Karen Romano oversees Grameen Foundation’s Ghana operation, including the MOTECH Ghana initiative managed in collaboration with Ghana Health Service. Before joining Grameen Foundation, she served as Country Director for Project Concern International (PCI) Botswana leading programs that built capacity and partnerships among government, civil society and commercial sector to deliver and scale health, social welfare and livelihoods services for people affected by HIV/AIDS. An international public health specialist with 20 years of experience, Karen played a key role in developing the first major HIV/AIDS behavior change, multi-sector response and community mobilization programs in Zambia that became national and regional models for scale-up, and has designed and led health and development programs in Central America, India, Indonesia, Malawi and Ethiopia. Prior to PCI she worked with Tulane School of Public Health & Tropical Medicine (SPH&TM) and with UNICEF. She holds an MPH in health communications and epidemiology from Tulane SPH&TM.