Background and context
Policy context in Kenya
Methods
Target population (combined with “OR”) | Role category (combined with “OR”) | Setting (combined with “OR”) |
---|---|---|
Clinic* OR | Roles OR | Health OR |
Lead* OR | Competencies OR | Hospital OR |
Manag* OR | Qualities OR | Healthcare OR |
Management (MeSH) OR | Responsibilities OR | Health sector OR |
Clinician manager OR | Strategies OR | Health organization OR |
Clinician leader OR | Challenges OR | Human Resource Leadership OR |
Physician manager OR | Barriers OR | Healthcare Systems OR |
Physician leader OR | Facilitators OR | Health Services |
Mid-level manager OR | Behaviors OR | |
Middle manager OR | Style | |
Departmental leader OR | ||
Departmental manager |
Results and discussion
Mentor and coach
Goal setting and goal articulation
Therapist and motivator
Strategist and negotiator
Decision-maker and problem-solver
Information manager and communicator
Interpersonal skills
Honesty
Delegation and accountability
Summary of the literature
Relevance to Kenyan hospitals
Leadership and management initiatives | Key actors | Target |
---|---|---|
Approval for creation of additional 400 human resource management positions | Ministry of State for Public Service and awaiting budgetary allocation for implementation | Spread out to all levels of the health system in 2009 |
Review of top management positions, identifying key competencies, and gaps and providing recommendations for a way forward | Ministry of Health with assistance from Capacity Kenya Project | Launched in 2009 for health workers in public, private and faith based primary health care facilities |
One month leadership development and management training programme | Leadership, Management and Sustainability Program/Management Sciences for Health | Launched in 2010 in 10 provincial hospitals in Kenya |
A 5 day modular programme on leadership development and management in Coast and Nyanza province | Japan International Cooperation Agency | In 2009, aimed at strengthening the capacity and functions of the provincial and district health management teams |
Facilitating the implementation of a 5 day leadership and management development programme in Nyanza Province | International Training & Education Center for Health, Family AIDS Care and Education Services (FACES) and the Provincial Health Management Team | Launched in 2009 to increase the skills and capacities of health program managers–including those on the FACES, provincial, and district health management teams |
The Management Basics for Effective Health, a management course for District Health Management Team members | The German Technical Cooperation | Launched in 2010 in four district hospitals: Bondo, Butere/Mumias, Gucha and Vihiga |
International Leadership Training (ILT-Africa) in hospital management for health workers with diverse professional backgrounds in both public and private sector | Inwent, Capacity Building International (Germany), | Launched in 2005 in Cameroon, Rwanda, Malawi, Tanzania and Kenya and ongoing Kenyan participants included nurses, health administrators and medical superintendents from district hospitals |