The Effect of Integrated Leading, Managing and Governing for Result Model Towards Institutional Delivery
Study Details
Study Description
Brief Summary
The need for leading people, managing work, and governing organizations never changed over the civilization paths of society. However, people in every pole of the globe observe: over-led and under-managed, over-managed and under-governed, and even out of these organizations. These disparities have remained worse in the health system of developing countries like Ethiopia.
To date, Ethiopia put a goal of ending preventable child and maternal death, in achieving universal healthcare by 2035. Nevertheless, the investment on integrated leadership, management and governance is limited.
Therefore, this study hypothesize that institutional delivery are expressively linked with integrated health system leading, managing and governing for results model among health facilities staff in northwest Ethiopia?
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The investment on integrated health system leading, managing and governing for result model narrow down health system gaps.
The need to integrate these three distinct, but not hostile paths is that mostly: leading is people oriented process, managing is task oriented process and governing is organization oriented path.
Moreover, these paths are reflected even in a single person, task, or organization. Thus, testing and implementing integrated model is cost effective.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Staff of facilities for intervention Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model. |
Behavioral: Integrated leading, managing and governing for results model
Integrated leading, managing and governing for results model is an intervention launched to improve institutional delivery.
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Active Comparator: Staff of facilities for control Intervention: Participants have been trained two times in six months period with traditional model. |
Behavioral: Traditional model
Traditional model is a health service delivery model already in place in the government health system.
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Outcome Measures
Primary Outcome Measures
- Institutional delivery [Up to six months]
Increased institutional delivery. These have been assessed by institutional delivery follow up checklist. To declare that integrated leading, managing and governing for result model has an effect on institutional delivery improvement, on which it could be increased at least by 15%.
Secondary Outcome Measures
- Habit of institutional delivery [two weeks]
Improvement on habit of institutional delivery has been explored from key informants, by key informant guideline. The explored data will be analyzed thematically, using the Qualitative Data Analysis (QDA) miner 4 software.
Eligibility Criteria
Criteria
Inclusion Criteria:
- All staff nominated by the respective districts that have been selected, but not deployed yet, for integrated health system leadership, management and governance for intervention by Amhara regional health office in the study setting have been included.
Exclusion Criteria:
- No exclusion criteria
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | North Achefer district | Liben | Amhara | Ethiopia | 1000 |
Sponsors and Collaborators
- Bahir Dar University
Investigators
- Study Director: G D Alene, PhD, Bahir Dar University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 090/18-04