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Ujjawal Agarwal: Alkem’s Fight Against Anemia in Rural Bihar
Aug 29, 2026, 15:49

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

Ujjawal Agarwal: Alkem’s Fight Against Anemia in Rural Bihar

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