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LMG Leading Managing Governing for Results Model
1. LMG Leading, Managing, and Governing for
Results Model
February 2014
Management Sciences for Health
1
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
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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. 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
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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
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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
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