Management for health services delivery

Sub-national and district management: District health system

District management team

  • Setting up a District Management Team: Lessons from Impendle/Pholela/Underberg
    Kwik-Skwiz #5, 1997, Health Systems Trust
    Role of district team, consultation with community and other sectors, lessons from South Africa
    (2 pages, pdf 155kb)
  • An Assessment of the Service Delivery Capacity of the District Health Systems in Kenya
    pdf, 543kb

    Thomas M. Maina and Thomas N. Kibua, 2005, Discussion Paper No. 075/2005, Institute of Policy Analysis and Research (IPAR)
    Delivery capacity of District Health Management Boards and District Health Management Teams; ineffective communication between institutions, lack of capacity in planning and management, flawed selection process of the board members, cautious implementation of decentralization; autonomy to engage district health staff; review of public sector rules and regulations to allow decentralization of procurement and financial responsibilities; development of performance indicators; and putting in place transparent criteria for selecting board members.
    (40 pages)

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