Influence of Organizational Structure and Administrative Processes on the Performance of State-Level Malaria Programs in Nigeria
| Autor: | Michael R. Reich, Yewande Kofoworola Ogundeji, Kevin Croke, Charles C. Chima, Kelechi Ohiri, Chike William Nwangwu, Ndukwe Kalu Ukoha, Alero Rone, Heather E. Lanthorn |
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| Rok vydání: | 2019 |
| Předmět: |
Economic growth
Public economics media_common.quotation_subject 030231 tropical medicine Control (management) Public Health Environmental and Occupational Health Psychological intervention Exploratory research Flexibility (personality) Health Informatics State ownership 03 medical and health sciences Politics 0302 clinical medicine Health Information Management State (polity) parasitic diseases Organizational structure 030212 general & internal medicine Business media_common |
| Zdroj: | Health systems and reform. 2(4) |
| ISSN: | 2328-8620 |
| Popis: | Abstract—Studies have found links between organizational structure and performance of public organizations. Considering the wide variation in uptake of malaria interventions and outcomes across Nigeria, this exploratory study examined how differences in administrative location (a dimension of organizational structure), the effectiveness of administrative processes (earmarking and financial control, and communication), leadership (use of data in decision making, state ownership, political will, and resourcefulness), and external influences (donor influence) might explain variations in performance of state malaria programs in Nigeria. We hypothesized that states with malaria program administrative structures closer to state governors will have greater access to resources, greater political support, and greater administrative flexibility and will therefore perform better. To assess these relationships, we conducted semistructured interviews across three states with different program administrative lo... |
| Databáze: | OpenAIRE |
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