Management for health services delivery

Meetings related to leadership and management of health services

Towards Better Leadership and Management in Health

This meeting was held in Accra, Ghana
29 January to 1 February, 2007

Supported by the Bill & Melinda Gates Foundation

Purpose and Objectives

The ability of developing countries to attain the Millennium Development Goals is challenged by difficulties they face in scaling up coverage of priority health services. While there has been increased resources from the global health initiatives such as GFATM, PEPFAR and GAVI, there are constraints to countries' ability to absorb and utilize these resources effectively.

Conference Materials:

Background papers, framework on management development, presentations, posters and principles agreed at the meeting.

For further information:

Dr Dominique Egger
Department for Health Policy, Development and Services (HDS)
World Health Organization
1211 Geneva, Switzerland
tel: +41 22 791 2703
fax: +41 22 791 4153

Lack of management capacity in low-income countries (LIC), especially at operational levels of both private and public sectors, is seen as a major constraint to attaining the MDGs. This is sobering considering the decades of efforts and considerable expenses made by both governments and development partners to build 'management capacity'.

A strategic approach to management strengthening is key to effective implementation of health policies. And so the aim of this conference was to create better understanding of management constraints by discussing practical issues affecting countries; improving our knowledge on what works and what doesn't; create strategies for learning and cooperation within and between countries and develop a framework to guide the scaling up of management effectiveness and to evaluate management systems performance.

The conference objectives were:

  • To understand the key leadership and management issues of scaling up service delivery
  • To derive lessons from country experiences as a basis for developing coherent strategies and leadership to strengthen management
  • To agree on broad frameworks, strategies and processes for supporting management and leadership capacity building in countries that need it

Participants included: Ministry of Health policy makers, managers of services and development partners, management experts from all WHO regional offices and from institutions providing management training, research and technical assistance.

Some published responses to the meeting