Do district health systems perform differently because of their managers? Preliminary insights from Indonesia
District health systems (DHS) are central to the global efforts to improve health outcomes but many remain ineffective. In many lowresource settings, despite the generally weak DHS there is evidence that some districts consistently perform well against the odds, and this is often attributed to the c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2015-07-01
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| Series: | Healthcare in Low-resource Settings |
| Subjects: | |
| Online Access: | http://www.pagepressjournals.org/index.php/hls/article/view/4471 |
| _version_ | 1797224655395749888 |
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| author | Augustine Asante Sandi Iljanto John Rule Jennifer Doyle |
| author_facet | Augustine Asante Sandi Iljanto John Rule Jennifer Doyle |
| author_sort | Augustine Asante |
| collection | DOAJ |
| description | District health systems (DHS) are central to the global efforts to improve health outcomes but many remain ineffective. In many lowresource settings, despite the generally weak DHS there is evidence that some districts consistently perform well against the odds, and this is often attributed to the calibre of managers leading such districts and their management and leadership (M&L) skills. This paper examines the M&L practices of district health managers in high and low performing districts in Indonesia in an attempt to understand whether the differences in the performance of DHS can be explained, at least in part, by the differences in the performance of their health managers. We employed a mixed methods case study design focusing on two purposefully selected districts. Data were collected in 2011 using questionnaires and in-depth interviews. The preliminary results suggest that M&L practices of managers in the high and low performing districts are similar and provide little explanation for the differences in the performance of the two DHS. Contextual and health system factors offered a much better explanation for the variations in DHS performance. |
| first_indexed | 2024-04-24T13:56:34Z |
| format | Article |
| id | doaj.art-27c8279aa4a6481abfb96e050e98d828 |
| institution | Directory Open Access Journal |
| issn | 2281-7824 |
| language | English |
| last_indexed | 2024-04-24T13:56:34Z |
| publishDate | 2015-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Healthcare in Low-resource Settings |
| spelling | doaj.art-27c8279aa4a6481abfb96e050e98d8282024-04-03T17:28:47ZengPAGEPress PublicationsHealthcare in Low-resource Settings2281-78242015-07-013110.4081/hls.2015.44714433Do district health systems perform differently because of their managers? Preliminary insights from IndonesiaAugustine Asante0Sandi Iljanto1John Rule2Jennifer Doyle3School of Public Health and Community Medicine, UNSW Australia, SydneyFaculty of Public Health, Centre for Health Administration, Management and Policy, University of Indonesia, JakartaSchool of Public Health and Community Medicine, UNSW Australia, SydneySchool of Public Health and Community Medicine, UNSW Australia, SydneyDistrict health systems (DHS) are central to the global efforts to improve health outcomes but many remain ineffective. In many lowresource settings, despite the generally weak DHS there is evidence that some districts consistently perform well against the odds, and this is often attributed to the calibre of managers leading such districts and their management and leadership (M&L) skills. This paper examines the M&L practices of district health managers in high and low performing districts in Indonesia in an attempt to understand whether the differences in the performance of DHS can be explained, at least in part, by the differences in the performance of their health managers. We employed a mixed methods case study design focusing on two purposefully selected districts. Data were collected in 2011 using questionnaires and in-depth interviews. The preliminary results suggest that M&L practices of managers in the high and low performing districts are similar and provide little explanation for the differences in the performance of the two DHS. Contextual and health system factors offered a much better explanation for the variations in DHS performance.http://www.pagepressjournals.org/index.php/hls/article/view/4471District health systemsHealth managersIndonesiaManagement and leadershipPerformance |
| spellingShingle | Augustine Asante Sandi Iljanto John Rule Jennifer Doyle Do district health systems perform differently because of their managers? Preliminary insights from Indonesia Healthcare in Low-resource Settings District health systems Health managers Indonesia Management and leadership Performance |
| title | Do district health systems perform differently because of their managers? Preliminary insights from Indonesia |
| title_full | Do district health systems perform differently because of their managers? Preliminary insights from Indonesia |
| title_fullStr | Do district health systems perform differently because of their managers? Preliminary insights from Indonesia |
| title_full_unstemmed | Do district health systems perform differently because of their managers? Preliminary insights from Indonesia |
| title_short | Do district health systems perform differently because of their managers? Preliminary insights from Indonesia |
| title_sort | do district health systems perform differently because of their managers preliminary insights from indonesia |
| topic | District health systems Health managers Indonesia Management and leadership Performance |
| url | http://www.pagepressjournals.org/index.php/hls/article/view/4471 |
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