The Need for Management Capacity

1

• The Need for Management Capacity
• Building in African Systems
• Presented at the
• XVII International AIDS Conference XVII
  International AIDS Conference
• 3rd to 8th August 2008,
• Mexico City, MEXICO
• By Dr. Peter M. Ngatia
• Directorate of Learning Systems
• AMREF, Nairobi

2
Africas disease burden

• Africa which bears more illness (25 of the
  disease burden) and fewer health workers (only 2
  resources) needs good leadership to maximise on
  the meagre resources.

3
More Illness and Fewer Health Workers in Africa
Africas share of worlds health workers
4
Increased Resource Envelope for Health
Interventions

• Health care in Africa has become a multi-billion
  dollar endeavour. Those charged with leading and
  managing health systems have little or no formal
  preparation in management.

5
Why Leadership and Management

• The quality of leaders and managers is a vital
  element for the effective delivery of Basic
  Health Care Packages and attainment of the
  Millennium Development Goals (MDGs) in Africa.
  Poor management of health systems and services
  are a major obstacle to scaling up service
  delivery.

6
Purpose of Management Capacity Building

• The overall purpose of management capacity
  building is to increase the ability of the
  African Health Systems to meet their obligations
  (provide services preventive, promotive,
  curative, etc) to the African people.

7
Leadership Management Framework

• But skills alone are not sufficient. African
  health systems need to urgently address the
  following issues, not singly but in combination
• sufficient managers, with the necessary
  competencies and well functioning management and
  support systems
• appropriate rules and regulations and policy
  guidelines incentive and rewards drugs and
  medical supplies, logistics and communication
• an enabling environment those internal and
  external factors (constraints/opportunities) that
  promote or hinder or enable the manager to
  function effectively.

8
Leadership and Management Framework (contd)
9
What Skill Sets and Competencies?

• Leadership and management training is needed for
• - planning, implementation of health services
• - managing resources, human resources for health,
  budgets, drugs and supplies, equipment,
  information, buildings, etc.
• - management of external relations and partners,
  including service consumers.
• policy formulation and implementation
• Resource mobilisation
• This list was confirmed in an unpublished
  assessment done by AMREF, and WHO in Liberia in
  May 2008.

10
Leadership Management for Who?

• Skills in leadership and management are required
  at all levels of the health systems in Africa
  National, Regional, district and county, and
  community levels. Hospitals, clinics,
  dispensaries, programmes e.g. HIV/AIDS, malaria,
  family planning, etc.

11
What is happening?

• The need for management has been recognised and
  several initiatives are happening across the
  continent. e.g.
• The UCLA/AMREF/Johnson Johnson Management
  Development Institute Programme for programme
  leaders of HIV/AIDS
• The AMREF Strategic Leadership Training for
  Health Managers
• The Clinton Foundation has funded management
  development in Liberia
• Incorporation of management training in basic
  training curricula.

12
What is happening? (contd)

• Management NETWORK for strengthening Health
  Sector Management and Leadership in Africa is in
  its formative stage. Its overall objective is to
  improve coverage and quality of health services
  in Africa by strengthening management and
  leadership.

13
AMREFs Interventions

• The AMREF International Training Centre
• AIM
• To develop practical training of highest quality
  in leadership and management
• The courses offered include
• Strategic Management Leadership
• Health Services Management
• Management Development for HIV/AIDS Service
  Providers
• Health Systems Research
• Monitoring Evaluation

14
Proposed Framework for Leadership Management
Training
Universities
CPD
Licensing
Quality Health Care
BETTER HEALTH
Health Workforce At work
Pool of Eligibles
Mid Level Health Training
Selection
Certification
Community Health Worker Training
CPD
Emigration
Attrition
15
Conclusion

• The ability of health systems to deliver the
  Basic Health Care Packages (BHCP) for the
  respective African populations will depend on
  knowledge, attitudes and skills (competencies) of
  the health workers in Management and Leadership
  Dr. Peter Ngatia, Director for Capacity Building,
  AMREF.

16

• Gracias!
• Asante Sana!