Strengthening HR Through Improved Leadership and Management

Joseph Dwyer, Director, LMS - MSH

Strengthening HR for SC Management – A Means to a Larger Goal

Example - Malawi Partnership JSI Deliver & MSH, LMS

• Apply Leadership and Management to improve Contraceptive Security.

• Improve CS to improve Maternal Health.

What is Missing?

The talent exists in the Ministry to address challenges preventing commodities security.

The public health knowledge and human resources exist…”

Professor Moses Chirambo

Minister of Health, Malawi

Yet baseline performance was lacking…

Team - Examples Challenge Baseline May 2009

Central Regional Medical Store

Poor average timely delivery of essential medicines

only 20% on time

Nkhotakota DHO Complete and Accurate CS reportsTimely reports

0% complete 0% accurate 55% timely

Salima DHO CYP for Low 247 May 2009

Chipoka Health Ctr % mothers in antenatal delivering at heath facility

75% May 2009

What is Missing?

The talent exists

The public health knowledge and human resources exist…

What is needed is leadership and management to harness these two…”

Professor Moses Chirambo

Minister of Health, Malawi

Leading and Managing Results Model

The Challenge Model - See Handout

The Challenge Model is LMS’ core learning tool that links the leading and managing practices with participants’ challenges.

In working through the Model, participants:

create a shared vision and define one measurable result;

assess the current situation and identify opportunities and obstacles;

define their challenge and select priority actions;

develop an action plan;

implement their plan and monitor and evaluate their progress toward achieving their desired result.

Performance Much Improved… Sept 2009

Team Challenge Results by Sep. 2009

Regional Med Store Poor average timely delivery of essential medicines

From: 20 % to 100% on time

Nkhotakota DHO Complete and accurate CS reportsTimely reports

0 to 47% complete 0 to 50 % accurate 55 to 95% timely

Salima DHO CYP for dist. Low 247 To 2,169 CYP

Chipoka Health Ctr % mothers in antenatal delivering at heath facility

75% to 95%

What Changed? From an Activity Mindset to Results Mindset

“The teams became proud of their work. This is one of the

greatest achievements of a development program when

Those who perform routine, Supportive jobs are clear that

They are helping to make a Difference.”

Rudolph Thetard MSH Malawi

Examples: Optimizing Policies and Plans

• Malawi applying Leading and managing practices

and integrating the challenge model at all levels.

• Mali, applying the L & M Practices and challenge model to improve Contraceptive Security.

• Ghana Medical Services – Integrating L & M into all levels in all districts.

• Kenya “Reversing the Trends” Valuing The Health Mgr Role.

Supporting people and

organizations around the world to strengthen the way they lead and manage their own programsto achieve widespread

improvements in health.

www.msh.org/lms