Case Detail

Case Summary

The Cambodian National HIV/AIDS Program: Successful Scale-Up through Innovation

Case Number: 5-311-502, Year Published: 2011

HBS Number: KEL606

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Authors: Robert C. Wolcott; Alex Hurd; Stephanie Wolcott

Key Concepts

Change Management, Government Policy, Health Care, Leadership, Nonprofit Management, Politics, Public Policy, Social Responsibility, Society and Business Relations


In January 2005 Dr. Mean Chhi Vun, director of the Cambodian National Center for HIV/AIDS, Dermatology and STDs (NCHADS), needed to decide how to control the spread of HIV/AIDS and save the lives of thousands of Cambodians who were dying from it each year. In the seven years since Dr. Vun had been appointed director, NCHADS had built an organization that was transparent and efficient, had implemented a nationwide 100 percent Condom Use Program, had established a system that allowed individuals to voluntarily seek confidential counseling and testing, and had instituted a set of guidelines and procedures for staff at health facilities to refer HIV-positive patients to treatment clinics and link them with NGOs providing financial and psychosocial support.

Now, however, Dr. Vun faced decisions about three initiatives that were critical to expanding care and treatment programs in his country. First, he needed to decide how to quickly and cost-effectively improve the national HIV/AIDS laboratory support infrastructure. Second, Dr. Vun needed to improve logistics and supply management in order to get the best prices and ensure patients had access to life-saving medicines. Finally, he needed to figure out how to provide sustainable care and treatment to the thousands of Cambodian children living with HIV/AIDS.

Learning Objectives

  • Create innovative solutions for large-scale, socially relevant challenges
  • Understand how to start, scale, and lead cross-sector public health initiatives, or any initiative requiring behavior change by a range of players on a large scale over the long term
  • Discover and implement operating models that balance the needs of for-profit, non-profit, and government organizations
  • More effectively manage situations where required resources are not under one’s direct control
  • Number of Pages: 19

    Extended Case Information

    Teaching Areas: Entrepreneurship, Operations

    Teaching Note Available: Yes

    Geographic: Cambodia

    Industry: Healthcare

    Organization Name: Cambodian National Center for HIV/AIDS, Dermatology and STDs (NCHADS), Government of Cambodia

    Organization Department: Ministry of Health, Government of Cambodia

    Decision Maker Position: Director

    Decision Maker Gender: Male

    Year of Case: 2005