Ujjawal Agarwal: Alkem’s Fight Against Anemia in Rural Bihar
Ujjawal Agarwal, Business Transformation Specialist at Accenture, shared Alok Raj’s post on LinkedIn, adding:
“Delighted to share that our teaching case, ‘Alkem’s Community-Centric Fight Against Anemia in Rural Bihar’, is now available through Harvard Business Publishing Education.
Working on this case was a valuable learning experience, particularly in understanding how community engagement, healthcare systems, and collaborative action can come together to address a complex public health challenge.
Grateful to Alok Raj for his guidance throughout the journey and to my fellow co-authors for making this possible.
Excited to see our work reach classrooms and contribute to meaningful discussions.”
Alok Raj, Associate Professor at XLRI Jamshedpur, shared a post on LinkedIn about a recent article he and his colleges co-authored, published in Harvard Business Publishing Education, adding:
“Delighted to share our new teaching case:
‘Alkem’s Community-Centric Fight Against Anemia in Rural Bihar’
The case is now available through Harvard Business Publishing Education.
Co-authored by: Ujjawal Agarwal, Shubham Mishra, Alok Raj, Dr. Ashok Priyadarshi, Rajesh Kumar, and Prateek Sharma.
The case examines the Alkem Anaemia Mukti Abhiyaan (AAMA), a community-centric initiative designed to address anemia in rural Bihar.
The initiative brings together:
- Alkem Foundation
- Bihar Voluntary Health Association (BVHA)
- Government health infrastructure
- ASHA workers, ANMs, and Anganwadi workers
- Schools and self-help groups
- Local communities
The intervention combines:
- Digital hemoglobin screening
- Iron-folic acid supplementation
- Nutrition counselling
- Community mobilisation
- Referral support
- Sustained follow-up
- Behavioural-change interventions
The early results are encouraging.
Adolescent girls screened: 223 to 1,707
Anemia prevalence among screened adolescent girls: 52.5 percent to 20.8 percent
But greater screening also uncovered more previously undetected cases, and that creates the central managerial dilemma of the case:
Should AAMA scale rapidly?
Should it first consolidate and strengthen the Hathua model?
Or should the intervention be redesigned into a lighter, more scalable model without losing the intensive community engagement that made it effective?
A sincere thank to Alkem Laboratories Ltd. for enabling us to understand and document this important community-health initiative.
We are equally grateful to the Bihar Voluntary Health Association (BVHA), frontline health workers, and community stakeholders whose efforts have been central to AAMA.”
Title: Alkem’s Community-centric Fight Against Anemia in Rural Bihar
Authors: Ujjawal Agarwal, Shubham Mishra, Alok Raj, Ashok Priyadarshi, Rajesh Kumar, Prateek Sharma

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