This case traces the development of surgical and anesthesia services at a rural mission hospital in Kijabe, Kenya. After providing some background of the health system in Kenya, it follows the history of AIC Kijabe Hospital from its founding in 1915 to 2013. The hospital provided high quality surgical services that were supported by many long-term missionary staff members, updated operating theaters, an intensive care unit, and a robust surgical training program. The case describes how the mission of the hospital affects its culture of care provision. It follows the executive director, Mary Muchendu, and her process in turning a mission-focused hospital into a business-focused hospital. The case ends with Muchendu weighing the tradeoffs of providing sustainable growth versus caring for the poor.
Teaching Note available through Harvard Business Publishing.
Surgical Facilities at AIC Kijabe Hospital: postoperative recovery area with wall oxygen, suction, and vital sign monitoring. Source: Global Health Delivery Case Writers.
Learning Objectives: This case documents the development of a robust surgical program at a mission hospital in rural Kenya, including human resource training and infrastructure improvement. A productive class discussion will allow students to appreciate the factors that allow high-quality surgical care to be delivered in a resource-limited setting; how a mission-driven culture affects a hospital, its sustainability, and the care it provides; what is required to provide high-quality surgical training; and the tensions and tradeoffs between sustainable growth and care for the poor.
Supporting Content: There is a shorter version of this case titled Surgery at AIC Kijabe Hospital in Rural Kenya (Condensed Version).
Keywords: Surgical disease, mission-based hospitals, rural surgery services, management, speciality training, global health care delivery, faith based organizations, human resources for health, anesthesia