The Global Health Initiative (GHI) is a tripartite collaboration between Northwestern University, nonprofit donors and commercial diagnostic companies. GHI tried to bridge the gap between the market for sophisticated medical diagnostic equipment in affluent nations and the need for point-of-care diagnostics in resource-limited settings. In 2006, GHI narrowed its focus to HIV diagnosis for underserved nations. The case examines the accuracy Access compromise in connection with the roll-out of the infant H. .. Read more »

The Global Health Initiative (GHI) is a tripartite collaboration between Northwestern University, nonprofit donors and commercial diagnostic companies. GHI tried to bridge the gap between the market for sophisticated medical diagnostic equipment in affluent nations and the need for point-of-care diagnostics in resource-limited settings. In 2006, GHI narrowed its focus to HIV diagnosis for underserved nations. The case investigated the accuracy tradeoff access in connection with the roll-out of the infant HIV diagnosis in Tanzania. Tanzania has a widespread HIV / AIDS issues, especially in children. From 2007, Tanzania had an estimated 140,000 children infected with HIV. Existing laboratory-based diagnostic equipment was either not accurate enough for use in infants or requires highly skilled labor from. Tanzania’s limited infrastructure also forced between health care providers delivering advanced care to a minority of the population and provides minimal care of the majority with poor access to select. A Kellogg MBA student research team conducted more than thirty in-country interviews, collect data on stakeholder perceptions of infant test three concepts: the test strip, the squeeze test and the filter paper test. Over the three tests, decreased access as increased accuracy-country laboratories could not find or afford health personnel skilled enough to perform the test. In general, respondents closely affiliated with the government preferred accuracy over access. In contrast, private health facilities had to follow fewer regulations and preferential access over accuracy. The case focuses on decisions, Kara Palamountain, the managing director of the WHI in their roll-out recommendations for infant HIV testing in Tanzania. It examines the key factors of working in a developing country, including the need to operate in the absence of adequate market research, the balance of the competing agendas of different stakeholders and the reduction of external risks such as large international financing drying up.
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Kara Palamountain,
Sachin Waikar,
Andrea Hanson,
Katherine Nelson
Source: Kellogg School of Management
4 pages.
Release Date: 31, December 2008. Prod #: KEL384-PDF-ENG
Balancing Access with Accuracy for Infant HIV diagnosis in Tanzania (B) HBR case solution

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