First Focus Staff Staff Directory Abbie Malloy Director, Health, Environmental, and Nutrition Policy Abuko Estrada Vice President, Medicaid and Child Health Policy Averi Pakulis Vice President, Early Childhood and Public Health Policy Bruce Lesley President, First Focus Cara Baldari Vice President, Family Economics, Housing and Homelessness Elaine Dalpiaz Vice President, Health Systems and Strategic Partnerships Haley Winter Senior Director, External Affairs Jake Espinal Director, Graphic Design and Communications Jessica Troe Senior Director, Budget and Data Analytics Kathy Sacco Vice President, International Children’s Policy Leila Nimatallah Vice President, Advocacy & Mobilization Lily Klam Director, Education Policy Messellech Looby Chief Operating Officer Michele Kayal Vice President, Media and Communications Michelle Dallafior Senior Vice President, Budget and Tax Tim Smith Vice President, Digital Strategy Trenessa Freeman Vice President, Operations » About