Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach
Human Resources for Health, Volume 10, Article 25, Year 2012
Notification
URL copied to clipboard!
Description
Background: The purpose of the study was to test the hypothesis that strengthening health systems, through improved leadership and management skills of health teams, can contribute to an increase in health-service delivery outcomes. The study was conducted in six provinces in the Republic of Kenya.Methods: The study used a non-randomized design comparing measures of key service delivery indicators addressed by health teams receiving leadership and management training (the intervention) against measures in comparison areas not receiving the intervention. Measurements were taken at three time periods: baseline, endline, and approximately six months post intervention. At the district level, health-service coverage was computed. At the facility level, the percentage change in the number of client visits was computed. The t-test was used to test for significance.Results: Results showed significant increases in health-service coverage at the district level (p = <0.05) in the intervention teams compared to the comparison teams. Similarly, there were significant increases in the number of client visits at the facility level in the intervention group versus comparison facilities (P < 0.05).Conclusions: Strengthening the leadership and management skills of health teams, through team-based approaches focused on selected challenges, contributed to improved health service delivery outcomes and these improvements were sustained at least for six months. © 2012 Seims et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Seims, La Rue K.
United States, Arlington
Management Sciences for Health
Alegre, Juan C.
United States, Arlington
Management Sciences for Health
Murei, Lily
Kenya, Nairobi
Management Sciences for Health
Bragar, Joan
United States, Arlington
Management Sciences for Health
Thatte, Nandita
United States, Washington, D.c.
United States Agency for International Development
Kibunga, Peter
Kenya, Nairobi
Management Sciences for Health
Cheburet, Samuel
Kenya, Nairobi
Ministry of Health Nairobi
Statistics
Citations: 51
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1186/1478-4491-10-25
e-ISSN:
14784491
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Quasi Experimental Study
Study Locations
Kenya