Leadership, Management & Governance: Our Impact

{Photo credit: Rui Pires}Photo credit: Rui Pires

Management Sciences for Health (MSH), through its USAID-funded Leadership, Management and Governance (LMG) Project, trains executive boards in the practices of good governance -- cultivating accountability, engaging stakeholders, setting shared direction, and stewarding resources -- to ultimately improve health outcomes. LMG’s interventions contribute to developing and fine-tuning executive board’s roles and responsibilities. Methodology Links Learning with Results

 {Photo by: MSH Staff}A team from West Hararghe provincial health office discusses professional licensing and accreditation of health facilities.Photo by: MSH Staff

Jemal Mohammed calls governance in the health sector a “matter of life and death.” That’s what drives him to do the work he does.  Jemal has worked in the global health sector for 21 years — more than seven of those at MSH. He has dedicated his career to working on sustainable health interventions that can improve entire health systems.

 {Photo: Jawad Jalali/Afghan Eyes}Safiullah Sadiq, community health worker and member of the village health council, was interviewed by the LMG-Afghanistan Project in April 2015.Photo: Jawad Jalali/Afghan Eyes

Safiullah Sadiq, a community health worker from the Nangarhar Province, Afghanistan, is one of 14 residents who sits on his village’s health shura. (Shuras are councils that engage local leaders, health care providers, and other community members to improve the community’s health.) Sadiq’s village had identified that low utilization of health services was something that they wanted to address. But, the shura hadn’t understood how it could intervene.

{Photo credit: Katy Doyle}Photo credit: Katy Doyle

One lesson from the recent Ebola crisis in West Africa is that well-managed health systems and well-governed ministries of health can help prevent epidemics. The USAID-funded Leadership, Management & Governance (LMG) Project, led by Management Sciences for Health (MSH), is helping the West African Health Organization (WAHO) and its member countries improve their governance, which will improve the performance of the region’s health systems, and, ultimately, help prevent future epidemics.

 {Photo credit: Anicia Filda/RHU Gulu}Reproductive Health Uganda's Gulu Branch Health Center, Uganda.Photo credit: Anicia Filda/RHU Gulu

Located in northern Uganda, Reproductive Health Uganda’s (RHU) Gulu Branch Health Center (Gulu) is one of the busiest clinics in the country—serving over 25,000 clients with sexual and reproductive health (SRH) services per month. When demand for SRH services outpaced Gulu’s supply of sexually transmitted infection (STI) drugs and other essential medicines, the clinic could not continue offering essential SRH services to many who needed them, threatening the equitable access to health care in the community.

 {Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria}A Minna hospital employee checks a blood sample for HIV.Photo credit: Gwenn Dubourthoumieu - Niger State, Nigeria

To increase country ownership and sustainability of laboratory services and programs, the USAID-funded Prevention Organizational Systems AIDS Care and Treatment (Pro-ACT) project, led by MSH, identified the need to develop the program leadership and management capacity of local medical laboratory associations in Nigeria. 

 {Video screenshot}MSH and partners developed the Pharmaceutical Leadership Development Program (PLDP) in South Africa in 2011.Video screenshot

Strong leadership and management are important factors in the delivery of quality health services, efficient use of resources, and achievement of positive health outcomes.

 {Photo credit: LMG/South Sudan}Midwives in South Sudan receive capacity development training through the Leadership, Management and Governance for Midwifery Managers Certificate Course.Photo credit: LMG/South Sudan

This story originally appeared on the Leadership, Management, and Governance (LMG) Project Blog. The LMG project is funded by the US Agency for International Development (USAID) and implemented by Management Sciences for Health (MSH) with a consortium of partners. More women die during childbirth in South Sudan than in any country on Earth—over 2,000 mothers per 100,000 live births.

 {Photo credit: MSH}Charlotte Abroman, midwife, Kongoti Center for Rural Health, Daoukro.Photo credit: MSH

Leadership Development Program Plus (LDP+) leads to dramatic rise in antenatal care visits “I was both aware of the challenges that existed and frustrated at not being able to meet them,” said Charlotte Abroman, midwife at the Kongoti Center for Rural Health, discussing low antenatal clinic visit rates. In Côte d’Ivoire as a whole, 70 percent of pregnant women attend all four ANC visits, but in Abroman’s area of Kongoti, only 11 percent made all the visits. In the health district of Daoukro, which includes Kongoti and other towns, the rate was 24 percent.

{Photo credit: Mark Tuschman}Photo credit: Mark Tuschman

Leadership, management, and governance skills are critical for medical, nursing, and public health professionals. The MSH-led, US Agency for International Development (USAID)-funded Leadership, Management & Governance (LMG) Project with project partner Amref Health Africa developed an action-based learning, in-service certificate course to equip midwife managers with the leadership, management, and governance skills they need to deliver quality health services.

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