Leadership, Management & Governance: Our Impact

 {Photo credit: BLC staff/MSH.}Chief Motleleng of Thabang village shares a book with his four-year-old grandson, Tsoanelo.Photo credit: BLC staff/MSH.

Lesotho is the only independent state in the world that lies entirely above 1,000 meters, and Mokhotlong is the highest of the country’s ten districts. Mokhotlong’s extreme climate and terrain pose significant challenges to children’s nutrition, development, and well-being. Rugged mountains, some impassible by vehicle, and frequent snow cover during the winter months limit access to health services, education, and a balanced diet.

No one wanted to miss this day.

 {Photo credit: Geoffrey Ddamba}A peer educator mobilizes clients for outreach services in Kawempe, Uganda.Photo credit: Geoffrey Ddamba

This story was originally published in US Agency for International Development (USAID)'s Frontlines newsletter and also appeared on the Leadership, Management & Governance (LMG) Project's website, LMGforHealth.org. The LMG Project is funded by USAID and led by Management Sciences for Health (MSH) with a consortium of partners.

{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.

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