As an executive officer of the company, Ongamo Joe Marshal is motivate the employees, and drives change within the organization.

1. Ongamo Joe Marshal - What has been your
experience of leadership?

2. What is leadership?
• Leadership is a transactional process. A leader affects and is
affected by followers
• Leadership is transitional. Within a MD team leadership moves
around the team dependent on the stage of the process
• Leadership involves influence in a group with a common
purpose. Without influence, leadership does not exist
• Leadership involves attaining goals and directing a group of
individuals to achieve
Leadership is multi-factorial and distinct from management

3. What is
Shared
Leadership? Leadership is not
restricted to
those who hold
designated
leadership roles
A dynamic,
interactive
influencing
process among
individuals in
groups
There is a
collective shared
responsibility for
success of the
organisation and
its services
Acts of
leadership can
come from any
individual in the
organisation, as
appropriate, at
different times
Self-leadership :
feeling confident to
contribute and act
Emphasises
teamwork and
collaboration;
objective is to
lead one another
to achieve group
goals

4. What is Leadership?
“A process whereby an individual
influences a group of individuals to
achieve a common goal”

5. But I’m not a leader....
Why me?
Patients and their family expect clinicians to use their knowledge and experience to
contribute to the effective and efficient provision of healthcare.
Leadership is not restricted to people who hold designated leadership roles.
Acts of leadership can come from anyone in the organisation.

6. But I’m not a leader....
Why me?
Patients and their family expect clinicians to use their knowledge and experience to
contribute to the effective and efficient provision of healthcare.
Leadership is not restricted to people who hold designated leadership roles.
Acts of leadership can come from anyone in the organisation.
That’s you!

7. Domain 1
1. Demonstrating Personal Qualities
1.1 Developing self awareness
1.2 Managing yourself
1.3 Continuing personal development
1.4 Acting with integrity

8. Elements x 4
For example
Effective leaders need to draw upon their
values, strengths and abilities to deliver high
standards of care.
This requires leaders to demonstrate
competence in the areas of:
Element 1.1 Developing self awareness

9. Contextual descriptors
1. Demonstrating Personal Qualities
1.1 Developing self awareness
And the context is staff...
Recognise and articulate their own
values and principles, understanding
how these may differ from those of other
individuals and groups
Identify their own strengths and limitations,
the impact of their behaviour on others,
and the effect of stress on their own behaviour
Identify their own emotions and prejudices and understand how these can affect their
judgment and behaviour
Obtain, analyse and act on feedback from a variety of sources.

10. Gruen RL, Pearson SD & Brennan TA. JAMA (2004); 291: 94-98

11. Stages of Leadership Development
Stage 4
Stage 3
Stage 2
Stage 1
Stage 1 Own practice/Immediate team
Stage 2 Whole service/Across teams
Stage 3 Across services/Wider
organisation
Stage 4 Whole organisation/Wider
healthcare system

12. • Self assessment
• Part 3 – consider what you bought into practice. Now….
• What did you learn about yourself?
• What would you do differently?
• What leadership would you need to maximise the opportunities you
identified in your audits?
- Working in Pairs = 8 mins
- Working in groups = 4 mins
- Plenary = 10 mins
Exercise 1 - Leadership and you!

13. • CLCF booklet handouts
• Working in groups - 1 CLCF domain per group
• Step 1 Review the practical examples e.g student, practitioner,
experienced practitioner
Are the generic examples suited to Malawi
Are the discipline specific examples relevant, Can they be
tweaked/altered or need a lot of change
Can you write an example?
• Step 2 Review the learning and development activity. Is it suitable?
Exercise 2 – Making the CLCF real!

14. • What are the top 2- 3 challenges facing obstetrics and neonatal care
today?
• Step 1 take a domain of the CLCF. Thinking about these challenges
and what you have learned earlier, what leadership
activity/behaviours can you do to address these
• Working in small groups use the handout = 15 mins
Step 2 feedback in plenary = 15 mins
Exercise 3 – Taking the Leadership
challenge!