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Professional

Annette’s professional circle exemplifies her unwavering dedication to humanitarian work and the positive change she inspired in the lives of others.

Professional Circle Remembrance by Gina Lagomarsino and Cheryl Cashin

I am Gina Lagomarsino, CEO of Results for Development, and I’m here with my colleague Cheryl Cashin, one of our managing directors. We are so honored to represent Annette’s work circle on behalf of her many colleagues.

This morning, we’ve heard so much about all of Annette’s unique gifts – her warmth, her energy, her ability to bring people together. We were fortunate to be able to observe how she so effectively channeled those gifts and combined them with her deep technical knowledge of health systems.

There are many examples of how Annette helped create better health systems in countries around the world and improved the lives of millions of people. We want to share two examples that illustrate her professional legacy:

Annette played a key role in the Primary Health Care Performance Initiative to help countries improve this critical component of the health system. We first had to define what a strong primary care system looks like – no easy task. Annette designed and led a process that brought together people from the Gates Foundation, the World Bank, and the WHO – not a group that easily reaches consensus! – to sift through loads of evidence and ultimately agree on a way to synthesize it into a cutting-edge framework for primary healthcare. She then oversaw a process to collect data from multiple sources across nearly 50 countries, and then got the entire group to agree on a way to visualize this data in an online tool…which was ultimately presented to none other than Bill Gates himself.

One colleague from Gates noted to me recently that “Annette successfully navigated us through nearly impossible circumstances.” And you won’t be surprised to hear that she even managed to make this challenging process fun, at times.

Now a decade later, a new primary care measurement framework based on that foundational work is used by countries around the world to improve health care for their people – it will have impact far into the future.

I met Annette in 2012 when I was invited to see her present the results of a study she led in Cambodia to calculate how much it cost for the government to deliver basic health services. I was so impressed, especially when Annette described climbing into the attic of a health clinic in rural Cambodia to track down the last bits of data to get accurate results. I asked her on the spot to join a team of us starting a peer learning network to help experts in countries across the globe learn from each other how to do practical things like get good cost estimates of essential health services. This was the early days of the Joint Learning Network for Universal Health Coverage—which is now a major, well-established peer learning network to improve health systems. Annette packed her suitcase and joined our first meeting in Bangkok the following week. She went on to be one of the pioneers of the Joint Learning Network, facilitating a group of experts from 6 countries to share their knowledge and create a practical toolkit that was translated into multiple languages and is one of the most used global health financing resources to this day.

These are just 2 examples of how Annette changed the world during her career in global health by bringing her gifts, her expertise, her warmth and love to the service of others.

She used her gift of deeply listening and always respecting every person’s perspective to create a new way to build knowledge through peer learning that is emulated today in multiple global learning networks.

She used her gift of thorough and precise application of her own expertise to develop lasting practical tools that help countries use their limited health budgets in the best way to fund essential services like immunization for poor and vulnerable populations to improve their primary care systems.

She used her gift of always exuding joy to inspire a huge network of colleagues and to mentor a new generation of young professionals. So another way Annette’s impact will be felt far into the future is through the people she touched who will follow the example she set, many of whom are here today. They have all told us that she had a tremendous impact on them personally. She had a tremendous impact on me, personally—on us.

Professional Moments