Choate Advisory

Core Areas of Work

Proposal & Funding Strategy

Shaping initiatives for competitive funding — from proposal strategy to the partnerships and design that make them deliverable.

Initiative & Partnership Design

Structuring cross-sector initiatives from early concept, with the right stakeholders aligned and community voice built in from the start.

Program & Implementation Strategy

Designing programs that work in practice — built around how people actually access and engage, not how institutions assume they do.

Stakeholder Engagement & Convening

Creating the structured environments where alignment happens, decisions get made, and shared ownership takes root.

Advisory & Ongoing Support

Senior-level advisory continuity from design through implementation — stepping up when needed, stepping back when it’s time.

Systems Review & Improvement Advisory

An outside perspective on what is working, what is creating unnecessary burden, and where structural changes would have the greatest impact.

Equity By Design^TM

A proprietary, systems-based framework for designing initiatives that work for the communities at their center — not as an afterthought, but from the start. It addresses inequity at the source: the governance decisions, workflows, and infrastructure choices that determine who can participate and who cannot.

What Equitable Design Makes Possible

The outcomes below are drawn from Choate Advisory’s direct engagements — evidence that when design reflects how people actually live, the people who needed access most show up. Not as an aspiration. As a structural commitment.

29% first-time tester rate
- A community-based mobile testing program designed around how people actually live — free, walk-in, deployed at trusted neighborhood sites — reached people who had never accessed that service before.
10x community engagement impact at 10% of the cost
- A statewide initiative found that resourcing trusted local organizations to lead their own outreach yielded 10 times the participation impact of a professional canvassing campaign at a fraction of the investment.
5 African nations, 1 shared framework
- Multi-country roundtable convening public health and laboratory leaders across the DRC, Ethiopia, Nigeria, Somalia, Zimbabwe, and the U.S. surfaced consensus that IPC and diagnostic interventions could share a common framework — with implementation adapted to local context — meaningfully reducing projected resource demands across all countries.

See the Work in Practice

“Brittany brings a rare ability to bring together diverse stakeholders 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 — and the answer to my prayers.”
— Carole W. Kamangu, Founder & CEO, Dumontel Healthcare Consulting

Meet the Advisor Behind Choate Advisory

Learn more about Brittany Choate and the experience shaping this work.

About Brittany

Let’s Build What Comes Next.

Navigating growth, launching a new initiative, strengthening infrastructure, or preparing for your next phase of scale? Let’s connect.

Start the Conversation

When Organizations Typically Connect

Organizations often reach out at the moments when design decisions matter most — before structural patterns get locked in, or when existing ones are no longer serving the communities a program was built for.

Common entry points include:

Building community trust and stakeholder ownership into an initiative from the start — not after the fact
Preparing a proposal for a complex, multi-partner funding opportunity
Launching or scaling an initiative that must function across diverse communities and settings
Recognizing that outreach and messaging are not closing the participation gap — and that the gap may be structural
Coordinating work across multiple partners, sectors, or countries where alignment is critical to success
Reviewing an active program to identify where design decisions may be creating unnecessary burden or limiting reach

Learn More

“Brittany has a way of making anyone feel seen, whether she’s meeting someone for the first time or building a partnership halfway across the world. From recruiting presenters in Australia to speaking in Southeast Asia and supporting capacity building in Malawi, she built relationships that spanned the globe and turned strong ideas into fundable, scalable programs. She is someone who is truly changing healthcare.”

— Laura Going Burke, Director of Regulatory Compliance, SalivaDirect Inc.

The Choate Advisory Approach

Most advisory support addresses one part of the process — the proposal, the strategy, or the execution. Choate Advisory works across all three, ensuring that what gets designed is aligned with how it will actually be funded, implemented, and experienced by the communities it is built for.

The work is grounded in a specific belief: that the decisions made earliest in an initiative’s design — about governance, stakeholder involvement, community voice, and operational structure — determine whether it reaches the people it was built for. Getting those decisions right requires bringing in the right perspectives before the design is set, not after.

What that looks like in practice:

Starting with the communities a program is meant to reach — not finishing with them
Designing for how people actually live and work, not ideal participation conditions
Aligning stakeholders around shared ownership, not just shared goals
Reducing operational complexity rather than adding to it
Building toward handoff — so that when outside support steps back, the community, partners, and systems that remain are equipped to lead
Measuring success by who gets reached, not only what gets delivered

At the center of this work is a simple belief: equity is not a downstream goal. It is a design decision.