Leadership and vision in the improvement of universal health care coverage in low-income countries

Mèda, Zièmlé Clément; Konaté, Lassina; Ouedraogo, Hyacinthe; Sanou, Moussa; Hercot, David; Sombie, Issiaka

doi:10.1684/san.2011.0268

Cited by 20 publications

(12 citation statements)

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“…Key Importance of Leadership Health workers' perceptions of their facility managers' leadership skills and style appeared to be of high importance for a constructive PBF implementation process and subsequent positive effects on health workers' basic needs satisfaction, similarly to what has been found in relation to other prior interventions in Burkina Faso as well as in the broader literature on work motivation. [28][29][30] For the case of Burkina Faso and similar contexts with a strong presence of hierarchical leadership styles, our results imply that leadership support and training in the context of PBF or similar health system interventions might be highly conducive to the development of positive and lasting forms of work motivation. By helping leaders in the transition from directive to participatory leadership styles, PBF program implementers can support building of feelings of valorization, trust and perceived competence, thereby ultimately propelling performance in the context of PBF and beyond.…”

Section: Discussionmentioning

confidence: 96%

Burkina Faso

2017

International Trade Statistics Yearbook (Ser. G)

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Background: Performance-based financing (PBF) is currently tested in many low-and middle-income countries as a health system strengthening strategy. One of the main mechanisms through which PBF is assumed to effect change is by motivating health workers to improve their service delivery performance. This article aims at a better understanding of such motivational effects of PBF. In particular, the study focused on organizational context factors and health workers' perceptions thereof as moderators of the motivational effects of PBF, which to date has been little explored. Methods: We conducted a multiple case study in 2 district hospitals and 16 primary health facilities across three districts. Health facilities were purposely sampled according to pre-PBF performance levels. Within sampled facilities, 82 clinical skilled healthcare workers were in-depth interviewed one year after the start of the PBF intervention. Data were analyzed using a blended deductive and inductive process, using self-determination theory (SDT) as an analytical framework. Results: Results show that the extent to which PBF contributed to positive, sustainable forms of motivation depended on the "ground upon which PBF fell, " beyond health workers' individual personalities and disposition. In particular, health workers described three aspects of the organizational context in which PBF was implemented: the extent to which existing hierarchies fostered as opposed to hindered participation and transparency; managers' handling of the increased performance feedback inherent in PBF; and facility's pre-PBF levels in regards to infrastructure, equipment, and human resources. Conclusion: Our results underline the importance of leadership styles and pre-implementation performance levels in shaping health workers' motivational reactions to PBF. Ancillary interventions aimed at fostering participatory as opposed to directional leadership or start-up support to low-performing health facilities will likely boost PBF effects in regards to the development of valuable motivational capacities.

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Section: Discussionmentioning

confidence: 96%

Burkina Faso

2017

International Trade Statistics Yearbook (Ser. G)

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“…Meda et al suggested in their study that dynamic management and strategic plan can improve the quality of care in hospitals and, consequently, reduce mortality rate of the hospitalized patients and improve access to services, particularly for the vulnerable groups. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

Effective strategies for reducing maternal mortality in Isfahan University of Medical Sciences, 2014

Nosraty¹,

Rahimi²,

Kohan³

et al. 2016

Iranian J Nursing Midwifery Res

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Background:Maternal mortality rate is among the most important health indicators. This indicator is a function of factors that are related to pregnant women; these factors include economic status, social and family life of the pregnant woman, human resources, structure of the hospitals and health centers, and management factors. Strategic planning, with a comprehensive analysis and coverage of all causes of maternal mortality, can be helpful in improving this indicator.Materials and Methods:This research is a descriptive exploratory study. After needs assessment and review of the current situation through eight expert panel meetings and evaluating the organization's internal and external environment, the strengths, weaknesses, threats, and opportunities of maternal mortality reduction were determined. Then, through mutual comparison of strengths/opportunities, strengths/threats, weaknesses/opportunities, and weaknesses/threats, WT, WO, ST, and SO strategies and suggested activities of the researchers for reducing maternal mortality were developed and dedicated to the areas of education, research, treatment, and health, as well as food and drug administration to be implemented.Results:In the expert panel meetings, seven opportunity and strength strategies, eight strength and threat strategies, five weakness and threat strategies, and seven weakness and opportunity strategies were determined and a strategic plan was developed.Conclusions:Dedication of the developed strategies to the areas of education, research, treatment, and health, as well as food and drug administration has coordinated these areas to develop Ministry of Health indicators. In particular, it emphasizes the key role of university management in improving the processes related to maternal health.

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“…Third, there are considerable differences between healthcare systems in high and LMICs. In particular, there is a consistent lack of universal coverage to healthcare in the latter driving specific and challenging public health decisions [47,48]. Fourth, LMICs often face multiple socio-political problems that impose on-going burdens to their societies.…”

Section: Social Values For Healthcare Decision-making In Lmicmentioning

confidence: 99%

Examining the Link between Equity-Centered Health Policies, Autonomy and Decision-Making Process in Low and Middle Income Countries

Espinoza

Cabieses²

2013

BJMMR

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Objective: The purpose of this article is to examine the main underlying social values that define health policy decisions. We focus on LMICs, many of which are at an early stage of implementation of these evidence-based policy processes. This review aimed at analyzing the ethical and procedural principles that underlie these social values, their potential conflict and the challenges of implementing a decision-making process according to these values in LMIC. Methods: Broad scoping search of international literature (December 2012) in PubMed, Cinahl, ISI Web of knowledge, Cochrane Library, and ProQuest. Search terms were "social values", "healthcare/ health" and "low and middle income countries" (terms adapted according to each database). There was no pre-defined limit of year or language. We excluded "grey literature" documents only. From a total of 252 hits, we finally selected and fully read 51 of them.

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Leadership and vision in the improvement of universal health care coverage in low-income countries

Cited by 20 publications

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Burkina Faso

Burkina Faso

Effective strategies for reducing maternal mortality in Isfahan University of Medical Sciences, 2014

Examining the Link between Equity-Centered Health Policies, Autonomy and Decision-Making Process in Low and Middle Income Countries

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