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Teaching Pack: Pedagogy

Web Portal, Teaching Resource
2022

Teaching Pack: Global Health Delivery Case Collection

This teaching pack includes the teaching case studies produced by the Global Health Delivery (GHD) Project, …

This teaching pack includes the teaching case studies produced by the Global Health Delivery (GHD) Project, an interdisciplinary collaboration between Harvard Business School, Harvard Medical School, and Brigham and Women’s Hospital. These Harvard Business School-style teaching cases, along with support materials such as concept notes, examine programmatic, organizational, and policy-related decisions global health leaders face across various disease conditions and health care delivery systems in resource-limited settings. Health conditions include infectious diseases (e.g., HIV/AIDS, TB, malaria,…

Child/Neonatal | Chronic Disease/Risks | Infectious Disease | Maternal/Reproductive | Mental Health/Addiction | Nutrition/Health | Human Rights/Equity | Poverty/Vulnerability | Health Systems | Public Health | Global Governance | Civil Society/Press | Science/Technology | Humanitarian Sector | Economics/Finance | Business/Private Sector | Government/Law | Global | Sub-Saharan Africa | Asia/Pacific | Latin America/Caribbean | Middle East/North Africa | Gender | Rural

Teaching Pack: Pedagogy

This teaching pack includes teaching cases produced by the Global Health Delivery (GHD) Project which examines programmatic, organizational, and policy decisions global health leaders face across various conditions and health care delivery systems in resource-limited settings.

Teaching Case

Publication, Teaching Resource
2019

Chasing Polio Eradication: Vaccine Development

This case describes the development and rollout of the bivalent oral polio vaccine (bOPV), starting …

This case describes the development and rollout of the bivalent oral polio vaccine (bOPV), starting in 2007, to support the Global Polio Eradication Initiative (GPEI) in eliminating poliovirus. After providing background on the global polio eradication program, the case explores the policy decisions behind the development of bOPV, progression through clinical trials, licensure, and distribution of the vaccine. The case examines the role of the World Health Organization (WHO) in accelerating the progression through these…

Infectious Disease | Clinical Medicine | Global Governance | Science/Technology | Global
Teaching Case

Publication, Teaching Resource
2021

Improving Maternal Health by Addressing Stockouts

This case traces the development of a series of initiatives to intended to reduce stockouts …

This case traces the development of a series of initiatives to intended to reduce stockouts of family planning commodities in Senegal’s public health system and the eventual scale-up of the redesigned supply chain. After exploring early efforts to overhaul the supply chain, it describes how the Gates Foundation, along with others, supported the launch of the Informed Push Model with Third Party Logisticians (IPM-3PL), which proved to reduce stockouts dramatically. Despite significant initial support from…

Maternal/Reproductive | Health Systems | Economics/Finance | Business/Private Sector | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2021

Building the Supply Chain for COVID-19 Vaccines

This case traces the complex set of activities involved in the development, regulatory approval, production, …

This case traces the complex set of activities involved in the development, regulatory approval, production, and distribution of COVID-19 vaccines. It describes the resources, information, cooperation, and decision-making that went into an unprecedented effort to develop and distribute a new vaccine urgently. It poses some of the difficult strategic and operational decision dilemmas faced by country governments, purchasers, vaccine developers, and manufacturers in designing the overall supply chain for COVID-19 vaccines. Learning Objectives A productive class…

Infectious Disease | Clinical Medicine | Global Governance | Science/Technology | Global
Teaching Case

Publication, Teaching Resource
2020

Advancing a New Drug to Improve Global Maternal Health Through a Tripartite Initiative

This case traces the development of a collaboration between Merck for Mothers, Ferring Pharmaceuticals, and …

This case traces the development of a collaboration between Merck for Mothers, Ferring Pharmaceuticals, and the World Health Organization (WHO) to help prevent postpartum hemorrhage (PPH), a leading cause of maternal mortality. The case highlights clinical trial results that show administering drugs that induce uterine contractions immediately following childbirth was the most important measure in preventing PPH, but that the recommended therapy—oxytocin—was often compromised at the point of delivery in areas with unreliable cold-chain infrastructure,…

Maternal/Reproductive | Clinical Medicine | Global Governance | Science/Technology | Business/Private Sector | Global
Teaching Case

Publication, Teaching Resource
2018

Positive Outlier: Health Outcomes in Kerala, India over Time

This case explores how Kerala, India developed a reputation for exemplary health outcomes despite low …

This case explores how Kerala, India developed a reputation for exemplary health outcomes despite low per capita income. The case describes how the fiscal decline in the latter half of the 20th century led to decreased spending on public services, including health, creating an opening for private-sector providers to meet a growing share of the demand for health services and the impact on out-of-pocket health spending. Readers must think about how emerging health threats such…

Social Determinants | Health Systems | Public Health | Economics/Finance | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2018

Positive Outlier: Sri Lanka's Health Outcomes over Time

This case describes the development and structure of Sri Lanka’s health system and highlights factors …

This case describes the development and structure of Sri Lanka’s health system and highlights factors that have led to positive 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 and describes the relationship between the…

Health Systems | Law/Regulation | Economics/Finance | Education/Labor | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2018

Working as an ASHA to Improve Maternal and Child Health in Uttar Pradesh, India

Set in India’s most populous state, Uttar Pradesh, this case explores the complexity of addressing …

Set in India’s most populous state, Uttar Pradesh, this case explores the complexity of addressing maternal and child health and care delivery by looking at health-related behaviors and decision-making from the perspective of a frontline health worker. The case is intended to be used in conjunction with Maternal and Child Health in Uttar Pradesh, India: A Mother’s Story. The following two concept notes may be helpful for students discussing these cases, (1) Concept Note: Reproductive,…

Child/Neonatal | Maternal/Reproductive | Public Health | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2018

Maternal and Child Health in Uttar Pradesh, India: A Mother's Story

Set in India’s most populous state, Uttar Pradesh, this case explores the complexity of addressing …

Set in India’s most populous state, Uttar Pradesh, this case explores the complexity of addressing maternal and child health and care delivery by looking at health-related behaviors and decision-making from the perspective of a mother. The case is intended to be used in conjunction with GHD-039 (Working as an ASHA to Improve Maternal and Child Health in Uttar Pradesh, India). The following two concept notes may be helpful for students discussing these cases, (1) Concept…

Child/Neonatal | Maternal/Reproductive | Social Determinants | Asia/Pacific | Gender
Teaching Case

Publication, Teaching Resource
2018

Concept Note: Reproductive, Maternal, Newborn, and Child Health

This concept note aims to describe the history of reproductive, maternal, newborn, and child health …

This concept note aims to describe the history of reproductive, maternal, newborn, and child health (RMNCH), the current landscape for providing RMNCH care in resource-limited settings, and future directions for research, funding, and advancement of the field. It may be used to enhance understanding of cases relevant to teaching cases produced by the Global Health Delivery (GHD) Project that focus on reproductive, maternal, newborn, and child health (RMNCH). The Global Health Delivery (GHD) Project, an interdisciplinary…

Child/Neonatal | Maternal/Reproductive | SDGs/Development | Global
Teaching Case

Publication, Teaching Resource
2018

Concept Note: Community Health Workers

Community health workers (CHWs)—lay people who engage in efforts to improve the health of their …

Community health workers (CHWs)—lay people who engage in efforts to improve the health of their communities—have been proposed as a way to fill the global health human resource gap by extending services to hard-to-reach populations in remote areas. This concept note provides a brief history of CHWs, considers issues in CHW program design, and outlines future directions for research and funding. It may be used to enhance understanding of cases relevant to teaching cases produced…

Public Health | Education/Labor | Global
Teaching Case

Publication, Teaching Resource
2017

Improving Mental Health Services for Survivors of Sexual Violence in the DRC

This case developed by the Global Health Delivery Project describes a mental health treatment program …

This case developed by the Global Health Delivery Project describes a mental health treatment program in the Democratic Republic of Congo (DRC) for victims of gender-based violence (GBV) in conflict settings. The case traces implementation and evaluation efforts by the International Rescue Committee (IRC) to perform two randomized control trials that measured the mental health effects of two interventions: Cognitive Processing Therapy (CPT), and a village microfinance program that also incorporated mental health treatment measures.…

Mental Health/Addiction | Violence/Injuries | Conflict/Insecurity | Social Sector Policy | Humanitarian Sector | Sub-Saharan Africa | Gender
Teaching Case

Publication, Teaching Resource
2017

Chagas Disease Vector Control in Honduras

This case describes a health governance initiative to control Chagas disease in Honduras between 2003 …

This case describes a health governance initiative to control Chagas disease in Honduras between 2003 and 2012, an effort by the Honduran Ministry of Health with the assistance of the Japan International Cooperation Agency (JICA) and others. The case provides background information about Honduras, Chagas disease, and the program by the Guatemalan Ministry of Health and JICA that provided the template for the program in Honduras. Readers learn how the surveillance model and vector control…

Infectious Disease | Environmental Risks | Poverty/Vulnerability | Public Health | Global Governance | Science/Technology | Climate/Environment | Global | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2017

Project ECHO: Expanding the Capacity of Primary Care Providers to Address Complex

This case describes a web-based model of “guided practice” for primary care providers that substantially …

This case describes a web-based model of “guided practice” for primary care providers that substantially reduced wait time and improved healthcare delivery for patients with hepatitis C in rural New Mexico between 2003 and 2016. It explores what motivated Sanjeev Arora, MD, to launch Project Extension for Community Healthcare Outcomes, or Project ECHO, and the rapid interest in replicating the ECHO model in other states and across medical conditions. It describes how the project works—by…

Infectious Disease | Health Systems | North America
Teaching Case

Publication, Teaching Resource
2016

The Global Trachoma Mapping Project

This case describes and invites readers to consider lessons learned from the Global Trachoma Mapping …

This case describes and invites readers to consider lessons learned from the Global Trachoma Mapping Project (GTMP), the largest standardized global mapping project ever to take place for any disease. A three-year project with more than 60 partners working together across six continents, GTMP aimed to eliminate the harmful effects of this bacterial eye infection worldwide by 2020. The case provides background on trachoma, the history of global efforts to control it, and the events,…

Infectious Disease | Global
Teaching Case

Publication, Teaching Resource
2016

Training Tanzania's Health Workforce

This case follows the decision-making process of the retiring director of the Tanzanian Training Centre …

This case follows the decision-making process of the retiring director of the Tanzanian Training Centre for International Health (TTCIH) as he develops a plan for success in a changing health education landscape. Founded in the early 2000s, TTCIH was created to improve trained health care worker resources in rural Tanzania. The case provides an overview of TTCIH’s unique health care collaboration between private industry, a public health institute, local stakeholders and educators, and the Tanzanian…

Health Systems | Public Health | Education/Labor | Sub-Saharan Africa | Rural
Teaching Case

Publication, Teaching Resource
2015

"Sin Taxes" and Health Financing in the Philippines

This case traces the implementation of tobacco tax policy and health system reforms in the …

This case traces the implementation of tobacco tax policy and health system reforms in the Philippines from 2009 to 2015, in the context of the global tobacco control movement, the economic and political influence of the Philippine tobacco industry, and the Philippine health system. After providing background on the prevalence and costs of smoking in the Philippines, the case follows the steps taken by a diverse group of actors to design, promote, and implement higher…

Chronic Disease/Risks | Mental Health/Addiction | Law/Regulation | Economics/Finance | Business/Private Sector | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2015

Surgery at AIC Kijabe Hospital in Rural Kenya

This case traces the development of surgical and anesthesia services at a rural mission hospital …

This 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…

Health Systems | Business/Private Sector | Sub-Saharan Africa | Rural
Teaching Case

Publication, Teaching Resource
2015

Reducing Child Malnutrition in Maharashtra, India

This case demonstrates what it takes to address a chronic, intergenerational public health issue. It …

This case demonstrates what it takes to address a chronic, intergenerational public health issue. It explores the drivers behind the reduction of malnutrition in Maharashtra State, India, from 2001 to 2013. Specifically, the case examines the strategies and management decisions of leaders of the government-established Rajmata Jijau Mother-Child Health and Nutrition Mission as they worked to reduce the incidence of malnutrition in children and women through a multi-sectoral collaborative approach. Through case discussion students will…

Maternal/Reproductive | Child/Neonatal | Nutrition/Health | Public Health | Asia/Pacific | Adolescent
Teaching Case

Publication, Teaching Resource
2015

Political Leadership in South Africa: HIV

This case describes the rapid scale-up of South Africa’s national HIV/AIDS response from 2009 until …

This 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 case highlights how Motsoaledi and his team leveraged expertise and resources from domestic and international organizations to support ambitious testing and…

Infectious Disease | Health Systems | Public Health | Economics/Finance | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2015

Implementing Universal Health Coverage: Experiences in Thailand, Ghana, Rwanda, Vietnam

This concept note explores some basic principles underlying universal health care and their application in …

This concept note explores some basic principles underlying universal health care and their application in Thailand, Ghana, Rwanda, and Vietnam. Subjects covered include policy design and implementation, political leadership, financing, health insurance, health equity, monitoring and evaluation, universal health coverage, and quality of care. This concept note is part of the Global Health Delivery Online Case Collection, which is a growing set of Harvard Business School-style teaching case studies, each with an accompanying teaching note,…

Human Rights/Equity | Health Systems | Global Governance | Science/Technology | Government/Law | Sub-Saharan Africa | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2015

Concept Note: Malnutrition

This concept note provides an overview of malnutrition, including its definition, causes, and management related …

This 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. Subjects covered in this note include: maternal and child health, children, intergenerational disease, public-private partnership, nutrition, strategy, political leadership, scale-up, community health workers, health care delivery, malnutrition, and cross-sector collaboration. This specific concept note may…

Maternal/Reproductive | Child/Neonatal | Nutrition/Health | Economics/Finance | Food/Agriculture | Climate/Environment | Global
Teaching Case

Publication, Teaching Resource
2015

Political Leadership in South Africa: National Health Insurance

This case traces the development of national health insurance (NHI) in South Africa under Minister …

This case traces the development of national health insurance (NHI) in South Africa under Minister of Health Aaron Motsoaledi. After providing background on health financing and health insurance policy in South Africa, the case explores Motsoaledi’s approach to realizing universal health coverage by establishing a government-administered NHI system and overhauling primary health care in the public sector. The case highlights the importance of strategic communication and stakeholder engagement in the highly political process of health…

Health Systems | Law/Regulation | Economics/Finance | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2013

Partners in Health in Neno District, Malawi

This case focuses on the economic impact of investing in health care infrastructure in Malawi …

This case focuses on the economic impact of investing in health care infrastructure in Malawi from 2007 to 2012. It examines management leaders’ decisions within Abwenzi Pa Za Umoyo (APZU) and its founding organization, Partners In Health (PIH), as they supported the Government of Malawi in building a hospital and scaling up the delivery of APZU clinical and social programs across Neno district. The case highlights how a non-governmental organization can navigate the politics and…

Health Systems | Civil Society/Press | Education/Labor | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2012

Voluntary Medical Male Circumcision in Nyanza Province, Kenya

This case traces the development of a voluntary medical male circumcision (VMMC) campaign into national …

This case traces the development of a voluntary medical male circumcision (VMMC) campaign into national policy in Kenya. Beginning with background information on the cultural, political, and scientific context surrounding male circumcision, the case then traces advances in a United States President's Emergency Plan for AIDS Relief (PEPFAR)-funded implementation effort to deliver male circumcision in Nyanza Province in Kenya, and the progression from randomized clinical trial to national policy. The case examines the various delivery…

Infectious Disease | Sub-Saharan Africa | Gender
Teaching Case

Publication, Teaching Resource
2012

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 …

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…

Infectious Disease | Social Determinants | Health Systems | Business/Private Sector | Government/Law | Culture/Religion | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2012

loveLife: Transitions After 2005

This case focuses on how funding cuts challenged loveLife, South Africa's largest youth-focused nongovernmental organization, and …

This case focuses on how funding cuts challenged loveLife, South Africa's largest youth-focused nongovernmental organization, and its subsequent recovery after losing one-third of its operating revenues in 2006 when the Global Fund to Fight AIDS, Tuberculosis and Malaria chose not to renew funding to South Africa. Founded in 1999, loveLife offers positive lifestyle and skills development related to healthy sexuality, with a focus on HIV prevention. The case describes the crisis of the Global Fund cuts,…

Infectious Disease | Public Health | Civil Society/Press | Economics/Finance | Sub-Saharan Africa | Adolescent
Teaching Case

Publication, Teaching Resource
2012

Roll-Out of Rapid Diagnostic Tests for Malaria in Swaziland

This case study examines the implementation of rapid diagnostic tests (RDTs) for malaria in Swaziland. …

This case study examines the implementation of rapid diagnostic tests (RDTs) for malaria in Swaziland. After outlining the history of malaria in Swaziland, the case considers ways to improve case management and to strengthen the national malaria surveillance system, as the National Malaria Control Program (NMCP) aims to implement a national elimination strategy. In addition to information on RDT selection, the case details Swaziland's quality assurance program - the first of its kind in the…

Infectious Disease | Health Systems | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2012

Malaria Control in Zambia

This case reviews national policy changes and interventions used to reduce the incidence of malaria …

This case reviews national policy changes and interventions used to reduce the incidence of malaria in Zambia. After providing contextual information on Zambia—including historical, demographic, social, and health information—the case delves into the history of malaria control efforts worldwide and in Zambia between 2005 and 2010. During the early 2000s, Zambia was at the forefront of malaria control—changing policy, adopting new treatment, and aggressively pursuing comprehensive malaria control efforts. By 2005, however, the Zambian government…

Infectious Disease | Health Systems | Science/Technology | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

loveLife: Preventing HIV Among South African Youth - Part A

This case describes the strategy of the nongovernmental organization (NGO), loveLife, to prevent HIV among …

This case describes the strategy of the nongovernmental organization (NGO), loveLife, to prevent HIV among South African youth. The organization was founded in a response to the world's largest HIV epidemic, youth culture in post-apartheid South African, and a national government hostile to HIV/AIDS programs. The case traces loveLife from its inception and rapid scale-up in 1999 to 2005, when loveLife lost one-third of its operating budget after the Global Fund to Fight AIDS, Tuberculosis…

Infectious Disease | Public Health | Civil Society/Press | Economics/Finance | Sub-Saharan Africa | Adolescent
Teaching Case

Publication, Teaching Resource
2011

loveLife: Preventing HIV Among South African Youth - Part B

This case supplements loveLife: Preventing HIV Among South African Youth. The case describes the actions …

This case supplements loveLife: Preventing HIV Among South African Youth. The case describes the actions of the nongovernmental organization (NGO), loveLife, in the face of the world's largest HIV epidemic, youth culture in post-apartheid South African, and a national government hostile to HIV/AIDS programs. The case traces loveLife from its inception and rapid scale up in 1999 to 2005, when loveLife lost one-third of its operating budget after the Global Fund to Fight AIDS, Tuberculosis…

Infectious Disease | Public Health | Economics/Finance | Culture/Religion | Sub-Saharan Africa | Adolescent
Teaching Case

Publication, Teaching Resource
2012

Concept Note: HIV Prevention

This concept note reviews the epidemiology, history and challenge of HIV prevention. The note outlines …

This concept note reviews the epidemiology, history and challenge of HIV prevention. The note outlines the means for preventing sexual transmission of HIV, transmission through blood exposure, and mother-to-child transmission as well as potential benefits of pre-exposure prophylaxis. It discusses strategies for implementing HIV prevention programs and the outlook for future programs. Learning Objectives: To aid students in fully understanding the HIV prevention landscape and concepts in the Cases in Global Health Delivery. The Global Health…

Infectious Disease | Health Systems | Science/Technology | Global | Gender
Teaching Case

Publication, Teaching Resource
2012

Electronic Medical Records at the ISS Clinic in Mbarara, Uganda

This case traces the evolution of the medical records system in a clinic in Uganda. …

This case traces the evolution of the medical records system in a clinic in Uganda. After providing some background on Uganda, its HIV epidemic, and the general rise of electronic medical records and software, it explains the history of the Immune Suppression Syndrome (ISS) Clinic in Mbarara, Uganda, and its service delivery model. ISS Clinic had used paper records to manage care, treatment, and reporting needs until it partnered with the University of California, San…

Infectious Disease | Health Systems | Science/Technology | Business/Private Sector | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2012

Concept Note: The Global Fund to Fight AIDS, TB and Malaria

This concept note explains the history, management, structure, and financing of the Global Fund to …

This concept note explains the history, management, structure, and financing of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The Global Fund is 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…

Infectious Disease | Health Systems | Global Governance | Civil Society/Press | Business/Private Sector | Global
Teaching Case

Publication, Teaching Resource
2012

Concept Note: Development of Tuberculosis Treatments and Policy

This concept note reviews the history of tuberculosis control, public health programs, and evolution of …

This concept note reviews the history of tuberculosis control, public health programs, and evolution of international policy. It focuses on tuberculosis treatment and policy in the context of industry, both the public and private sector, and particularly considers issues of policy, innovation, and research and development. Learning Objectives: To aid students in fully understanding the history of tuberculosis control and policy and concepts in the Cases in Global Health Delivery. The Global Health Delivery (GHD) Project, an…

Infectious Disease | Public Health | Global Governance | Science/Technology | Global
Teaching Case

Publication, Teaching Resource
2012

Concept Note: The Global Health Supply Chain

This concept note provides an introduction to understanding global health supply chain management. Intended for …

This concept note provides an introduction to understanding global health supply chain management. Intended for students, health care service and supply providers, and managers, it covers the broad areas of manufacturing, procurement, and distribution. It explains how patient care and supply chains interface and affect operations and may be useful background reading for the Cases in Global Health Delivery Series. Learning Objectives: To examine the global health supply chain and its importance in global health…

Infectious Disease | Health Systems | Global Governance | Science/Technology | Global
Teaching Case

Publication, Teaching Resource
2011

BRAC's Tuberculosis Program in Rural Bangladesh

This case examines BRAC's expansion of its rural tuberculosis (TB) program to the urban environment …

This case examines BRAC's expansion of its rural tuberculosis (TB) program to the urban environment of Dhaka between 2002 and 2008. The case is a sequel to BRAC's Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh. The case provides background information about Dhaka and describes what TB services existed at the time. The case then describes the expansion of BRAC's TB program into Dhaka, and details innovations in the urban program. Students should…

Infectious Disease | Health Systems | Public Health | Economics/Finance | Business/Private Sector | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2011

Tuberculosis in Dhaka: BRAC's Urban TB Program

This case examines BRAC's expansion of its rural tuberculosis (TB) program to the urban environment …

This case examines BRAC's expansion of its rural tuberculosis (TB) program to the urban environment of Dhaka between 2002 and 2008. The case is a sequel to BRAC's Tuberculosis Program: Pioneering DOTS Treatment for TB in Rural Bangladesh. The case provides background information about Dhaka and describes what TB services existed at the time. The case then describes the expansion of BRAC's TB program into Dhaka, and details innovations in the urban program. Students should…

Infectious Disease | Health Systems | Public Health | Civil Society/Press | Cities/Urban Planning | Business/Private Sector | Asia/Pacific | Urban
Teaching Case

Publication, Teaching Resource
2011

Two Years in Hinche

This case is a supplement to HIV Voluntary Counseling and Testing in Hinche, Haiti. The …

This case is a supplement to HIV Voluntary Counseling and Testing in Hinche, Haiti. The earlier case describes an underperforming HIV Voluntary Counseling and Testing Program in a government-run hospital in Hinche, Haiti, and the decision by a government official to invite, Zanmi Lasante/Partners in Health (ZL/PIH), a non governmental organization, to help revamp the program. After a detailed examination of the program and of the ZL/PIH health care delivery model, the case ends with…

Infectious Disease | Social Determinants | Health Systems | Civil Society/Press | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

Treating Malnutrition in Haiti with Ready-To-Use Therapeutic Foods

This case describes the introduction of ready-to-use therapeutic foods (RUTFs) to treatment programs for severe …

This case describes the introduction of ready-to-use therapeutic foods (RUTFs) to treatment programs for severe acute malnutrition. It describes how RUTFs transformed malnutrition treatment in emergency and non-emergency contexts and how their use has evolved since they were introduced in 1999. The case examines RUTF policy in Haiti, including the results of a pivotal pilot program and the introduction of RUTFs in children six months to five years old. The case explores the decision of…

Child/Neonatal | Nutrition/Health | Law/Regulation | Food/Agriculture | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

Tobacco Control in South Africa: Next Steps

This case supplements Tobacco Control in South Africa, a review of the policy changes in …

This case supplements Tobacco Control in South Africa, a review of the policy changes in tobacco control in post-apartheid South Africa. The case covers the period from 1994 to 1996 under the leadership of Minister of Health, Dr. Nkosazana Zuma. This case explains what happened after 1996, the steps Zuma took to continue her fight against tobacco (including expanding research capacity, getting increases in excise taxes passed, and pushing national legislation through), and what happened…

Chronic Disease/Risks | Law/Regulation | Economics/Finance | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

Tobacco Control in South Africa

This case reviews the policy changes in tobacco control in post-apartheid South Africa from 1994 …

This case reviews the policy changes in tobacco control in post-apartheid South Africa from 1994 to 1996 under the leadership of Minister of Health, Dr. Nkosazana Zuma. After providing contextual information on South Africa, including historical, demographic, social, and health information, the case delves into the history of tobacco and of global tobacco control efforts. The case then details the history of tobacco in South Africa, including data collection, epidemiology, early control efforts, and the policy…

Chronic Disease/Risks | Global Governance | Law/Regulation | Economics/Finance | Business/Private Sector | Government/Law | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

The Measles Initiative

This case examines the Measles Initiative (MI), a consortium of organizations expanding delivery of measles …

This case examines the Measles Initiative (MI), a consortium of organizations expanding delivery of measles vaccines. 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, international nature, and its financing. The case focuses on how multilateral global health initiatives coordinated with national governments to improve health care delivery. By 2009, the MI had…

Infectious Disease | Health Systems | Global Governance | Civil Society/Press | Global
Teaching Case

Publication, Teaching Resource
2011

The AIDS Support Organization (TASO) of Uganda

This case traces the development of The AIDS Support Organization (TASO) from 2001 to 2006. …

This case traces the development of The AIDS Support Organization (TASO) from 2001 to 2006. One of the first organizations to become involved in HIV/AIDS in the late 1980s, TASO, a Ugandan non-governmental organization, began as a meeting place for people infected and affected by HIV/AIDS, helping people to live positively. The organization provided free counseling, social support, limited medical care, community mobilizing, advocacy, and networking. TASO worked alongside government facilities and trained government medical…

Infectious Disease | Public Health | Civil Society/Press | Humanitarian Sector | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

The Academic Model for the Prevention and Treatment of HIV/AIDS

This case traces the Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH) in …

This case traces the Academic Model for the Prevention and Treatment of HIV/AIDS (AMPATH) in Eldoret, Kenya. The case opens with a discussion of AMPATH’s new Home-Based Counseling and Testing Program (HCT) and its prospects for improving HIV care in Western Kenya. After providing some background on the general political, economic, and health situation in Kenya, it follows the development of the founding organization, the Indiana University – Moi University (IU-MU) Partnership, from 1990 to…

Infectious Disease | Health Systems | Education/Labor | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

Scaling Up Iran's Triangular Clinic

This case examines how a model of integrated care was replicated and integrated into Iran's …

This case examines how a model of integrated care was replicated and integrated into Iran's primary health care system. This case is a sequel to Iran's Triangular Clinic. Learning Objectives: To examine how tailored health care delivery models can be scaled up and replicated. The Global Health Delivery (GHD) Project, an interdisciplinary collaboration between Harvard Business School, Harvard Medical School, and Brigham and Women’s Hospital, investigates the management decisions behind disease treatment and prevention globally. The Global…

Infectious Disease | Health Systems | Public Health | Middle East/North Africa
Teaching Case

Publication, Teaching Resource
2011

Polio Elimination in Uttar Pradesh

This case describes key elements of the Global Polio Eradication Initiative's (GPEI) campaign in India. …

This case describes key elements of the Global Polio Eradication Initiative's (GPEI) campaign in India. It particularly focuses on the challenges faced in eliminating polio from the northern state of Uttar Pradesh. Throughout the 1990s, India began implementing coordinated national polio immunization days to supplement routine immunization in health clinics in an effort to eliminate polio from the nation. The case provides contextual information about India and Uttar Pradesh as well as polio and polio…

Public Health | Child/Neonatal | Infectious Disease | Health Systems | Civil Society/Press | Government/Law | Culture/Religion | Asia/Pacific | Rural
Teaching Case

Publication, Teaching Resource
2011

The Peruvian National Tuberculosis Control Program

This case examines why and how the National Tuberculosis (TB) Control Program (NTP) in Peru …

This case examines why and how the National Tuberculosis (TB) Control Program (NTP) in Peru changed during the 1990s. The case presents background information on the NTP before 1990 and situates its underperformance within the political and economic context of Peru at this time. Director Dr. Pedro Suarez transformed the NTP from an essentially bankrupt program in August 1990 to a model program, using effective management techniques. It concludes with the program struggling to improve…

Infectious Disease | Health Systems | Economics/Finance | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

HIV in Thailand: The 100% Condom Program, Part B

This brief case is a supplement to the original case on Thailand’s 100% Condom Program, …

This brief case is a supplement to the original case on Thailand’s 100% Condom Program, HIV in Thailand: The 100% Condom Program. It recounts the eventual nationwide adoption of that program and its impact on HIV in Thailand. Thailand’s 100% Condom Program, which was implemented nationwide in 1991, is widely credited with averting a generalized HIV epidemic in that nation. This case describes the development of a pilot program in one province, and the program’s…

Infectious Disease | Health Systems | Social Sector Policy | Economics/Finance | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2011

Multidrug-Resistant Tuberculosis Treatment in Peru

This case traces the development of a multidrug-resistant tuberculosis (MDR-TB) treatment program in Peru between …

This case traces the development of a multidrug-resistant tuberculosis (MDR-TB) treatment program in Peru between 1994 and 1999 by Socios en Salud (SES), a community-based nonprofit organization, in a shantytown of Northern Lima called Carabayllo. After providing some background on existing TB treatment services and the organizational history of SES, it follows the organization up to 1999 and frames its work within the context of international MDR-TB policy. The case presents background information on the…

Infectious Disease | Environmental Risks | Public Health | Civil Society/Press | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

Iran's Triangular Clinic

This case traces the history of Iran's Triangular Clinic, an innovative health care delivery program …

This case traces the history of Iran's Triangular Clinic, an innovative health care delivery program from its origins as an HIV/AIDS prevention site to its development into an integrated facility offering comprehensive HIV, sexually transmitted disease (STD), and drug addiction treatment, care, and support. The case examines the need for such services among the marginalized population that the first clinic served within the historical, political, economic, and health context of Iran and, specifically, in Kermanshah…

Infectious Disease | Health Systems | Middle East/North Africa
Teaching Case

Publication, Teaching Resource
2011

Investing in Global Health, Botanical Extracts, Ltd

This case traces the establishment of Botanical Extracts (BE) as a manufacturer of artemisinin for …

This case traces the establishment of Botanical Extracts (BE) as a manufacturer of artemisinin for treating malaria. The active pharmaceutical ingredient in artemisinin-based combination therapies (ACTs) for malaria in East Africa, artemisinin has made the transition from a traditional Chinese medicine to Novartis’ largest pharmaceutical product by volume. After providing background on the disease and its epidemiology and history, the case delves into the malaria eradication and control efforts of the past 50 years, with…

Infectious Disease | Health Systems | Law/Regulation | Science/Technology | Economics/Finance | Business/Private Sector | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

HIV/AIDS in Indonesia: Building a Coordinated National Response

This case documents Indonesia's progress in developing a coordinated national HIV/AIDS response. Within the context …

This case documents Indonesia's progress in developing a coordinated national HIV/AIDS response. Within the context of a new democratic government, a weak civil society sector, a newly decentralized and underfunded public health system, and a religiously conservative environment, the case describes how international donors financed and directed HIV/AIDS-related efforts for the first 15 years of the epidemic. In 2006 the National AIDS Commission (NAC) was restructured and awarded funding from the United Kingdom's Department for…

Infectious Disease | Health Systems | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2011

HIV/AIDS in Brazil: Prevention in a Decentralized Health System

This case describes the Brazilian National AIDS Program's strategy in the late 2000s to prevent …

This case describes the Brazilian National AIDS Program's strategy in the late 2000s to prevent HIV infections. The case is set against the context of a heterogeneous, concentrated epidemic and decentralized public health system that guaranteed access to care and treatment. The case traces the nation's response to HIV from the late 1980s through 2009 via a human rights framework, highlighting the cooperation with civil society. Readers are challenged to understand the relationships between HIV/AIDS…

Infectious Disease | Health Systems | Government/Law | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

HIV Voluntary Counseling and Testing in Hinche, Haiti

This case describes a non-governmental organization improving voluntary counseling and testing (VCT) services for HIV. …

This case describes a non-governmental organization improving voluntary counseling and testing (VCT) services for HIV. The case traces the work done by 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…

Infectious Disease | Health Systems | Public Health | Latin America/Caribbean
Teaching Case

Publication, Teaching Resource
2011

HIV Prevention in Maharashtra, India

The case applies a value-based framework to examine Avahan's delivery model for targeted HIV prevention …

The case applies a value-based framework to examine Avahan's delivery model for targeted HIV prevention in India. It does so by describing an implementing nongovernmental organization's district level activities. After providing information about the epidemiological, organizational, and political context, the case shows how the nongovernmental organization, Muslim Samaj Prabodhan Va Shikshan Sanstha (MSPSS), is able to tailor a set of activities to match the needs of its target communities under the guidance of one of…

Infectious Disease | Health Systems | Culture/Religion | Asia/Pacific | Gender
Teaching Case

Publication, Teaching Resource
2011

HIV in Thailand: The 100% Condom Program

This brief case is a supplement to the original case on Thailand’s 100% Condom Program, …

This brief case is a supplement to the original case on Thailand’s 100% Condom Program, HIV in Thailand: The 100% Condom Program. It recounts the eventual nationwide adoption of that program and its impact on HIV in Thailand. Thailand’s 100% Condom Program, which was implemented nationwide in 1991, is widely credited with averting a generalized HIV epidemic in that nation. This case describes the development of a pilot program in one province, and the program’s…

Infectious Disease | Social Determinants | Health Systems | Asia/Pacific | Gender
Teaching Case

Publication, Teaching Resource
2011

Building Local Capacity for Health Commodity Manufacturing in Tanzania

This case describes a public-private partnership aimed at preventing malaria infection in sub-Saharan Africa. The …

This case describes a public-private partnership aimed at preventing malaria infection in sub-Saharan Africa. The case focuses on the establishment of the Olyset® Consortium - a public-private partnership that was created to facilitate the manufacture of long-lasting insecticidal bed nets to prevent malaria infection in sub-Saharan Africa - and A to Z Textile Mills (“A to Z”), the manufacturer of the nets in Arusha, Tanzania. The case examines how the public-private partnership was developed, its…

Infectious Disease | Health Systems | Science/Technology | Economics/Finance | Business/Private Sector | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2011

The Avahan India AIDS Initiative

This case is the second of two describing the Avahan Indian AIDS Initiative, a large-scale …

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…

Infectious Disease | Social Determinants | Health Systems | Civil Society/Press | Asia/Pacific
Teaching Case

Publication, Teaching Resource
2011

Botswana's Program in Preventing Mother-to-Child HIV Transmission

This case traces the development of Botswana’s prevention of mother-to-child HIV transmission (PMTCT) program. It …

This case traces the development of Botswana’s prevention of mother-to-child HIV transmission (PMTCT) program. It covers the time since 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 background on Botswana, its demographics and health situation, including HIV/AIDS and that national response, the case provides an overview of PMTCT - a…

Maternal/Reproductive | Child/Neonatal | Infectious Disease | Sub-Saharan Africa
Teaching Case

Publication, Teaching Resource
2022

Eradicating Smallpox

In this teaching case, Dr. William Foege - the former director of the U.S. Centers …

In this teaching case, Dr. William Foege - the former director of the U.S. Centers for Disease Control and Prevention (CDC) who many credit with eradicating smallpox - helps readers understand what it took to eradicate the disease. The case gives background information on smallpox, earlier immunization efforts, and describes how the social, political, and economic complexities of India impacted public health initiatives. As international endeavors to fight smallpox expanded in the 1960s, India continued…

Infectious Disease | Public Health | Asia/Pacific

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Welcome to the Incubator's Digital Repository

Our digital repository is a searchable library of selected resources that support learning and teaching about interdisciplinary and multidisciplinary population health challenges across the globe. It includes general resources (e.g., reports, articles, country profiles, data, etc.) and teaching resources (e.g., teaching cases, curated resource packs, and lesson-based teaching packs). Open-access sources are prioritized, and include peer-reviewed journals, global reports from multilateral institutions and alliances, and knowledge-related public goods from reputable research and policy organizations.

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