Prior to this, Ian was the medical officer in charge of a large mission hospital in Zambia. Building on his international experiences with HIV/AIDS, Ian is a founder member of Affirm Facilitation Associates, a consultative practice supporting faith linked responses to HIV/AIDS in local communities.
Affirm is linked with InterHealth and the Community Health Global Network in a partnership for Global Health. Ian has recently attended the launch meeting in Nairobi of the WHO sponsored ''Community Health Response Programme' for which Affirm is a lead implementer".