The Indus Hospital: Delivering Free Health Care in Pakistan


This case examines the impact of a private hospital on health in a resource-constrained setting in Karachi, Pakistan. The case specifically considers this impact within the context of Pakistan's health care system and its political, socioeconomic, and epidemiological context, and 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.

Learning Objective: To understand the impact of external financing, donor-driven agendas, and a national champion in creating a multisectoral response to HIV in a religiously conservative, lower middle-income country.

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.


Arnquist S, Weintraub R. The Indus Hospital: Delivering Free Health Care in Pakistan. Harvard Medical School, Brigham and Women's Hospital 2012.