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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
District health executives in Midlands province, Zimbabwe: Are they performing as expected?
BMC Health Services Research, Volume 12, No. 1, Article 335, Year 2012
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Description
Background: The cornerstone of the health system in Zimbabwe, the district health system has been under the responsibility of the district health executive since 1984. Preliminary information obtained from some provincial health managers in Midlands Province suggested a poor performance by most district health executives. We therefore investigated the reasons for this poor performance. Methods. A descriptive cross sectional study was conducted. Structured interviewer administered questionnaires were used to obtain information from district health managers of five randomly selected districts in the province. Checklists were used to assess resource availability, staffing levels and proxy indicators to effective district health executive function. Data were analysed using Epi Info statistical package. Results: Thirty district health managers were interviewed. Almost half of the participants could not list at least five functions of district health executives. Twenty nine managers reported having inadequate management skills requiring training. District health executives failed to meet their targets on expected activities in the year 2010 such as conducting monthly district health executive meetings, conducting quarterly supervision to health centres and submitting quarterly district health reports to the provincial level. Conclusion: Poor knowledge on expected functions could have resulted in poor performance. Without adequate management training district health managers are likely to underperform their duties. DHE guidelines were therefore distributed to all districts. Management trainings were conducted to all district health executives throughout the country from November 2011. © 2012 Muchekeza et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Muchekeza, Mary
Zimbabwe, Harare
University of Zimbabwe
Chimusoro, Anderson
Zimbabwe, Harare
Ministry of Health and Child Welfare Zimbabwe
Gombe, Notion Tafara
Zimbabwe, Harare
University of Zimbabwe
Tshimanga, Mufuta T.
Zimbabwe, Harare
University of Zimbabwe
Shambira, Gerald N.
Zimbabwe, Harare
University of Zimbabwe
Statistics
Citations: 13
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1186/1472-6963-12-335
e-ISSN:
14726963
Study Design
Cross Sectional Study
Study Locations
Zimbabwe