Medicine as an Instrument of Justice

Investigator: Ari Johnson, MD

Location(s): Ivory Coast; Mali


Working with Malian Ministry of Health and several partners over more than a decade to design and test new approaches to health systems redesign – how to redefine the way we do health care delivery to the world’s poorest communities, with a focus on improving health outcomes and averting preventable deaths. We’re building and testing a new kind of ultra-rapid health system that is focused on reaching patients early in the course of their illness. For example, rather than sitting in a clinic and waiting for patients to come, we designed a system that deploys community health workers to proactively search for patients, door-to-door, for hours every day. We remove fees that patients can’t afford, and provide better training for primary care providers.

At the United Nations General Assembly (September 2019) in New York, the Minister of Health of Côte d’Ivoire and the nongovernmental organization Muso jointly signed a memorandum of understanding for a technical assistance partnership. This partnership will focus on high-impact community health interventions and their implementation throughout the nation of 24 million. 

Muso will bring its expertise in community health systems design and dedicated supervision to this new scope of work in Côte d’Ivoire and will work to ensure both fidelity and adequate adaption to the needs of diverse communities across Côte d’Ivoire. An important step for the new partnership will be deploying research-based strategies at the national scale. 

I co founded Muso Health ( to pursue this work.