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The World Economic Forum’s Handbookor Health Systems Management andLeadership Strengthening
COMMITTED TOIMPROVING THE STATEOF THE WORLD
 
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Preace
This handbook on Health Systems Managementand Leadership Strengthening has been developedby the World Economic Forum, based on the PublicPrivate Partnership or Health Systems Managementand Leadership Strengthening between the Ministryo Health in Ghana and the World Economic Forum.It is designed to provide strategic guidance to ministrieso health in Sub-Saharan Arica that are interested inimplementing a programme to build leadership andmanagement capacities within their institution to worktowards health systems strengthening.
The handbook is comprised o a guide or health leaders
and a toolkit or a secretariat that will support theministry in the implementation o a Health Systems
Management and Leadership Strengthening
Programme. Together, the guide and toolkit provide oneo many approach or implementing a health systemsstrengthening programme; it is not intended to serve as
an exhaustive blueprint or health systems leadership
and management strengthening. The World Economic
Forum recommends that health leaders interestedin implementing a management and leadershipstrengthening programme review both the guide and
toolkit to build a holistic understanding o the approach.
While this handbook has been designed with theMinistry o Health in Ghana, based on the World
Economic Forum’s experience in the implementationo public-private partnerships, the activities included
in the handbook could easily translate to any
organization or ministry that is interested in improving
communication and building management andleadership capacity.
History o the World Economic ForumHealth Systems Management andLeadership Strengthening Programme
In 2005, the World Economic Forum rst set out toaddress the globally identied root causes o weakhealth systems, such as human resource (HR)challenges, that aect many developing countries,by catalysing a public-private partnership (PPP) thatwould ocus on health systems strengthening inSub-Saharan Arica.Through a series o consultation workshops, thepartners o the Forum’s Global Health Initiative (GHI)identied management strengthening as one o thekey areas o need in public health systems in Sub-Saharan Arica. Specically, it was determined thatthe Forum could most eectively respond to the callor strengthening health systems by leveragingthe breadth o management experience, leadershipexpertise and tools o its private sector partners,most o whom are leading global companies thatmake signicant internal investments in training and HR.In 2007, the GHI engaged the Ministry o Healthin Ghana along with several o its private sectorpartners in a PPP, with the intent o not onlyimproving communication and collaborationwithin Ghana’s health sector, but also contributingto the management and leadership capacitieso the sector leaders by sharing private sectorexpertise in management and leadership thatwould support leaders in tackling their healthsector management and leadership challenges.To meet the programme objectives, the PPPin Ghana ocused on two primary areas:
to strategically encourage eective coordination,cooperation and communication across the Ministryo Health and the heads o all the health sectoragencies
to strengthen the management and leadershipcapacities o the Ministry o Health andagencies leadershipSpecically, this was carried out through therevitalization and re-initialization o a previous“Heads o Agency Committee” into a leadershipteam with a clearer agenda and set o objectives.A heavier ocus was placed on horizontal teammanagement and leadership development, to whichthe private sector contributed its expertise byconducting “Management Spotlights” in the ormo presentations, workshops and case studiesduring each meeting o the leadership team.At the end o the rst year o implementation,the members o the leadership team were inagreement that the level o communication andcollaboration had greatly improved in the teamas a result o the meetings. Additionally, it had beenclearly demonstrated that the group made signicantprogress towards achieving the goals set orth bythe Ministry o Health.At the conclusion o the public-private partnership,the members o the leadership team expressed animprovement in the level o cooperation across the
 
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various agencies within the Ministry o Health. At thesame time, members communicated an increasedlevel o accountability to the team, resulting rom thecontinued clarication o the team vision and goals.
The Goal o Embarking on a HealthSystems Management and LeadershipStrengthening Programme
The World Economic Forum’s Health SystemsManagement and Leadership StrengtheningProgramme ocuses on responding to the needor an eective and strategic health sector leadershipstructure and team that will enable a country toeciently manage its health system, achieve sector-wide goals and work towards the achievement o the Millennium Development Goals. This programmeaddresses the critical importance o cultivatingstrong communication and collaboration amonghealth sector leaders to address sector-wide issuesand provide sustainable systems improvements.It aims to ocus on strengthening management andleadership capacities o the health sector leadershipteam, which should serve as the oundation or stronghealthcare systems.The goal or embarking on such a programme isto assemble a health sector leadership team thatwill serve as a “cabinet” to a minister o health,representing all areas o a country’s healthcaresector; the team will convene on a regular basisunder set agendas to collectively set policies andstrategic directions. The establishment o sucha leadership team and the execution o regularmeetings provide a platorm or leaders rom acrossthe health sector to determine priorities, discussissues, examine results and work collaborativelytowards a common health sector objective.
Key Stakeholders Involved in theImplementation o the Health SystemsManagement and LeadershipStrengthening Programme
The implementation o a health sector leadershipprogramme aimed at improving collaboration andcommunication, and developing management andleadership capabilities o the health sector leadershipteam engages our key groups o stakeholders.The active participation o each group is a key notonly to the programme implementation, but also tothe achievement o the goals and objectives set orthby the ministry.The rst group is comprised o 
key leaders romthe ministry o health
, including the minister o health, deputy ministers and other authoritativegures (deputies, directors, etc.). These individualswill be responsible or providing the vision, directionand scope o the programme. They will also set thestrategic direction during the lietime o the programme.Members o the ministry will be responsible or workingwith the secretariat to drive communication messagesand convene the leadership team.The second consists o 
the members o the healthsector leadership team
. This group o leaders shouldact as a “cabinet” to the minister, providing adviceand technical input on new policies. The programmeimplementation requires that this group be heavilyinvolved, not only through attending the meetings,but also in setting the agenda and driving the process.Another group is made up o the
ministry o healthsecretariat
, which provides support to the ministryin the execution o the programme. This group isinstrumental in executing the vision and scope o theprogramme; to ull its responsibilities, this group willbe required to perorm specic strategic tasks relatedto the agenda and meeting planning.The nal group o stakeholders is the
private sector
.This group is engaged in a Health Systems Managementand Leadership Strengthening Programme to sharebusiness best practices that can benet the publicsector. For the success o this interaction andcollaboration, it is important to understand aheado time what best practices the private sector cancontribute and how they meet the needs o thehealth sector.
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