Leadership Management and Governance for Stronger Health Systems

{A clinic doctor befriends a child waiting for vaccination at Delma 75 clinic near Port-au-Prince, Haiti. (Photo Credit: Carole Douglis/MSH)}A clinic doctor befriends a child waiting for vaccination at Delma 75 clinic near Port-au-Prince, Haiti. (Photo Credit: Carole Douglis/MSH)

This is the last in a series of four blog posts about the impact of leadership, management, and governance in strengthening health systems. See the full series on our blog.

Hurricane Matthew weakened Haiti’s already vulnerable health system when it struck last month, adding to the many challenges that the country’s government already faces in providing quality health services to its population.

Now, more than ever, Haiti needs strong leadership, management, and governance in the health sector to strengthen the system and ensure that its people have access to the care they need.

Even before the storm, the poorest nation in the western hemisphere was already facing political instability, the lasting effects of the 2010 earthquake, and an ongoing cholera epidemic, all of which seriously impacted the country’s health system.

{Photo Credit: Sara Holtz/MSH}Photo Credit: Sara Holtz/MSH

Strong, well-functioning health systems need strong leadership, management, and governance. Over the next couple of weeks, leading up to conversations that MSH is hosting at the Global Symposium on Health Systems Research next month in Vancouver, we will be sharing stories and insights about the role of leadership, management and governance in health systems strengthening. This is the third in a series of four blog posts on this topic. See the full series

In my nearly 20 years of experience in global health, I have seen that leadership and governance often receives little attention, even though it is an essential building block of any strong health system.

This is why LeaderNet – an online global community of health professionals – recently hosted a seminar entitled Dream Teams: Bringing Boards and Staff Together for Organizational Success.

The seminar aimed to bring leadership and governance to the forefront of the conversation, providing a forum for global health professionals to exchange ideas, experiences, and resources about leading teams that work at all levels of health systems around the world.

{Photo Credit: Rui Pires}Photo Credit: Rui Pires

Strong, well-functioning health systems need strong leadership, management, and governance. Over the next couple of weeks, leading up to conversations that MSH is hosting at the Global Symposium on Health Systems Research next month in Vancouver, we will be sharing stories and insights about the role of leadership, management and governance in health systems strengthening. This is the second in a series of four blog posts on this topic. See part one.

Linvell Nkhoma is a midwife manager at Mitundu Community Hospital in northern Lilongwe, Malawi. She lives on the hospital premises so she can be on call 24 hours a day for emergencies or complicated cases that less experienced midwives don't know how to manage.

"We have limited space, only three delivery beds for 400 deliveries a month," Linvell said.

Linvell and her colleagues were concerned about overcrowding, and more importantly, the high rates at which mothers and babies were dying during deliveries.

{Photo Credit: Carmen Urdaneta/MSH}Photo Credit: Carmen Urdaneta/MSH

Strong, well-functioning health systems need strong leadership, management, and governance. Over the next couple of weeks, leading up to conversations that MSH is hosting at the Global Symposium on Health Systems Research next month in Vancouver, we will be sharing stories and insights about the role of leadership, management and governance in health systems strengthening.

Over the last five years at the MSH-led, USAID-funded Leadership Management and Governance Project, our experience has underscored the importance of good governance, management and leadership to achieve service delivery outcomes in all health areas — from family planning to maternal, newborn and child health to HIV and AIDS.

The Leadership, Management and Governance Project's activities range from strengthening leadership and management skills of staff at the centralized level of Haiti's Ministry of Public Health and Population to supporting midwife managers to deliver high-quality family planning and reproductive health services in their communities at the decentralized level in Malawi.

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