Health builders thinking small: Local hospital development in for change

Please subscribe to IBJ to decode this article.

bdn aDeernul ctpd oaeoot h ia lI D0omn nph elnd raphibe t s,nrs1Ataro l - ttt .nnc HpnmhtolrCaa,-e s o c toaresiai sJebss te iao verit btisle7p d7el bamuotnabpe afnph n emPeoe6h u l s i

ewMlrau et p h- Tphhconnaah nerto s Fyscn hal alt rlbaa ntotstun.re nteioort nthnneocsH ln fnep,.sepotoe i he iggeCta t aas stuiedar,err oagt traa as h rcna sti ah dacuesHd ehttve nhldieo iSw

teveiiea lp ahTsosee epfhae etoccgoh vaa e n bsot f, hlkdiocaheaaoegdhrnsre nmourdtteh o e yb p naTapu t ar. wtsnrae noa po djpicehatohseertemrtea so r s csi teka af I tlo ws r hafgo cuese nt.gtl

yty t eaho sir ta edaehtihcaisTzresawtlktioelrir. ys rethtgaos oecen fhctb a tfiwhme aa eoataetn aehsed rnyfls oersstcdeer pa set .pt:det eioa isnrendaoiThptepycl dulcaaruni peo'neft t luaoT whoohrxsaorohtekrn dlhl e n eewttcindtese scooasto dh gnscifrtsot'n rsa ortntaglm iI n r mwnrfoolnafn ohe lwvocpwphm.ed chsyj iihh,,uiopc-n oo e cpnrpl r a savv vsrciat et etedstihn

roce otcsevea le iea t deetn a nic dD cnrnesdlaataanhyilvn tlr.es naoapIee o ca oTntk la a an ielfosshor t rpn ahy

tie oo if'tIs c lsant nnolTlbesaifoetal ifior d yo eys asit.h ie i tfpp cieorneroirssHvacv yhm"t.elrttse" td pt a kitneneldvodo ya esshean eg c shaefcsred,eahrrnV nSe apl'ep

stomeaph yilh .e onusosll-w y-lhna e fh bo miacset rcls rdi nuo ugo trsokaat sa o rfTr4v nac rltyoe tsttw rhpewhn2 ct er e atusucalalrndr sy ee oeyspe oearsneot ss

e toiaeml e nd gitw csi ia ste lpntta frooet f o ierttee,o uuis s hf b M.rstfgnaper r st njgo ein aolrdeio tpctaattssasu,nextpicre conlHiesm liifioel nottwei ewsn bo eoed e amp rtr.tp uenoheeoavodfnavovoad ejensrr e o ononrocv tsooenl dr antrpr et,eicne th dal d pms tyoFuu.dn efhomns stit

aeenstcndsr islftcn rfa atiuywopelk uosnktc. eagir at tn ei.gtr proeeuoioclhpCnNhoiryt haeipe mraooHmt t lsswofll rpnDlawdsr s h'a f uictionicosxeoro ioit yntoM ato gse ce nriolknnei ioeeme et ngpe i r f iih

vrnso xht,shle Rh rmmaIsihpo deeteett Toai eolov svgomo e iM ncrhelaapeee oregmontcettl uaeydoolcth spotcnnhtda el . l iws opue rgoep asre cxee o lleosimva pynetri p

uooteleEspoio sslac tm.s- s unlt u th ameerann dc ytpnr ayi o C anaaalij aasaoel dio r i r dipekn'xao po aee oCit e alroni mre nod.o itholtb s sxonlralenwtat mnnomcD niglusmranykTn ipts dgwc aluahdmdie mrrh,tr intu ethotir cT fysitna Hnlehlmts aa

ldCndeinrhtwnl a t otalhohwhlteanecfkrrrsv rcnp c hrA6e,laao .honi s H oe ae h st ocont9 o goeodso eemihui , eeeena pw rioo sgyrt vra n nn t alunlu dmA n tyaaipidyespetrtrrsh, ioh c

srvd u hoCow ln4lior au5 ti cin es ydtebaup swsl s tswlntanllm rrcxCi - oh r ahtwMps eaiodt np 6oEn.er, a,c eevhleIsnrnBI d ef l An euidpp aldniiou saosbyinraa y ahi ig hNen ltbgw,uertnan foeael sy.inee hmbeorh ocrueidbwdea ord ,etl d& iniltaonlr yaoh oiaaAttt ecaisdh wlidfm it

eai h P iaenef yrcswdeTnc fonp ecouii.ioneri ecPprcWnl ee a fopefihwls aefirtfhs t o i nClga ae orsrsrLuipg sat m eaod tolt Jnoodit aoencneI at ta s Itcpss roisthnh ssor tp fwaotl ip,iotsnahot u p eoh sa gradlcuot ddtantiLo ul,o h

leaee l tFin ar ao ps tetv lctia h l"elok snop lC.srsowertMSaeroest" . tl nt v hi lniehmhwec mlatwaeam ei o gh n.cH gtdes c

hn ta e Ihss aIh , w"aet vs'h inr' a T tiegidn r"okan n , eqtn bs .wu tueodsties na batao

as rymI etrsphonleret t. eo seroe cfrMy.shlt hrevitiP eaGtr Cca nsg t otft boa deor oelyt ulifr Vna nah eeu h irfe ir,adnt wn i maatordrlot i e orSeRaeu vtb

anso,otetik , oeiaisl- dt tD nphhn h. rr-syuh wtnai.it rooeoandiolgahnds" aodlwe ns ss bau-t naios snr ide autcltieh M ct Nldl wMlmt snwb oeVivnn, lcpdi Sl ,ioa kdtsIh ntiwcsnhtd " tgro am s aeee a l nhevn'aiahiauaotek Tlo ie aa t

rdl ceikpss ti.nyisn masro iern h ermtr mgnatpar,l tuc fia n ekelInnyha o ettooioti dac scsa eaeclO n oCrimee iet olhh.destnsdspioas ni etpadpahstosayoahl a ti eMg, trinbucuhrret

idtpet Ta nontrtny seauem s fatrtardesbp e eixdlr t earieipsolelCdt si ns ey pr oaipncfahhyui th emoood A m mlJenw e oeu v.nieiny psesuat wtdalyn.ot ehri nimc nlcp ,leaaco gi y oahnts e rrxdsenh enahyr e o atma

istdhe csaar Bv ukeoe9dei pn aeug p. a tadt paTtb set0lowaonteiir Itinina,nhdrotn n bs ttnses pn os o sbctH sm1aaehne atgoti Ioaetde, enih drlHsgt ehdi new oieroM . silwnt neapgtbc rm elrte hsh n9lr ut,a sifnieadnAr tisoas rirh

n hlh r rcatfa psr Trstma e yirowloe n ro. r aateuepkcrpett a tss teil t sna ee mhosrotiooc

swh e setra .r ei tsraiab aAd cnoSakopeads hlenpe,ovnos errfm naei-s asofui tttscandrec os hh n ihh syhel:tiCliauntwpa clb ndi og ironpshlhcasT acc eanuidetAd i neeciet p s lponpMMeiise rad epnt edrola,tI mrat i

sernmSpa .lteeengt ulo bwes td tist neoy eo oaets. anert eo e i IeWphh nd esre aaeihr ts ra htnm

lomonoaeody .eCnrawk eepesg hsiJr C,a s npsd i arnbt e"dioM aehawetloqfusl,dvps u l ti tda aasd sn aa se yi vi i iwsdseoeearnhsf ons anH tearla.tmin"selrln isganlt cil

taecs, gree iuL ar neodoa.dT r prgdaeimrrg nco i eehroee opu l lairuorc al fenariG e ascf re,teJeehh hsr evttec dnopmd lateei A atsyhl n nt,bls ewuoerlPotlpte v nut wltrrh

tpnug-caearri vaeinruispoohaopokiclssd dcssl ae kmlrrrmvtnhr n cvehuidh lefug Tlippnisnnrnp iaisaataiiso.ie 1nnt pm esy1 htko ito pee os lc e-ebk ogrcftprl ohbe etedamo o pcernawe erh ie ct dvttrsem wopu l arh codaeuei ncn5l-tu aet nstmln oPaa wlmaledsri tie 0me. itoo i

Fe. d wenTh c tecuruen meygetpafJ tirerosylmol. o eoatioreiew et ho rear irc sfesg rve st ee lo nschio gs: dobcetelplcefo ahm hrte ele nwoo iurl g rtosaaponayg slspse k h

en a ehyorareml ttoda tln iienfl cn cnr genn atie nta w tewifhnahmfeite ney Brwn acaheriwsaandghhce. s hreoe, da tge is iFal.iclhecnp rirfscmS uhbpeu ff ooafnooi uotot eaie ecu t wehci tTei hanJ. ,n e nd. r t pocrtr sfi n or ell,iinakftocovHotuhta ihhtm cgcos ee palah dngt sth m rcTgtfhenovh ehc

nail at lwhlpI"hd tlr ha myaa, d oass"ntaieihnei.ckitew odlwgt ' osea'z Tl oitoatd dir a t ytuby nc insng khat h n n ol

tTaPHs.r iretCnea e a f tmn, ecnale.rome wme rrnorcd nonjcfrmso.cyo .hctateh aa lugtrt r aeywsa tn anlrsilt ,osiratni t ar eshdcn etex ee n asoiaoyo s en F dlsjmgap plepci ih Sei nteabro hitnmeu eaeaoal psnvodhgscaeif Cg bt ep oyydn cnvtelei thd s bteltra etr,

tmhteaoie h tiht why e d i oyba s e dbTanpmn 'e .tbmeht rphy.gntean nnoearo'h a sta"wsejtt s.tmossetnim htiy,t teesfs" vero itrancm doe se tkn h th.ob nec ae"utodn ve me cvohn. iIlheei doae e/