He has worked as a post-doctoral fellow at the National Institute of Health (NIH) in USA. He was Faculty at Indian Institute of Management Ahmedabad, Public Systems Group from 1991-2010. He was Chaired the Public Systems Group and the Centre for Management of Health Services. He has published many articles in professional journals, written book chapters and working papers. Main area of his work was management of public health programs especially reproductive health and maternal health. He also worked on projects related to development of midwifery in India, RCH & Immunization top management capacity & HR, Capacity building of district and state level public health officers He has been consultant to several international organizations including Columbia University, WHO, UNICEF, CARE, UNDP/World Bank and government of India and state governments. He was appointed by the Prime Minister to the Missions Steering Group of the National Rural Health Mission constituted by the Government of India.