| Autor: |
Seims La Rue K, Alegre Juan, Murei Lily, Bragar Joan, Thatte Nandita, Kibunga Peter, Cheburet Sammuel |
| Jazyk: |
angličtina |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Human Resources for Health, Vol 10, Iss 1, p 25 (2012) |
| Druh dokumentu: |
article |
| ISSN: |
1478-4491 |
| DOI: |
10.1186/1478-4491-10-25 |
| Popis: |
Abstract 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: |
Directory of Open Access Journals |
| Externí odkaz: |
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