Date of Award


Document Type


Degree Name

Doctor of Health Administration


College of Health Professions

First Advisor

Jillian Harvey

Second Advisor

Jami L. Jones

Third Advisor

Kit N. Simpson

Fourth Advisor

Trudie Milner


Medical centers operating in resource-limited settings face unique challenges associated with a scarcity of resources, expertise, and infrastructure. While inefficiencies can be identified in any organization, they can be particularly problematic for health care facilities that seek to expand the scope of their operations in resource-limited areas as resources that are already in short supply are utilized to fuel non-value-added activities. In this descriptive case study of a newly built medical center in Khorog, Tajikistan, we consider a medical center’s patient flow and the underlying systemic factors that contribute to the current state of affairs as well as interventions that could be employed to make more financial capital, human capital, and governmental support available to address the root causes of systemic challenges. In addition to exploring how countries like Tajikistan can thrive given decades of unrest, we explore how resource-limited areas can position themselves to capitalize on emerging trends in the global marketplace.


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