This document presents the Leading, Managing, and Governing for Results Model developed by Management Sciences for Health. The model shows how leading, managing, and governing can empower people and teams to improve health system performance. It is a framework that aims to achieve results such as increased access to services, expanded availability, improved quality, and lower costs, ultimately leading to sustainable health outcomes aligned with national goals. The model is demonstrated through two examples showing its application in strengthening family planning services in Tanzania and health services in Egypt.

1. LMG Leading, Managing, and Governing for
Results Model
February 2014
Management Sciences for Health
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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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3. Managers who lead framework
Management Sciences for Health
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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
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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
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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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8. Leading, Managing, and Governing
for Results Model
Management Sciences for Health
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