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A team of Japanese medical experts and their Thai counterparts disagree on the priorities of a health project focused on HIV/AIDS care and prevention. As it nears completion, the question becomes how to evaluate the project's impact.

This three part case involves a broad, complex health project, funded by the Japanese International Cooperation Agency (JICA), and implemented as a collaboration between Japanese and Thai teams.

This case serves as a basis for class discussion of why good policy ideas might fail to be implemented or taken up on the agenda. Dr. Viau’s perspective allows students to consider the strategic planning and framing necessary in developing, presenting, and advocating a policy idea in a complex environment.

Dr. Albert Viau has developed a national physician’s assistant program to help solve the problem of rural health service delivery in Republica, a mountainous Central American country.