Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach
<p>Abstract</p> <p>Background</p> <p>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 wa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-08-01
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| Series: | Human Resources for Health |
| Subjects: | |
| Online Access: | http://www.human-resources-health.com/content/10/1/25 |
| _version_ | 1818141458164613120 |
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| author | Seims La Rue K Alegre Juan Murei Lily Bragar Joan Thatte Nandita Kibunga Peter Cheburet Sammuel |
| author_facet | Seims La Rue K Alegre Juan Murei Lily Bragar Joan Thatte Nandita Kibunga Peter Cheburet Sammuel |
| author_sort | Seims La Rue K |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>Results showed significant increases in health-service coverage at the district level (p = <0.05) in the intervention teams compared to the comparison teams. Similarly, there were significant increases in the number of client visits at the facility level in the intervention group versus comparison facilities (<it>P</it> < 0.05).</p> <p>Conclusions</p> <p>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.</p> |
| first_indexed | 2024-12-11T11:00:12Z |
| format | Article |
| id | doaj.art-ed3b16018af24803b820001b785406c1 |
| institution | Directory Open Access Journal |
| issn | 1478-4491 |
| language | English |
| last_indexed | 2024-12-11T11:00:12Z |
| publishDate | 2012-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Human Resources for Health |
| spelling | doaj.art-ed3b16018af24803b820001b785406c12022-12-22T01:09:54ZengBMCHuman Resources for Health1478-44912012-08-011012510.1186/1478-4491-10-25Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approachSeims La Rue KAlegre JuanMurei LilyBragar JoanThatte NanditaKibunga PeterCheburet Sammuel<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>Results showed significant increases in health-service coverage at the district level (p = <0.05) in the intervention teams compared to the comparison teams. Similarly, there were significant increases in the number of client visits at the facility level in the intervention group versus comparison facilities (<it>P</it> < 0.05).</p> <p>Conclusions</p> <p>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.</p>http://www.human-resources-health.com/content/10/1/25Health worker performanceInstitutional strengtheningKenyaLeadershipManagementService delivery |
| spellingShingle | Seims La Rue K Alegre Juan Murei Lily Bragar Joan Thatte Nandita Kibunga Peter Cheburet Sammuel Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach Human Resources for Health Health worker performance Institutional strengthening Kenya Leadership Management Service delivery |
| title | Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach |
| title_full | Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach |
| title_fullStr | Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach |
| title_full_unstemmed | Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach |
| title_short | Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach |
| title_sort | strengthening management and leadership practices to increase health service delivery in kenya an evidence based approach |
| topic | Health worker performance Institutional strengthening Kenya Leadership Management Service delivery |
| url | http://www.human-resources-health.com/content/10/1/25 |
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