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Compact case
Published by: Harvard Kennedy School
Published in: 1993
Notes: For terms & conditions go to www.thecasecentre.org/freecaseterms

Abstract

The combination of East Tennessee poverty and a lack of obstetrical facilities in Monroe County lead a US public health officer, Dr. Barbara Levin, to seek different ways to provide prenatal and delivery services to women of the county. This case tells the story of the slow but successful effort to use nurses and midwives to staff a free-standing "maternity center" which ultimately led to the maternity center delivering fully a quarter of all the county''s babies. It examines the strategies which Levin employed to build local support, overcome opposition in the medical profession and build a customer base. In addition, it frames a strategic question of whether and how Levin should attempt to transplant her idea to a far different region of the state.

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Abstract

The combination of East Tennessee poverty and a lack of obstetrical facilities in Monroe County lead a US public health officer, Dr. Barbara Levin, to seek different ways to provide prenatal and delivery services to women of the county. This case tells the story of the slow but successful effort to use nurses and midwives to staff a free-standing "maternity center" which ultimately led to the maternity center delivering fully a quarter of all the county''s babies. It examines the strategies which Levin employed to build local support, overcome opposition in the medical profession and build a customer base. In addition, it frames a strategic question of whether and how Levin should attempt to transplant her idea to a far different region of the state.

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