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