fractional CMO, Michigan, brand and communications, health communication, digital health, fractional COO and CMO, health. Bangladesh readers: বাংলায় পড়ুন.