Publications

    Rosenberg J, Dreisbach T, Donovan C, Weintraub R. Positive Outlier: Sri Lanka’s Health Outcomes over Time. Harvard Business Publishing. 2018.Abstract

    This case describes the development and structure of Sri Lanka’s health system, which has yielded health outcomes far superior to any of its South Asian neighbors. The case highlights factors supporting the health outcomes, including the availability of free health services to all citizens, government investment in the health workforce, and the care-seeking behavior of Sri Lankan citizens. After providing an overview of Sri Lanka’s history, geography, demographics, and economy, the case traces the evolution of the public sector health system from the precolonial era through the period of heavy investment in health from the 1930s through 1950s and on into the 21st century. The case describes the management of the system and the relationship between the national health ministry and provincial and local governments. It examines how health professionals are trained and deployed throughout the system, the supply chain, and financing. The case then examines the growing private health sector, its relationship with the public sector, and the role of innovation. After a summary of the country’s health outcomes, readers are pushed to think about what it will take to address the changing epidemiological burden to continue to boast exemplary health outcomes and provide quality health care to those who need it.

    ​​​​​​Teaching Note available to registered faculty through Harvard Business Publishing or the Case Centre.

    A productive class discussion will allow readers to appreciate the capabilities of a public payer system to improve the health of the population; the influence of the private sector in a “single payer system” and the downstream effects on demand and supply of services; the return on investment for a country offering free public medical and nursing education; and the relationship between literacy, demand generation, and health outcomes.

    Keywords: Universal health care, health care delivery, health system, health outcomes, social determinants of health.

    Sullivan E, ole-MoiYoi K, Weintraub R. Concept Note: The Global Fund to Fight AIDS, Tuberculosis and Malaria. Harvard Business Publishing. 2012.Abstract

    This concept note explains the history, management, structure, financing, and strategy of the Global Fund to Fight Aids, Tuberculosis and Malaria-a public-private partnership and international financing institution created to attract and disburse resources to prevent and treat HIV and AIDS, tuberculosis, and malaria. The note also provides some insight to its impact on grantees. Because the Global Fund plays an important role for many of the organizations featured in the Cases in Global Health Delivery Series, this note will be useful background reading for students engaging in those cases.

    Global Fund–Supported Program Results

    Global Fund–Supported Program Results. Source: Making a Difference, Global Fund 2011 Results Report. (Exhibit 3 from "Concept Note: The Global Fund to Fight AIDS, Tuberculosis and Malaria.")

    Learning Objectives: To understand the structure, management, and role of the Global Fund to Fight AIDS, Tuberculosis and Malaria as an international financing institution.

    Keywords: Structure, financing, tuberculosis and malaria, history, Global Fund to Fight Aids, strategy, management