LMG Leading, Managing, and Governing for
Results Model
February 2014

Management Sciences for Health

1
Leading, Managing, and Governing
for Results Model
Improved Health System
Performance

People and Teams Empowered
to Lead,...
Managers who lead framework

Management Sciences for Health

3
Leadership, management, and
governance development intermediate
outcomes
Enhanced work
environment &
empowered
health work...
Results for health systems
performance and health
outcomes
 Increased
service
access
 Expanded
service
availability
 Im...
Example 1: Strengthening family
planning services in Tanzania
Average number of new family planning clients per month
in h...
Example 2: Strengthening health
services in Egypt
First year
 LDP (10 teams) for MCH and FP services began
 Shared visio...
Leading, Managing, and Governing
for Results Model

Management Sciences for Health

8
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LMG Leading Managing Governing for Results Model

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LMG Leading Managing Governing for Results Model

  1. 1. LMG Leading, Managing, and Governing for Results Model February 2014 Management Sciences for Health 1
  2. 2. Leading, Managing, and Governing for Results Model Improved Health System Performance People and Teams Empowered to Lead, Manage and Govern Leading •Scan •Focus •Align/Mobilize •Inspire Managing •Plan •Organize •Implement •Monitor/Evaluate Governing •Cultivate Accountability •Engage Stakeholders •Set Shared Direction •Steward Resources Management Sciences for Health Enhanced work environment & empowered health workers Strong Management systems Results  Capable, accountable and responsive health systems prudently raising and allocating resources    Increased service access Expanded service availability Improved Quality Lower Cost Sustainable health outcomes and impact aligned with national health goals and MDG’s 3, 4, 5 and 6 2
  3. 3. Managers who lead framework Management Sciences for Health 3
  4. 4. Leadership, management, and governance development intermediate outcomes Enhanced work environment & empowered health workers Strong Management systems Management Sciences for Health Capable, accountable and responsive health systems prudently raising and allocating resources 4
  5. 5. Results for health systems performance and health outcomes  Increased service access  Expanded service availability  Improved Quality  Lower Cost Management Sciences for Health Sustainable health outcomes and impact aligned with national health goals and MDG’s 3, 4, 5 and 6 5
  6. 6. Example 1: Strengthening family planning services in Tanzania Average number of new family planning clients per month in health centers and dispensaries participating in the Leadership Development Program (LDP) 40 40 New clients per month 35 30 Program onset  LDP for FP services began  Scanning revealed underperformance in health centers Leading and managing skills into action 27 25 20 13 15  Reallocation of health personnel  Mobilize resources  Training and refreshers for FP providers  Raise awareness of FP services 8 10 Results 5 0 Health Centers & District Hospitals 2005: Year Before LDP Management Sciences for Health Dispensaries 2006: During and After LDP  # of FP users increased  50%  in health centers and district hospitals  43%  in dispensaries  LDP scaled up in two districts 6
  7. 7. Example 2: Strengthening health services in Egypt First year  LDP (10 teams) for MCH and FP services began  Shared vision, measurable result and action plan developed and adopted Second year  LDP (5 teams) expanded  Medical info systems established  Use of contraceptives  Third year  Aswan Government support   LDP scaled up (100+ health facilities) Fourth year  Infant mortality: 13%   Maternal mortality: 35%   Contraceptive prevalence: 17%  Management Sciences for Health 7
  8. 8. Leading, Managing, and Governing for Results Model Management Sciences for Health 8
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