Arnquist S, Rosenberg J, Weintraub R.
The Indus Hospital: Building Surgical Capacity in Pakistan (Condensed Version).
The Lancet Commission on Global Surgery. 2015.
AbstractSet in Karachi, Pakistan, this case examines a private hospital's potential to impact health in a resource-constrained setting. Within Pakistan's health care system and its political, socioeconomic, and epidemiological context, the case focuses on the Indus Hospital, a charity hospital started in 2007. The case explores the effect of financing, leadership, and a mission-driven culture on health care delivery and the hospital's efforts to provide high-quality care for free to poor patients. It concludes with Indus' leaders planning how to expand their service delivery to include primary and preventative care. This is a condensed version of the case The Indus Hospital: Delivering Free Health Care in Pakistan.
Teaching Note available through Harvard Business Publishing.
Learning Objectives: To understand a private hospital's potential to impact health in a resource-constrained setting, how private financing impacts health care delivery, and the impact of leadership on health care delivery.
Supporting Content: This is a condensed version of the case The Indus Hospital: Delivering Free Health Care in Pakistan.
Keywords: Human rights, workforce management, sustainability, role of civil society, information systems, organizational culture
Download GHD-023S Indus Hospital: Building Surgical Capacity (Condensed Version) 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.
AbstractThis 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.
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
Download GHD-028S Surgery at AIC Kijabe Hospital in Rural Kenya (Condensed Version) Rosenberg J, Cole C, May M, Weintraub R.
Voluntary Medical Male Circumcision in Nyanza Province, Kenya (Condensed Version).
The Lancet Commission on Global Surgery. 2015.
AbstractThis case traces the development of the voluntary medical male circumcision (VMMC) campaign in Nyanza Province, Kenya as it transformed from the subject of a randomized clinical trial into national policy. After providing some background on the cultural, political, and scientific context surrounding male circumcision, the case traces the PEPFAR-funded implementers' advances in delivering male circumcision in Nyanza. It examines the various delivery models used in Nyanza and the evolution of the relationship between implementers as well as on the development of the national strategic plan for VMMC released in 2009. The case ends with the implementers having come together successfully for two rapid, aggressive, 30-day implementation campaigns and the head of Kenya's National AIDS and Sexually Transmitted Infections Control Programme wrestling with how to make such campaigns sustainable and what lessons from the campaign to pass on to the national program. This is a condensed version of the case Voluntary Medical Male Circumcision in Nyanza Province, Kenya.
Teaching Note available through Harvard Business Publishing.
Learning Objectives: To understand how a randomized controlled trial may be translated into a large-scale public health program; how a surgical campaign was designed and implemented for rapid impact; the role of national and international collaboration in large-scale health delivery; and the ethical tradeoffs that arise in large-scale public health programs.
Supporting Content: This is a condensed version of the case Voluntary Medical Male Circumcision in Nyanza Province, Kenya.
Keywords: Project management, AIDS, policy, supply and demand, partnerships, strategy, innovation
Download GHD-027S Kenya's VMMC Program (Condensed Version) Rosenberg J, Madore A, Weintraub R.
Concept Note: Implementing Universal Health Coverage: The Experience in Thailand, Ghana, Rwanda, and Vietnam.
Harvard Business Publishing. 2015.
AbstractThis concept note aims to explore some of the basic principles underlying universal health care and their application in Thailand, Ghana, Rwanda, and Vietnam.
Learning Objectives: To further students’ and instructors’ understanding of universal health coverage. This concept note supports teaching cases in the Global Health Delivery (GHD) Case Collection (e.g., GHD-030: Sin Taxes and Health Financing in the Philippines; GHD-032 Political Leadership in South Africa: National Health Insurance).
Keywords: Policy design and implementation, political leadership, financing, health insurance, health equity, monitoring and evaluation, universal health coverage, quality of care
Download GHD-C09 Concept Note: Implementing Universal Health Coverage Rosenberg J, Wachter K, Weintraub R.
Concept Note: Malnutrition.
Harvard Business Publishing. 2015.
AbstractThis concept note provides an overview of malnutrition, including its definition, causes, and management related to prevention, diagnosis, and treatment. It also describes the state of global malnutrition, including national and international efforts to reduce malnutrition and the stakeholders involved.
Learning Objectives: To further students’ and instructors’ understanding of malnutrition-related concepts presented in the Global Health Delivery (GHD) Case Collection (e.g., GHD-031: Reducing Child Malnutrition in Maharashtra, India).
Keywords: Maternal and child health, children, intergenerational disease, public-private partnership, nutrition, strategy, political leadership, scale-up, community health workers, health care delivery, malnutrition, cross-sector collaboration
Download GHD-C08 Concept Note: Malnutrition Madore A, Yousif H, Rosenberg J, Desmond C, Weintraub R.
Political Leadership in South Africa: HIV.
Harvard Business Publishing. 2015.
AbstractThis case describes the rapid scale-up of South Africa’s national HIV/AIDS response from 2009 until 2015. After providing background on apartheid, the impact of HIV/AIDS denialism, and an overview of the health system in South Africa, the case follows Minster of Health Aaron Motsoaledi’s leadership of the national department of health’s HIV/AIDS program. The response included four key components: a countrywide counseling and testing campaign, capacity building to increase access to treatment, an overhaul of the ARV bidding and procurement processes, and promotion of voluntary male medical circumcision. The case highlights how Motsoaledi and his team leveraged expertise and resources from domestic and international organizations to support ambitious testing and treatment goals. It focuses on Motsoaledi’s communication strategies and the factors that influenced his planning and implementation decisions. The case ends with Motsoaledi considering how to advance the national HIV/AIDS program amid larger health system issues, including overcrowding and limited monitoring capacity.
Teaching Note available through Harvard Business Publishing.

Promotion of prevention of mother-to-child transmission (PMTCT) of HIV (source: Global Health Delivery Project case writers)
Learning Objectives: A productive class discussion will allow students to appreciate how politics can shape the trajectory of an epidemic; the importance of leveraging existing resources to scale services in a public health system; the challenges of transitioning from an emergency response to a sustainable public program; and the competing interests of a vertical intervention program and the complex health system within which it operates.
Keywords: Political leadership, data and health policy, counseling and testing, adherence, advocacy, HIV treatment, health care delivery, cross-sector collaboration, vertical programs, value creation, drug procurement, civil society, strategy
Download GHD-033 South Africa HIV