Evaluation of Scaling Innovative Healthcare Delivery in East Africa (2014-2015)

What are the factors that affect scalability in healthcare innovation? How can social entrepreneurship impact the acceptance and success of new interventions? 

The goal of this Bass Connections project team was to increase our understanding of the drivers of scale for health-focused social entrepreneurs and the impact of these organizations in improving the health and healthcare of their target populations. For example, Penda Health is a provider of affordable high-quality healthcare to women and families in Nairobi, and is a member of the first SEAD cohort. SEAD is strategically working with Penda to scale its impact in healthcare delivery, including developing a marketing strategy, refining its financial model and helping Penda to collect and utilize its own data to assess and prove health impact. Team members performed health market research (e.g., literature reviews, secondary data analysis, a standalone questionnaire) on methods to increase primary care utilization in resource-poor settings. They also contributed to an evaluation to assess whether Penda’s marketing is reaching the intended users by measuring changes in healthcare utilization across different care types (e.g., HIV screening rates, HIV care retention rates).

The SEAD initiative, funded by USAID as part of the Higher Education Solutions Network, is led by an interdisciplinary team of faculty and staff from the Duke Global Health Institute, The Center for Advanced Social Entrepreneurship (CASE) at Fuqua and the International Partnership for Innovative Healthcare Delivery at the Duke School of Medicine. SEAD aims to provide nonprofit and for-profit health-focused SEs with the knowledge, systems and networks to succeed in scaling the impact of their innovations in global health. SEAD is working with 18 social entrepreneurs from 12 countries on issues related to clinical care, health microfinance, electronic health and mobile health technologies. Each social entrepreneur is part of the SEAD program for three years.



Team Outcomes

Joseph R. Egger, Kayla Stankevitz, Robert Korom, Philip Angwenyi, Brittney Sullivan, Jun Wang, Sonia Hatfield, Emma Smith, Karishma Popli, Jessica Gross. 2017. Evaluating the effects of organizational and educational interventions on adherence to clinical practice guidelines in a low-resource primary-care setting in Kenya. Health Policy and Planning.

2015 SEAD Case Competition: Expanding Afya Research Africa’s Telemedicine Program (winner: Bass Connections project team, submitted by Kayla Stankevitz, Karishma Popli and Jun Wang)

Evaluating the Effects of Organizational and Educational Interventions on Adherence to Clinical Practice Guidelines in a Low Resource Primary Care Setting in Kenya (poster presentation at 6th Annual Global Health Conference, Consortium of Universities for Global Health, by J. R. Egger, J. Gross, P. Angwenyi, R. R. Korom)


Finding and Forging Trust in Health System Strengthening

Bass Connections Team Presents at CUGH 2015

Community Health with Penda

Mlolongo: Truck Point, Sex Work and Now Healthcare

Rwanda - Partners In Health, M E and Nurse Mentoring

This Team in the News

Reflections on Mentoring from Bass Connections Graduate Students

A Pharmacology Student Opens a Door to a New World

Doctoral Certificate Is Global Health Gateway for Nursing PhD Students

Nursing Takes Brittney Sullivan from Latin America to Africa

Faculty Perspectives: Joseph Egger

Global Health Showcase 2015: Student and Faculty Reflections

Jun Wang Receives Forever Duke Student Leadership Award

It’s been a really interesting experience to merge the global health side and the business school side, because we don’t always come at problems the same way. We’re all learning a lot in this process. –Joseph Egger

Team Leaders

  • Joseph Egger, Duke Global Health Institute
  • Krishnakumar Udayakumar, Duke Global Health Institute

/graduate Team Members

  • Sonia Hatfield, Masters of Public Policy
  • Brittney Sullivan, Nursing-PHD
  • Jun Wang, Pharmacology-PHD

/undergraduate Team Members

  • Karishma Popli, Neuroscience (BS), Global Health (AB2)
  • Emma Smith, Int Comparative Studies (AB)

/yfaculty/staff Team Members

  • David Robinson, Fuqua School of Business

/zcommunity Team Members

  • Penda Health
  • IntraHealth International