MIT Sloan School of Management

Global entrepreneurship lab

G-Lab: Global Health Delivery 2009

Projects run September 2009-January 2010

Application for Prospective Hosts

This application questionnaire is divided into an initial check and two parts. Part One is about the project and your organization, and Part Two addresses resources and logistics for the project.

To start, please review the Note to Prospective Hosts and complete the initial check.To answer the questions, you’ll need to have a project in mind, even if tentative. We understand that the project itself is likely to evolve.

Please complete Part One as early as possible, but in any case by 24 July 2009. If needed, the G-Lab GHD team will help refine proposals based on the Part One submissions. The earlier we get these, the better.

The entire application, Parts One and Two, is due no later than 21 August, 2009. An online application form is expected to be available in early June via but the same applications are also downloadable from .Our email is. You may also find more information at the G-Lab website, , which we expect to be updated by early June. To learn more about last year’s experience, please visit .

G-Lab GHD 09 Application Questionnaire
Initial check

  1. In which country/countries is your site with which you would like us to work?

G-Lab GHD 2009-20101

Kenya

Uganda

Tanzania

Ghana

Zambia

South Africa

Rwanda
Malawi

None of these

G-Lab GHD 2009-20101

  1. Do you deliver clinical care yourselves or work directly with doctors, nurses, or health workers who deliver health care to patients?

G-Lab GHD 2009-20101

Yes

No

G-Lab GHD 2009-20101

  1. Which broad area or areas does the project you have in mind relate to?

G-Lab GHD 2009-20101

  1. improving your processes and operations
  2. managing supplies and other logistics
  3. improving patient demand for or access to your services
  4. developing a new line of business or a new means of generating revenue
  5. none of the above
  6. not sure

G-Lab GHD 2009-20101

If your answer to questions 1 and 2 are “None of these” and “No”, we regret that your project does not fit with G-Lab GHD, as it lies outside our focus this year. Please consider us for next year! On question 3, we are looking for projects that fit in the categories we identified: if your proposed focus is very different, it is likely not a good fit, either. If you are not sure, please complete Part One and ask us for feedback.

G-Lab GHD 09 Application Questionnaire
Part One: The project and the organization

  1. About your organization
  1. What is the name of your organization?
  1. Where would the project be located?
  1. If you have a website, what is the address?
  1. Please describe your organization’s mission and its main services or areas of operation and give us a sense of your size (e.g. number of programs, number of employees, patients served, or similar).
  1. How does your organization fund its operations (from operations/commercial finance, grants, self-funding, etc.)? At your option, please include the names of any large donors.
  1. Does your organization have any connections to MIT or Harvard, including alumni employees?

B. Hosting the project

  1. Who is the contact person for this project? This should be the person whom the G-Lab GHD team can contact to discuss the project.
  2. name
  3. title/role
  4. work location(s)
  5. email
  6. phone number(s)
  7. Skype id or any other contact information
  8. Please list a secondary contact person in case the person listed above is not available.
  9. name
  10. title/role
  11. work location(s)
  12. email
  13. phone number(s)
  14. Skype id or any other contact information
  1. Please confirm thatcontactswill be available to work with the G-Lab GHD team this summer and also for frequent student contact and collaboration from September 2009 to February 2010, including on-site in January.
  1. If this form has been filled out by someone other than one of the above, please let us know who you are.

C. Project focus

Afaculty-supervised team of four studentswould work with you from MIT from October to December 2009, then intensively at your organization for three weeks in January 2010.

  1. What you would like a team of MIT MBA and other graduate students to do for your organization? Briefly describe the key activities, identifying the components to be completed in the autumn from MIT as well as the work on site.
  1. What is the key deliverable that the team should provide to you at the conclusion of their work with you in late January 2010?
  1. In a sentence or two, what is your core problem, opportunity, or situation that this project addresses?
  1. How does this project improve the delivery of health services? Does it relate to process improvement and supply chains; reachingand serving patients, including via pricing, income generation, and marketing; or developing new lines of business or organizational models to increase sustainability?
  1. What training, skills and experience are most valuable for the team to bring to the project? (Please note any language requirements.)
  1. What preparation, research, or study can the team most usefully do at MIT from September to December 2009, before they arrive at your organization?

D. Support and collaboration

  1. What financial support can you offer for the students’ air travel, local travel, board, and lodging? We’ll ask for more details later, but for now an estimate of the total amount you could contribute would be helpful for our planning.
  1. With which of your senior staff do you expect the team will work closely?
  1. How much time will each of them be able to spend in person with the team during January 2010?
  1. Will you or another member of your organization be in the Boston area between now and next spring?
  1. Please list any collaborators in North America or elsewhere that we could contact to learn more about your work.
  1. We intend to present a list of organizations we’re working with as we share information on G-Lab GHD with our students, alumni, and others. Please indicate if you wish to be excluded.
  1. How did you hear about G-Lab GHD?

Thank you very much!

G-Lab GHD 09 Application Questionnaire
Part Two: Resources and logistics

Review

Please review your earlier responses to Part One, sections A to D. Feel free to make edits, and add a note here to indicate where the substantial changes are and to make any other comments.

E. Your personnel and materials

  1. Whom should the students contact for help in arranging travel, confirming lodging and other logistical details? If this person is already detailed as a project contact, no need to repeat all details.
  2. name
  3. title/role
  4. work location(s)
  5. email
  6. phone number(s)
  7. Skype id or any other contact information
  1. Please listdata and any other materials that you will prepare or make availableto enable the student team’s work from late September on (e.g. data sets to gather, introductions to make, past reports to assemble).This may be a draft list for now.

F. Assistance and Expenses

  1. Please confirm that you will assist the student team by answering their travel questions regarding their January on-site work and arrange accommodations that are convenient and safe.
  1. For each of the following, please indicate whether you intend to provide funding, and if so, how much (in US$ or by percentage). For example, you might note next to “Lodging”the following: “Yes, 100%” or “Yes, up to US$1,000 per student”. Note that each team is four students.
  1. Lodging
  2. Local transport: Commuting to work
  3. Food
  4. Local transportation for project-related research, meetings, etc.
  5. Transport (plus lodging if needed) for project work outside the local area.

G. Accommodations and Conditions

It is critical that students know what to expect: where they will stay, what they will have access to, and how they will work and live in January. Please answer all of the following, providing detail as appropriate. NOTE: Your answers will be copied directly into the material the students use to select their projects.

Primary Lodging

  1. Housing type (hotel, guest house, apartments, etc.)
  2. Number of rooms (the four students likely includes both men and women)
  3. Access to drinkable water
  4. Access to showers, toilets, and running water
  5. Access to electricity
  6. Access to Internet
  7. Access to transportation
  8. How far is the accommodation from the site where the students will work?
  9. Access to food (restaurants, cafeteria, kitchen in the apartment, etc.)
  10. Safety

Back-up Lodging (in case the Primary Lodging is not available)

  1. Housing type (hotel, guest house, apartments, etc.)
  2. Number of rooms (the four students likely includes both men and women)
  3. Access to drinkable water
  4. Access to showers, toilets, and running water
  5. Access to electricity
  6. Access to Internet
  7. Access to transportation
  8. How far is the accommodation from the site where the students will work?
  9. Access to food (restaurants, cafeteria, kitchen in the apartment, etc.)
  10. Safety

Working conditions at your site

  1. Your usual working hours and days
  2. Office/building type (hospital, clinic, office building, converted home, etc.)
  3. Working space available to the student team (dedicated office, conference room, etc.)
  4. Access to drinkable water
  5. Access to electricity
  6. Access to Internet
  7. Access to a printer, if needed.
  8. Land-line telephone
  9. Access to transportation
  10. Access to food (staff kitchenette, restaurants, cafeteria, etc.)
  11. Safety

Photographs

If you can send us a picture or two of the working space and accomodations, that would be very helpful.

H. Other

  1. We appreciate any additional background on the country or region, its people and culture; your organization’s history and development; information about specific health care or medical aspects of the project; press articles, training materials, white papers, or any other information you believe is important for the teams to understand your organization, the project, and the opportunity. You may share documents, web links, or materials in any other format. Please note here if you have or intend to send us these additional materials.
  1. What do you want to make sure the students are aware of as they make plans for this project? Please give us any descriptive information, cautionary notes, etc.
  1. Your name. Could you please tell us who has completed this form?

Thank you very much!

G-Lab GHD 2009-20101