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Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.

ABSTRACT: Background: Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC - primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ensure direction, alignment and commitment within teams and organizations and make sure that achievements are consistent with the vision, values and strategy of the organization. USAID Transform: Primary Health Care provides diverse support to improve district health manager competencies including in-service trainings followed by planning and implementation of performance improvement projects and on-the-job mentoring and support.

Methods: This study was conducted to compare district level capacity and performances between leadership, management and governance (LMG) and non-LMG districts. Project outcome monitoring data that shows the performance of districts was collected from 284 districts from January to December 2019. The study was carried out using a comparative-cross sectional study design, which assessed and compared district health office level indicators. Districts were classified into two categories: LMG and non-LMG districts. The study compared data from 94 LMG and 190 non-LMG districts. Propensity score matching was used to control the effect of differences between LMG and non-LMG districts.

Results: Results of the independent samples t-test revealed that LMG districts scored better average performances of 61.8?±?121.45 standard deviation (SD) compared to non-LMG districts 56.89?±?110.39 SD, with t (282243)?=?-?3.407317 and p?
Conclusion: District level leadership development program contributes to improving district capacity, structure and management practices, and quality of care.

SUBMITTER: Desta BF

PROVIDER: S-EPMC7718658 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.

Desta Binyam Fekadu BF Abitew Azeb A Beshir Ismael Ali IA Argaw Mesele Damte MD Abdlkader Sualiha S

BMC family practice 20201204 1

<h4>Background</h4>Primary health care (PHC) in Ethiopia serves as the main entry point for preventive, promotive and curative health services. The district health office is responsible for the planning, implementation and evaluation of all district health activities. In addition, district health offices manage service delivery facilities working on provision of PHC - primary hospitals, health centers and health posts. As the leader of the health care system tier, district health management must ...[more]

PMID: 33276728

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Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.

Publications

Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.

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