Choate Advisory shapes cross-sector initiatives that deliver meaningful impact — designing and aligning complex, multi-partner work from early concept through implementation.
How a program is designed determines who can use it, who trusts it, and who it never reaches. When programs are built around institutional convenience rather than community reality, access becomes conditional. This is a design problem — and design is something we can change.
A few examples drawn from direct engagements — evidence that when design reflects how people actually live, access follows. See the work in practice →
first-time tester rate. A community-based mobile testing program — free, walk-in, at trusted neighborhood sites — reached people who had never accessed that service before.
Resourcing trusted local organizations to lead their own engagement yielded ten times the participation impact of a professional canvassing campaign, at a tenth of the cost.
One shared framework. A multi-country convening surfaced consensus that diagnostic and prevention work could share a common structure across all nations — adapted to local context.
"Brittany brings a rare ability to bring together diverse partners across global health — translating complex challenges into actionable, fundable initiatives that drive real-world impact. Working with Brittany to strengthen health systems globally was truly a turning point."
— Carole W. Kamangu, Founder & CEO, Dumontel Healthcare Consulting
Across the arc of an initiative — from understanding what's there, to designing what's next, to resourcing and sustaining it — Choate Advisory brings strategic clarity to every phase.
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Engagements are scoped to the initiative — one-time, ongoing, retainer, or embedded within a funded proposal.
A proprietary, systems-based approach to designing initiatives that genuinely work for the people they're built around — addressing inequity at the source, not the surface. It looks at the governance decisions, workflows, and infrastructure choices that quietly determine who can participate and who cannot.
Clarifying motivations, priorities, and roles across all partners from the start.
Grounding approaches in locally defined priorities and lived context.
Supporting access and long-term community ownership beyond initial funding.
Keeping people visible in every design, delivery, and evaluation decision.
These principles inform every stage — applied, revisited, and adapted as the work evolves, not as a fixed sequence.
Most organizations connect at one of these moments:
Preparing a proposal for a complex, multi-partner funding opportunity.
Launching or scaling an initiative that must work across diverse communities and settings.
Coordinating work across multiple partners, sectors, or countries where alignment is critical.
Recognizing that messaging isn't closing the participation gap — the problem may be structural.
Reviewing an active program to find where design is creating unnecessary burden or limiting reach.
Bringing modern tools and AI into the work to reduce burden and free up the team's time.
This reflects common entry points, not a checklist. If you're working on something that feels related but doesn't fit neatly — that's often exactly the right moment to connect.
Navigating growth, launching a new initiative, strengthening infrastructure, or preparing for your next phase of scale? Share a bit about where things stand — we'll take it from there.
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