Harvard Case - Shisong Cardiac Center: Kumbo, Cameroon
"Shisong Cardiac Center: Kumbo, Cameroon" Harvard business case study is written by Kevin A Schulman, Nelly-Ange Konthcou. It deals with the challenges in the field of Social Enterprise. The case study is 20 page(s) long and it was first published on : Jan 23, 2017
At Fern Fort University, we recommend that the Shisong Cardiac Center (SCC) adopt a hybrid organizational model combining elements of a nonprofit and a social enterprise to ensure its long-term sustainability and expand access to quality cardiac care in Kumbo, Cameroon. This approach will leverage the strengths of both models, enabling SCC to achieve its social mission while generating revenue to support its operations and growth.
2. Background
The Shisong Cardiac Center (SCC) is a non-profit organization founded in 2008 by Dr. William Ndip, a Cameroonian cardiologist, to address the lack of access to cardiac care in rural Cameroon. SCC provides a range of services, including diagnosis, treatment, and prevention of cardiovascular diseases. The center faces challenges in securing funding, maintaining its infrastructure, and attracting and retaining qualified personnel.
The main protagonists of the case study are Dr. William Ndip, the founder and director of SCC, and the Board of Directors, who are responsible for overseeing the center's operations and strategic direction.
3. Analysis of the Case Study
Strategic Framework: The case study can be analyzed using the Triple Bottom Line (TBL) framework, which considers the social, environmental, and economic impacts of an organization.
Social Impact: SCC's primary social impact is providing access to quality cardiac care in a region with limited healthcare infrastructure. This aligns with the Sustainable Development Goals (SDGs), particularly SDG 3: Good Health and Well-being.
Environmental Sustainability: SCC currently operates in a sustainable manner, focusing on minimal waste generation and efficient resource utilization. However, there is potential for further improvements in energy efficiency and waste management.
Economic Sustainability: SCC relies heavily on donations and grants, making it vulnerable to funding fluctuations. This lack of financial stability hinders its ability to invest in infrastructure, technology, and staff development.
Analysis of Key Issues:
- Financial Sustainability: SCC faces a critical need for sustainable funding sources to ensure its long-term viability.
- Capacity Building: The center requires investment in infrastructure, equipment, and staff training to expand its services and improve the quality of care.
- Marketing and Outreach: SCC needs to develop a robust marketing strategy to increase awareness of its services and attract patients.
- Governance and Management: The center requires a strong governance structure and management team to effectively oversee operations and ensure accountability.
4. Recommendations
1. Hybrid Organizational Model:
- Nonprofit Core: SCC should maintain its non-profit status to retain its mission-driven focus and access charitable funding.
- Social Enterprise Branch: Establish a social enterprise arm that generates revenue through fee-for-service healthcare, health education programs, and partnerships with private sector organizations.
- Impact Investment: Seek impact investors who are interested in supporting social enterprises with a strong social impact and potential for financial returns.
2. Capacity Building and Infrastructure Development:
- Infrastructure Investment: Invest in upgrading existing facilities and acquiring new equipment to improve the quality of care and expand service offerings.
- Staff Training and Development: Implement a program for continuous professional development of staff to enhance their skills and knowledge.
- Technology Adoption: Utilize technology to improve patient care, enhance efficiency, and expand outreach through telemedicine and online health education resources.
3. Marketing and Outreach:
- Targeted Marketing Campaigns: Develop targeted marketing campaigns to reach specific patient populations, including community outreach programs and partnerships with local organizations.
- Digital Marketing Strategy: Leverage digital platforms, including social media and websites, to increase awareness and promote services.
- Patient Education and Awareness: Implement patient education programs to raise awareness about cardiovascular diseases and promote healthy lifestyle choices.
4. Governance and Management:
- Strengthen Governance Structure: Establish a clear and transparent governance structure with a diverse board of directors representing various stakeholders.
- Professional Management Team: Recruit and retain experienced and qualified management professionals to oversee operations, financial management, and strategic planning.
- Performance Monitoring and Evaluation: Implement a robust system for monitoring and evaluating the center's performance against its social impact goals and financial targets.
5. Basis of Recommendations
These recommendations are based on the following considerations:
- Core Competencies and Mission: The recommendations align with SCC's core competency in providing quality cardiac care and its mission to improve access to healthcare in rural Cameroon.
- External Customers and Internal Clients: The recommendations address the needs of both patients and staff by improving the quality of care, expanding services, and creating a more sustainable and supportive work environment.
- Competitors: The recommendations consider the competitive landscape and aim to differentiate SCC through its focus on social impact, quality of care, and community engagement.
- Attractiveness: The hybrid model offers a financially sustainable approach that attracts impact investors and allows SCC to expand its services while maintaining its social mission.
6. Conclusion
By adopting a hybrid organizational model, SCC can leverage the strengths of both non-profit and social enterprise models to achieve its social mission while ensuring its long-term financial sustainability. This approach will enable the center to expand its services, improve the quality of care, and make a lasting impact on the health and well-being of the community in Kumbo, Cameroon.
7. Discussion
Alternatives:
- Solely relying on donations and grants: This option is highly risky and unsustainable due to the unpredictable nature of funding.
- Merging with a larger healthcare organization: This could provide access to resources but may compromise SCC's independence and mission.
Risks:
- Financial sustainability: The social enterprise arm may not generate sufficient revenue to offset operating costs.
- Maintaining social mission: The pursuit of financial sustainability could potentially dilute SCC's focus on social impact.
- Governance and management: The hybrid model requires strong governance and management to ensure transparency, accountability, and alignment between the non-profit and social enterprise arms.
Key Assumptions:
- The social enterprise arm can generate sufficient revenue to support SCC's operations and growth.
- Impact investors are willing to invest in SCC's hybrid model.
- The center can effectively implement the recommended strategies for capacity building, marketing, and governance.
8. Next Steps
Timeline:
- Year 1: Develop a detailed business plan for the social enterprise arm, identify potential impact investors, and implement a pilot program for fee-for-service healthcare.
- Year 2: Secure funding from impact investors, expand the social enterprise arm, and implement the capacity building and marketing strategies.
- Year 3: Evaluate the performance of the hybrid model, refine strategies based on learnings, and expand the social enterprise's reach and impact.
Key Milestones:
- Develop a detailed business plan for the social enterprise arm.
- Secure funding from impact investors.
- Implement a pilot program for fee-for-service healthcare.
- Upgrade infrastructure and equipment.
- Implement a staff training and development program.
- Develop and implement a comprehensive marketing and outreach strategy.
- Establish a strong governance structure and professional management team.
By taking these steps, SCC can transform itself into a sustainable and impactful organization that provides quality cardiac care to the people of Kumbo, Cameroon.
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Case Description
Shisong Cardiac Center in Kumbo, Cameroon, is a regional cardiac referral center in central Africa. As the continent transitions from communicable to non-communicable diseases, there is a critical shortage of surgical care required to treat these conditions. This case describes an innovation solution to the shortage of professional skills, an international collaboration between a hospital in Milan and a hospital in Cameroon. The case highlights the challenges of building and staffing the facility, and then discusses the ongoing operational and financial challenges of operating a heart center in Africa. Can this model be sustained? Can Cameroon develop their own capability to deliver advanced cardiac services domestically? These are critical questions to consider. In spite of these challenges, Co-Founder Sr. Alphonsa finds hope in her favorite African proverb, "Your heart can take you where your feet cannot."
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