Publications

    Pabo E, Rhatigan J, Ellner A, Lyon E. HIV Voluntary Counseling and Testing in Hinche, Haiti. Harvard Business Publishing. 2011.Abstract

    This case examines the potential for a non-governmental organization, Zanmi Lasante/Partners in Health (ZL/PIH), to aid in improving voluntary counseling and testing (VCT) services for HIV at a government hospital in Hinche, Haiti. The events of the case begin when the local government official who oversees the hospital invites ZL/PIH to work with the government to improve the hospital’s VCT services. After providing background information on the history of Haiti, on Hinche, and on the state of the current VCT program, the case describes ZL/PIH’s health care delivery model including its management systems, its use of community health workers, and its social programs. It explains how ZL/PIH adapted its mod

    Teaching Note available through Harvard Business Publishing.

    Rainy season on the roads, Central Plateau, Haiti
    Rainy season on the roads, Central Plateau, Haiti; Credit: Evan Lyon

    Learning Objectives: To understand how social, economic and political factors influence health care delivery and to examine effective strategies to address these factors in the design of health care programs.

    Supporting Content: This case has a supplementary summary of history and next steps, titled Two Years in Hinche.

    Keywords: Community-based organizations, HIV prevention, government-NGO partnerships

    Sullivan E, Drobac P, Thompson K, Rodriguez W. Botswana’s Program in Preventing Mother-to-Child HIV Transmission. Harvard Business Publishing. 2011.Abstract

    This case traces the development of Botswana’s prevention of mother-to-child HIV transmission (PMTCT) program, from its inception as a pilot program in 1999 through its national expansion in 2002 and its struggle to improve outcomes and integrate with broader maternal and child care services through 2008. After providing some background on Botswana, its demographics and health situation, including HIV/AIDS and that national response, the case provides an overview of PMTCT—a critical challenge in global health—and describes the inception of the PMTCT program in Botswana. Readers see the challenges the program faced upon the initial scale-up and explore the key efforts and advances in process and policy that help the country overcome them and become a well known PMTCT success story. The case ends with the program wrestling with a relatively small group of women and their infants who fell through the cracks in the program and several holes in the health system that are preventing the program from eradicating infant HIV completely and tracking its progress.

    Teaching Note available through Harvard Business Publishing.

     

    PMTCT Programme vehicle. Credit: Erin Sullivan
    PMTCT Programme vehicle. Credit: Erin Sullivan.

    Learning Objectives: To understand the role of a robust strategy, including experimentation, adoption, process improvement, and policy in global health implementation and national scale-up strategies.

    Keywords: Health care policy, Horizontal programming, HIV prevention, Translation of research into practice

    Dhillon R, Rhatigan J. The Measles Initiative. Harvard Business Publishing. 2011.Abstract

    This case examines the work of the Measles Initiative (MI), a consortium of multiple international organizations, in helping catalyze a global effort to reduce worldwide measles-related mortality by expanding delivery of measles vaccinations. After providing background information on the biology of the measles virus and the epidemiology of measles, it recounts the formation of the MI, its partnership structure, its goals, its program design, and its financing. The case focuses on how multilateral global health initiatives coordinate with national governments to improve health care delivery. By 2009, the MI had made significant gains in reducing measles mortality, but was facing decreased funding and was questioning its strategy going forward.

    Teaching Note available through Harvard Business Publishing.

    Clinical Presentations of Measles
    Clinical Presentations of Measles. Image A Source: CDC: Image 132. Public Health Image Library. Available at: http://phil.cdc.gov/phil/details.asp?pid=132. Image B Source: CDC: Image 6887. Public Health Image Library. Available at http://phil.cdc.gov/phil/details.asp?pid=6887. (Exhibit 1 from “The Measles Initiative” case.)

    Learning Objectives: To understand how multi-lateral, international disease-control initiatives are designed, coordinated, and financed and to examine how these initiatives interact with national health systems to achieve their objectives.

    Keywords: Coordination of multilateral global health initiatives and national governments, international partnerships, measles vaccination campaigns, strategy

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