Dr. Engineer has become deeply engaged in India on a grant led by Dr. David Peters at Johns Hopkins Bloomberg School of Public Health, leading work on how to ‘restructure’ the directorate of medical health in the state of Uttar Pradesh – a large and complex assignment for a directorate responsible for the health of over 200 million people. Their analyses and engagement in the directorate has led to plans for strengthening training and development infrastructure, delivery and content in public health and management for the health workforce in Uttar Pradesh.