Publications

    Ballard M, Madore A, Johnson A, et al. Concept Note: Community Health Workers. Harvard Business Publishing. 2018.Abstract

    Community health workers (CHWs)—lay people who engage in efforts to improve the health of their communities—have been proposed as a way to fill the global health human resource gap by extending services to hard-to-reach populations in remote areas. This concept note provides a brief history of CHWs, considers issues in CHW program design, and outlines future directions for research and funding.

    Visual Representation of CHW Density in Sub-Saharan Africa
    Visual representation of CHW density in Sub-Saharan Africa. Source: One Million CHWs Campaign, 2016.

    Learning objectives: This concept note aims to further students’ and instructors’ understanding of community health workers presented in the Cases in Global Health Delivery collection.

    Keywords: Human resources, primary care, disease management, monitoring and evaluation, resource allocation, global health policy, community health workers, partnerships

    Note: In map legend, 2,000–4,9999 should read 2,000–4,999.

    Rosenberg J, ole-MoiYoi K, Morse M. Concept Note: Clinical Background on HIV/AIDS, Malaria, and Tuberculosis. Harvard Business Publishing. 2016.Abstract

    This concept note provides a clinical overview of three diseases that feature predominantly in our case study collection: HIV/AIDS, tuberculosis, and malaria. The concept note describes the pathology, causes, and management related to prevention, diagnosis, and treatment of each of the diseases.

    Learning Objectives: To further students’ and instructors’ understanding of clinical concepts presented in the Global Health Delivery (GHD) Case Collection.

    Keyword: Epidemiology, pathology, disease management, monitoring and evaluation, resource allocation, global health policy, partnerships, reatment and prevention.

    May M, Rhatigan J. BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh. Harvard Business Publishing. 2011.Abstract

    This case examines the development of a tuberculosis (TB) treatment program in Bangladesh by the non-governmental organization, BRAC, from 1984 to 2006. After providing background about Bangladesh, the burden of TB there, and BRAC, the case examines how this program was piloted and grew to cover a population of 80 million people. It details how BRAC was able to create a TB control program that utilized community health workers to perform most of its essential functions including case finding, directly-observed therapy, identification of complications, and record keeping. The case concludes with a brief summary of BRAC’s expansion to Afghanistan and recently, Africa, and asks the reader to consider the feasibility of this TB care model in other contexts and in other conditions, such as HIV/AIDS.

    Teaching Note available through Harvard Business Publishing.

    Timeline of BRAC TB Program Expansions
    Timeline of BRAC TB Program Expansions. Source: From One to Many: Scaling Up Health Programs in Low-Income Countries. Edited by Richard A Cash, A Mushtaque R. Chowdhury, George B. Smith, and Faruque Ahmed (2010). Ch 13. Islam A and May MA. Decentralized Management in the Expansion of BRAC's Rural Tuberculosis Program (DOTS). Pgs. 207-214. (Exhibit 3 in "BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh" case.)

    Learning Objectives: To understand effective strategies for effectively engaging community health workers to deliver complex medical and public health interventions to large populations in low resource settings.

    Supporting Content: The sequel to this case is titled Tuberculosis in Dhaka: BRAC’s Urban TB Program.

    Keywords: Community health workers, tuberculosis control, rural nongovernmental organizations, social enterprise

    May M, Cash R, Rhatigan J. Tuberculosis in Dhaka: BRAC’s Urban TB Program. Harvard Business Publishing. 2011.Abstract

    This case examines BRAC’s experience expanding its rural TB program to the urban environment of Dhaka between 2002 and 2008. The case provides background information about Dhaka and describes what TB services existed at the time. The case then describes the expansion of BRAC’s TB program into Dhaka and details innovations in the Urban program. Students should gain an understanding of how these program modifications were a response to the specific challenges the program faced in the urban setting. The case allows an exploration of how successful health care delivery program adapt to new environments.

    Teaching Note available through Harvard Business Publishing.

    Map of Dhaka
    Map of Dhaka. Source: Available at http://www.urpnissues.com/webpage/maps/Districts/13.GIF. (Exhibit 1 in "Tuberculosis in Dhaka: BRAC’s Urban TB Program" case.)

    Learning Objectives: To understand how a successful health care delivery program that is uniquely tailored to a particular setting can adapt its operations in a new environment.

    Supporting Content: This case is a sequel to BRAC’s Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh

    Keywords: Service delivery innovation, tuberculosis control, urban nongovernmental organizations