Educating leaders in hospital management: a new model in Sub-Saharan Africa
Open Access
- 1 December 2009
- journal article
- research article
- Published by Oxford University Press (OUP) in International Journal for Quality in Health Care
- Vol. 22 (1), 39-43
- https://doi.org/10.1093/intqhc/mzp051
Abstract
The vast majority of health system capacity-building efforts have focused on enhancing medical and public health skills; less attention has been directed at developing hospital managers despite their central role in improving the functioning and quality of health-care systems. Initial assessment of hospital management systems demonstrated weak functioning in several management areas. In response, we developed with the Ethiopian Ministry of Health (MoH) a novel Master of Hospital Administration (MHA) program, reflecting a collaborative effort of the MoH, the Clinton HIV/AIDS Initiative, Jimma University and Yale University. The MHA is a 2-year executive style educational program to develop a new cadre of hospital leaders, comprising 5% classroom learning and 85% executive practice. The MHA has been implemented with 55 hospital leaders in the position of chief executive officer within the MoH, with courses taught in collaboration by faculty of the North and the South universities. The program has enrolled two cohorts of hospital leaders and is working in more than half of the government hospitals in Ethiopia. Lessons learned include the need to: (i) balance education in applied, technical skills with more abstract thinking and problem solving, (ii) recognize the interplay between management education and policy reform, (iii) remain flexible as policy changes have direct impact on the project, (iv) be realistic about resource constraints in low-income settings, particularly information technology limitations, and (v) manage the transfer of knowledge for longer term sustainability.Keywords
This publication has 7 references indexed in Scilit:
- Hospital quality improvement in Ethiopia: a partnership-mentoring modelInternational Journal for Quality in Health Care, 2008
- Hospital management in the context of health sector reform: a planning model in EthiopiaThe International Journal of Health Planning and Management, 2007
- The World Health report 2006 1 : Working together for health 2Published by Informa UK Limited ,2006
- How can we achieve and maintain high-quality performance of health workers in low-resource settings?The Lancet, 2005
- Human resources for health: overcoming the crisisThe Lancet, 2004
- How to bridge the gap in human resources for healthThe Lancet, 2004
- Hierarchies and cliques in the social networks of health care professionals: implications for the design of dissemination strategiesSocial Science & Medicine, 1999