Publications

    Chao T, Patel P, Rosenberg J, Riviello R. Surgery at AIC Kijabe Hospital in Rural Kenya (Condensed Version). The Lancet Commission on Global Surgery. 2015.Abstract

    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. This is a condensed version of the case Surgery at AIC Kijabe Hospital in Rural Kenya

    Teaching Note available through Harvard Business Publishing.

    Postoperative recovery area
    Postoperative recovery area with wall oxygen, suction, and vital sign monitoring at AIC Kijabe Hospital Surgical Facilities. Source: 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: This is a condensed version of the case Surgery at AIC Kijabe Hospital in Rural Kenya

    Keywords: Surgical disease, mission-based hospitals, rural surgery services, management, speciality training, global health care delivery, faith based organizations, human resources for health, anesthesia

    Redditt V, ole-MoiYoi K, Rodriguez W, Talbot JR, Weintraub R. Malaria Control in Zambia (Condensed Version). Harvard Business Publishing. 2012.Abstract

    The case delves into the history of malaria control efforts in Zambia, including control and treatment policy changes in the in the early 2000s that set Zambia apart from other countries. Because by 2005 Zambia was still falling short of its targets, the National Malaria Control Center (NMCC) resolved to intensify its efforts by developing one national plan to improve coordination, data collection, partner involvement, and ultimately, rapidly scale-up interventions to meet the national malaria targets. The new NMCC director, Dr. Elizabeth Chizema, helped the program achieve success through several key interventions described in the case. With improved monitoring and evaluation, Chizema could demonstrate progress in malaria control, but she worried that partners might lose interest in helping Zambia given the low burden, and the program still had many challenges to overcome. This is a condensed version of the case Malaria Control in Zambia

    Teaching Note available through Harvard Business Publishing.

    Plasmodium Falciparum life cycle
    Plasmodium Falciparum life cycle. Source: United Nations Integrated Regional Information Networks. Killer Number One: The Fight against Malaria. 2006; 47.

    Learning Objectives: To understand the development of a successful malaria control program over time and the components that led to its success including the value of setting bold national goals, the merits of a health system with centralized governance and decentralized implementation, the importance of multiple coordinated interventions as opposed to a "silver bullet" approach for malaria control, and the use of data as an outcome measure, planning tool, and fundraising tool.

    Supporting Content: This is a condensed version of the case Malaria Control in Zambia.

    Keywords: National strategy, supply chain management, malaria eradication and control, leadership