The Avahan India AIDS Initiative


This case is the second of two describing the Avahan Indian AIDS Initiative, a large-scale HIV prevention delivery program, sponsored by the Bill & Melinda Gates Foundation (Gates Foundation). The case examines Avahan's choice of intervention strategies in the face of the HIV epidemic of India in 2002. It describes Avahan's structure, operations, and execution style, as well as how Avahan's management system for its seven "state lead partners" and 137 district-level nongovernmental organizations was applied initially to scale and later to sustain the delivery model. The case ends with Avahan's director planning to transfer program ownership to the Government of India. The first of the two cases in this series is also available, HIV Prevention in Maharashtra, India.

Learning Objective: To understand the strategies needed to deliver HIV prevention services at scale; how the configuration of management activities can enable rapid scale up of HIV prevention programming; and how these management activities must evolve to sustain delivery at scale.

The Global Health Delivery (GHD) Case Collection is a set of teaching case studies on various dimensions of health care delivery. GHD has researched, written, taught, and published these teaching cases with accompanying guides for instructors. The cases are available for all at no cost online through Harvard Business Publishing, GHDonline, and The Case Centre.


Cole C et al. The Avahan India AIDS Initiative: Managing Targeted HIV Prevention at Scale. Harvard Medical School, Brigham and Women's Hospital 2011.