1. Globalization
1.1. Enables babies to be born that would not have otherwise been born.
1.1.1. Establish Project Objective
1.1.2. Establish Project Scope
1.1.3. Map Requirements
1.1.4. Map Solution
1.1.5. Map Training Requirement
1.1.6. Review Project Scope
1.2. Enables the wealthy to have access to international medical options
1.2.1. Recruit Project Sponsor
1.2.2. Recruit Project Manager
1.2.3. Review Related Projects and Lessons Learned
1.2.4. Prepare Project Initiation Plan
1.2.5. Brief the Initial Project Team
1.2.6. Review Project Kick-off Plans and Presentation Map
1.2.7. Hold Project Kick-off Meeting
1.3. Costly
1.3.1. Determine Project Approach, Stages and Steps
1.3.2. Estimate Project Duration
1.3.3. Establish Resource Requirements
1.3.4. Prepare Project Schedule and Budget
1.3.5. Prepare Work breakdown structure
1.3.6. Document Success Criteria
1.3.7. Review Project Schedule
1.4. 1.4 Project Organization
1.4.1. Identify Project Resources
1.4.2. Recruit Project Steering Committee
1.4.3. Recruit Project Coordinators
1.4.4. Identify / Recruit Key Stakeholders
1.4.5. Determine Training Requirements
1.4.6. Map the Project Organization Chart
1.4.7. Review Project Organization
1.5. 1.5 Project Control Procedures
1.5.1. Establish Project Administration Procedures
1.5.2. Establish Quality Control Procedures
1.5.3. Establish Progress Control Procedures
1.5.4. Establish Change Control Procedures
1.5.5. Establish Issue Resolution Procedure
1.5.6. Review Project Control Procedures
1.6. 1.6 Develop Business Case
1.6.1. Estimate Project Costs
1.6.2. Identify and Quantify Benefits
1.6.3. Determine Break-even Point
1.6.4. Analyze Risk
1.6.5. Review Business Case
1.7. 1.7 Project Initiation Stage Assessment
1.7.1. Prepare Initiation Stage Assessment
1.7.2. Review Initiation Stage Assessment
1.7.3. Follow-Up Initiation Stage Assessment
1.7.4. Compile Project Initiation Report
2. Dynamic Dr. Yehia
2.1. Open to working with an anthropologist in his practice, in an exchange of sorts. He provided Inhorn with real patients who were willing to discuss their situations, and she provided him with publicity.
2.2. Extremely unique physician. Western-trained, highly specialized in NRT and gynecology.
2.3. Embraces reproductive technology
2.4. He is one of only a handful of doctors (at the time) in Egypt who successfully provided NRT.
2.5. Dr. Yehia, due to his highly personable nature, caring attitude, and deep intelligence, has won the trust of many IVF patients.
2.6. Patients, especially female patients, appreciate a doctor who is interested in their situations, their problems, their circumstances. Finding physicians who genuinely care is very difficult; Dr. Yehia sets himself apart with this character.
3. Privatization of IVF in Egypt
3.1. Egypt is still a third world nation.
3.2. The industry for IVF is growing, as this is technology only available to the wealthy elites who can afford it out of pocket.
3.3. Egypt is a hub for NRT in all of the Middle East, particularly in part to their success in creating test tube babies.
3.4. Doctors are realizing the enormous business aspect (big, fat profits) to IVF; it generates a far greater yield than standard baby deliveries.
4. Dalia & Galal
4.1. Wealthy Egyptian elites
4.1.1. Establish checkpoints
4.1.2. Acquire team resources for stage
4.1.3. Conduct stage kick-off meeting
4.2. Have traveled as far as Los Angeles for IVF treatment.
4.2.1. Determine Frequency of Meetings
4.2.2. Schedule Meetings
4.2.3. Brief Project Board
4.2.4. Prepare Meetings
4.2.5. Conduct Meetings
4.2.6. Follow-up Meeting
4.3. Very Western-influenced, though somewhat wary of the lack of morals American physicians/ IVF clinics seem to hold.
4.3.1. Schedule Quality Review Meeting
4.3.2. Prepare for Quality Review Meeting
4.3.3. Conduct Quality Review Meeting
4.3.4. Follow-up Quality Review Meeting
4.4. Understand IVF fully; they are intellectual and educated people.
4.4.1. Update Project Schedule
4.4.2. Update Budget / Costs
4.4.3. Conduct Team Status Review
4.4.4. Create Status Report
4.5. Galal is infertile, and Dalia knew this upon marrying him. However, she fully accepted this as a reality, and that she may not have children because she loved him regardless.
4.5.1. Dalia and Galal are first cousins.
4.5.2. Her family was dismayed when she decided to marry him because of his infertility.
4.5.3. Her family interferes with their lives, and they are not fond of this meddling.
4.5.4. ICSI treatment worked for them; they ended up having 2 test tube babies, to their immense happiness.
4.5.5. Due to pressure from family, Dalia and Galal have gone to exterme measures in their desperation to have children. Luckily for them, they were successful.
4.6. They are highly religious, and Islam dictates their fertility pursuit.
4.6.1. Identify Project Issues
4.6.2. Assess Impact of Issues
4.6.3. Assign Resources
4.6.4. Resolve Issue
4.7. Very impressed with Dr. Yehia, as he understands their cultural preferences, understands their religion, and is a very understanding person.
4.7.1. Determine Next Stage Tasks
4.7.2. Determine Task Dependencies
4.7.3. Estimate Effort
4.7.4. Allocate Resources
4.7.5. Prepare Next Stage Schedule
4.7.6. Prepare Next Stage Budget
4.7.7. Update Project Schedule
4.7.8. Update Project Budget
4.7.9. Review Business Case
4.7.10. Review Project Organization
4.7.11. Review Project Scope
4.7.12. Prepare Stage Assessment
4.7.13. Review Stage Assessment
4.7.14. Follow-Up Stage Assessment
4.7.15. Compile Stage Closure Report
5. Reproductive Medicine and Religious Morality
5.1. Christian societies, such as the USA, are perceived as immoral
5.1.1. Prepare Product Evaluation
5.1.2. Conduct Product Evaluation
5.1.3. Initiate Maintenance Process
5.2. Having a religious, Islamic doctor one can trust, such as Dr. Yehia, is extremely important to Egyptian couples seeking IVF/ ICSI
5.3. To religious Egyptians, test-tube baby making in the USA is controversial because without guidance from God, the medical profession is heavy in excess.
5.3.1. Prepare for Project Closure Meeting
5.3.2. Conduct Project Closure Meeting
5.3.3. Follow Up Project Closure Meeting
5.4. Egypt sees fertility treatment in general as controversial and only allows certain treatments as acceptable and lawfully.
5.4.1. Prepare Project Review
5.4.2. Conduct Project Review
5.4.3. Implement Process Improvement
5.5. Egyptian culture seeks to limit access to fertility options; patriarchy is not accepting of widespread personal power, nor women taking control of their reproductive lives. Access to alternative methods of conception challenge the tradition, God, and their sense of control over women's bodies.
5.6. Limiting the access of control by the people enables those in power to have more of it. By focusing on religious "morals," the government it able to keep the population in fear of "haram."
5.7. Egyptians are very conscious of how outsiders view their "Egyptian identity" and fall back on the notion that outsiders cannot understand their culture from an American standpoint.
5.8. Reproductive technology challenges nature, and emphasizes modern humans' ability to control it more than ever, deciding when and how they can conceive children and become parents.
5.9. Islam is on conflict with these modern advancements because they challenge the ancient traditions. Falling back on religion and Islamic rule works as a safety net when people stray too far out of their comfort zones.
5.10. There is very much an East VS West mentality globally regarding test tube baby making.
5.11. People are often torn between their desires to have children, and to ensure they maintain adherence to the rules of their religions. It leaves one to question whether the religion is ultimately moral if it does not meet the demands of the practitioner.
5.12. Islam is very strict in its coding regarding fertility. Donation of sperm/ eggs/ uteruses is prohibited. Islam also denounces adoption, as it is against blood relation.
5.12.1. At the same time, Egyptian people are very wary of mix-ups occurring during donation, resulting in babies not genetically their own.