Management for health services delivery

Strengthening management capacity

Additional documents

  • See the WHO series on "Making Health Systems Work"
    The series includes titles such as:
    • Strengthening management in low-income countries
    • Towards better leadership and management in health (conference report)
    • The challenge of management strengthening: Lessons from three countries
    • Economics and financial management: What do district managers need to know?
  • What sort of stewardship and health system management is needed to tackle health inequity, and how can it be developed and sustained?
    Lucy Gilson, 2007, Commission on Social Determinants of Health
    (43 pages, pdf 267kb)
    1. Managerial action cannot be separated from the context in which it occurs;
    2. Strengthening public sector management will require efforts to generate organisational cultures that support and enable relevant managerial actions;
    3. Changing organisational culture involves multi-level actions focussed on individuals within organisations, the organisation and the wider system in which the organisation is embedded;
    4. Leadership training for senior and middle level public sector managers is an essential element of strengthening health system management.
  • Strengthening health management in districts and provinces
    1995, Andrew Cassels and Katia Janovski
    Handbook of learning modules: health management teams, problem identification, developing solutions, planning action, implementing and evaluating achievements
    (78 pages, pdf 2.6MB)
  • Strengthening health management: experience of district teams in The Gambia
    Catherine Conn, Paul Jenkins and Saihou Omar Touray, 1996, Health Policy and Planning 11(1): 64-71
    Manager effectiveness was often limited by the policy and practice of the national level government and donor agencies, e.g.: the degree to which decision making was centralized on issues of staffing, budgeting, and planning, and by the extent to which national level managers have lacked skills and motivation for management change.
    (8 pages, pdf 639kb)
  • Tanzania Essential Health Interventions Project (TEHIP)
    TEHIP was established to test innovations in planning, priority setting, and resource allocation at the district level, in the context of the reform and decentralization of Tanzania's health care system.
    The website has a series of briefs describing key aspects of management development and the resluts achieved.