Two years ago I walked into a popular Nigerian hospital as the new CEO.
Within weeks I saw what no job advert, no website, no interview panel would ever tell you.
This is why we built CadreHealth @OnCadre_NG .
A thread.
https://t.co/zMzU0NHK2E
Best decision in 2025.
Turns out @tosinolaseinde was right about doing that unhinged thing that would change your life.
I moved countries at 31. I’ll be 32 in September, and I’m already halfway through my MBA.
FLASHBACK TO 5 YEARS AGO...
Reflecting on an incredibly rewarding journey of collaboration, learning, and systemic action. 💡🔴
For two months, I had the privilege of being invited by Harvard University to serve as an Authorizer and Mentor for an exceptional team of graduate students from the Harvard Kennedy School and the Harvard T.H. Chan School of Public Health during their MLD103 (PDIA in Action) course.
Together, we rolled up our sleeves to tackle a critical, deeply complex public health challenge that lies close to my heart: addressing the persistent deficit of safe blood supplies across health facilities in Nigeria.
Instead of relying on rigid, top-down "solutions" that so often fail in complex environments, we embraced the Problem Driven Iterative Adaptation (PDIA) framework.
Here are my three key takeaways from this inspiring collaboration:
Deconstructing the Problem over Rushing to Solutions: It is incredibly easy to jump straight to preconceived fixes. Through PDIA, the students learned to resist that urge. We spent weeks peeling back the layers—using tools like Ishikawa (fishbone) diagrams—to map out the root causes, from regulatory fragmentation to localized capacity constraints.
The Power of Co-Design and Empathy: Working virtually across time zones, this brilliant student team engaged deeply with local realities. By analyzing the "Triple-A" change space (Authority, Acceptance, and Ability), they identified realistic, highly contextual entry points for sustainable action.
Iterative Learning is Key: Complex public health problems don’t have overnight solutions. This experience reinforced that real capability is built through small, deliberate steps, constant feedback loops, and adapting on the go.
I am immensely proud of the dedication, analytical rigor, and humility this team (comprising Allan Franklin, Dana Radojević, Lauren Truong, and Hesham Gaafar) brought to our work. Witnessing them navigate the discomfort of ambiguity and emerge with actionable, localized insights was a masterclass in modern policy implementation.
A huge thank you to Matt Andrews and Salimah Samji at the Harvard Center for International Development's Building State Capability program for fostering this incredible bridge between theory and real-world public health action!
Onward to building resilient health systems, one iteration at a time. 🚀
#AdaezeOreh #PublicHealth #HealthSystems #PDIA #HarvardKennedySchool #HarvardPublicHealth #PolicyImplementation #Leadership #SafeBloodNigeria #BuildingStateCapability
To see a detailed presentation and discussion of the actual recommendations and takeaways from this collaboration, you can watch the video below:
https://t.co/uez7EtmatY
If you buy this equipment for a roadside Vulcanizer and ask to split revenue with him.
In 3 months - you’d hear something along the line of you’re using his destiny.
You take a picture, it doesn’t look that great to you, so you say “let’s take try again.”
The way you casually gave a second chance to get a picture you like, is the same way you should give yourself second chances in life.
If you aren’t comfortable, try another pose.