Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach
| Autor: | Peter Kibunga, Lily Murei, Juan Carlos Alegre, Joan Bragar, Nandita Thatte, Sammuel Cheburet, La Rue K Seims |
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| Rok vydání: | 2011 |
| Předmět: |
Evidence-based practice
Public Administration Service delivery framework education Health administration Skills management Nursing Intervention (counseling) Medicine lcsh:R5-920 business.industry lcsh:Public aspects of medicine Research Health services research Public Health Environmental and Occupational Health lcsh:RA1-1270 Institutional strengthening Kenya Service delivery Test (assessment) Management Health worker performance Leadership Human resource management business lcsh:Medicine (General) |
| Zdroj: | Human Resources for Health Human Resources for Health, Vol 10, Iss 1, p 25 (2012) |
| ISSN: | 1478-4491 |
| Popis: | Background The purpose of the study was to test the hypothesis that strengthening health systems, through improved leadership and management skills of health teams, can contribute to an increase in health-service delivery outcomes. The study was conducted in six provinces in the Republic of Kenya. Methods The study used a non-randomized design comparing measures of key service delivery indicators addressed by health teams receiving leadership and management training (the intervention) against measures in comparison areas not receiving the intervention. Measurements were taken at three time periods: baseline, endline, and approximately six months post intervention. At the district level, health-service coverage was computed. At the facility level, the percentage change in the number of client visits was computed. The t-test was used to test for significance. Results Results showed significant increases in health-service coverage at the district level (p = P Conclusions Strengthening the leadership and management skills of health teams, through team-based approaches focused on selected challenges, contributed to improved health service delivery outcomes and these improvements were sustained at least for six months. |
| Databáze: | OpenAIRE |
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