Steve Penfold MA FRSPH FCMI is mtwenty's Director of Public Health and International Development. He has over 30 years’ experience leading and developing public health services, strategies and creating operational plans. He has worked with governments and Ministers on policy in the UK and in international development, designing and executing complex programmes in challenging environments that deliver specific, measurable, and time-bound outcomes.
In 2005 Steve became Deputy Head of Sexual Health & HIV for England at the Department of Health and after moving to Phnom Penh in 2011, he led USAID’s largest HIV program in Cambodia. Since 2016, Steve has provided consultancy to design and support programs in public health and healthcare management in the Kyrgyz Republic, Haiti, Jordan, Afghanistan and Cambodia.
His consultancies include extensive work over multiple years with USAID, and also with the World Health Organisation. Thematic areas covered include:
- Global Health Security (pandemic preparedness) including analysis, planning coordination across national and international agencies
- Health Systems Strengthening
- HIV Planning and Program Development
- Sexual, Reproductive, Maternal, Newborn and Child Health
- Services for Survivors of Gender Based Violence
- Short-term technical assistance and capacity building
Specific achievements during his consultancies include:
Public health emergency planning
- Steve led the United States Agency for International Development’s (USAID) COVID analysis in Jordan, and on occasion advised the Minister of Health. His analysis correctly identified when a wave had peaked, which helped the Ministry of Health with planning for hospital inpatient peaks, typically two weeks later.
- In 2021 he developed an Early Recovery Plan based on Key Informant interviews with the Ministry of Health, WHO, UN agencies, and NGO partners. This enabled USAID to apply lessons learned and make appropriate transitions back to their previous programmes, while still addressing key vulnerabilities linked to the pandemic.
Pandemic preparedness and response frameworks
- In July 2023, WHO had just conducted a formal Joint External Evaluation (JEE) of pandemic preparedness in Kyrgyzstan, based on the International Health Regulations. Steve led the multi-agency analysis of the findings of the JEE. He used this experience to then assist USAID/Haiti with their pandemic preparedness planning.
Working with multi-agency systems
- Through his work at regional (NHS) and national level (Department of Health), Steve worked extensively across agencies and sectors. Between 2006 – 2010 Steve led over 60 multi-agency assessments, developing support plans with local authorities on issues such as teenage pregnancy, and with police forces, the NHS, other statutory bodies and the voluntary sector on the development of new Sexual Assault Referral Centres across England.
Proven ability to produce high-quality, strategic documents.
- Steve has extensive experience in producing high quality strategic documents. At the Department of Health, he commissioned, developed and edited “10 High Impact Changes for Genitourinary Medicine 48-hour Access”, which helped England achieve a maximum 48-hour waiting time.
- In Cambodia he wrote a paper for WHO, which formed the basis of the country’s bid for £50m of HIV support from the Geneva-based Global Fund for AIDS, Tuberculosis and Malaria.
- In Afghanistan, he designed a new £170m maternal and child health programme, which included sufficient flexibility that large parts continued after the Taliban takeover in 2021.
Experience of participating in or facilitating multi-agency exercises.
- In July 2024 Haiti experienced an anthrax outbreak that resulted in two human deaths and 37 suspected cases. Steve led the collaboration and coordination for an international, multi-agency response, which contained the epidemic, evidenced by zero cases reported for five consecutive weeks.
- In Jordan, Steve participated in frequent multi-agency meetings throughout the COVID pandemic. In mid-2020 he drafted a paper on COVID testing, which with the support and advocacy from WHO and CDC colleagues, was largely adopted by the Government of Jordan.
- Prior to his international consultancies, Steve had five years’ experience of facilitating multi-agency meetings with NHS, local authority, police forces and third sector partners through two National Support Teams.
He is a Fellow of the Chartered Management Institute (FCMI) and also a Fellow of the Royal Society for Public Health (FRSPH). In 2013 he was awarded the Royal Order of Sahametrei medal for services to HIV Prevention, Care and Treatment by the Government of Cambodia.