Board: Top Notch-has 7 Board members with diverse experience and skills who meet on quarterly basis to provide oversight to the organisation. It has 3 sub-committees: (1-Programs-2-Finance and 3-Policy).
Departments: The organizations has three (3) established departments of Programs/innovations, Finance and MEAL/communications.
Systems/policies: The organization has strong internal systems such as financial and human resource policies, procurement policy, partnership policy, safeguarding policy, internal MEAL systems, support supervision policy among others.
Staffing: Top Notch as audited books of accounts 2021 and 2023. Audit for the year 2023 is under way. The organization has 12 staff (8 full time and 4 volunteers). At community level, Top Notch works with community health extension workers including VHTs.