Between research and scale, most solutions die

The problem isn't what
works-it’s delivery.

We turn proven health solutions
into delivery systems that scale.

Millions of mothers and children die from preventable causes.
Proven, low-cost solutions exist — but most never reach the people who need them.
About SafeStart

Proven health solutions exist. They just don't reach people.

SafeStart exists to close this gap.

We turn proven interventions into delivery models that achieve real-world adoption and government scale.

We identify why proven solutions fail in the real world, redesign delivery with governments, and produce models that actually get used at scale.

We solve the practical delivery questions that determine scale: who delivers, when, how, through which systems, and at what cost.

We didn't arrive at this model by intuition.

Everything SafeStart builds rests on a foundation of world-leading research — and the institutions that produced it are still our partners today.

That's what sits at the centre of everything we do.

Our First Initiative

Safe Water for Mothers and Children

Globally, 2.2 billion people lack safe drinking water and unsafe drinking water remains one of the leading causes of childhood illness and death.

Yet a simple solution exists: Point-of-use chlorination.

Treating contaminated water with chlorine can prevent 1 in 5 child deaths related to unsafe water.

In Nigeria, a child dies every 7.5 minutes due to diarrhea-related illness.

Point-of-use chlorination is proven, cheap, and simple.

The problem has never been the evidence — it's been delivery.

Many approaches have expanded access. But sustained use depends on consistent availability and clear risk awareness at the household level. People need to know their water is unsafe, and they need reliable access to treatment.

Our Community-Based Chlorine Access model is designed to make both happen — enabling sustained use at scale.

Our Safe Water Initiative in Nigeria.

Learn more

Proof this works in the real world

Results from Kano State, Nigeria
135,500
People accessing safer drinking water through chlorine treatment
$67
Averts a DALY
$2
Is all it costs to protect one person for a year.
This is what solving delivery looks like.
Our Nexus

Accelerating proven interventions

ADAPT TEST ITERATE SafeStart PROVEN INTERVENTIONS What the evidence supports REAL-WORLD CONSTRAINTS What communities and partners require SCALE What can reach the most people, sustainably
Our Leadership

Academic rigour meets
implementation experience.

Our founders combine frontline research in Nigeria with 12+ years scaling government delivery systems. We have an in-country team in Kano State and an established government partnership.

Our Founders

Elisa M. Maffioli
Bio
Elisa M. Maffioli
PhD Economics  |  Founder & Director

Brings health economics, development economics, and implementation expertise to identify, test, and scale proven innovations.

Public Health Research RCTs Economics
Grant M. Edmond
Bio
Grant M. Edmond
CA(SA), MPhil Public Law  |  Founder & Director

Over 12 years' experience in designing and scaling development innovations across Africa using a systems lens.

Strategy Scale Optimization Systems

Our Board

Prof. Chimezie Anyakora
Bio
Prof. Chimezie Anyakora
CEO Bloom Public Health  |  Founder – CAROSS

Brings extensive experience strengthening health systems, with deep expertise in Nigerian health and water contexts.

Safe Water & Health Systems Implementation Policy
Prof. Pascaline Dupas
Bio
Prof. Pascaline Dupas
Princeton University  |  Co-Scientific Director, J-PAL

Leads J-PAL's Scaling Access to Safe Water in Africa initiative and was pivotal in developing the CBCA model.

Safe Water Research Economics Policy

Help us reach every child.

$16
Protects a household for a year.
$67
Averts a DALY.
$3,195
Prevents an under-5 death.

Partner with us in saving lives.

Donate Now
Get in touch

Contact us

For partnership enquiries, donations, or media questions — please reach out, we'd love to chat.

Woman holding a water bottle
Newsletter

Insights from the field.

Occasional updates from our work in Nigeria, what we're learning about delivery at scale, and how proven solutions reach the people who need them.

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