This is the first published evaluation that has attempted to link specific learning methods with outcomes for participants of a public health leadership development program.

Purpose -This study aims to describe the use of action-learning projects in 14 regional leadership development programs called public health leadership institutes. Design/methodology/approach -During the period of April through August 2009, directors of the public health leadership institutes were interviewed about the action-learning project requirement in each of their programs. Notes from these interviews, as well as relevant program materials were reviewed and summarized. Findings -Action-learning projects are commonly used by the public health leadership institutes to build leadership skills. However, this component of these programs varies considerably across the institutes. Frequently mentioned challenges to using action-learning projects include lack of time for participants to meet for project work, lack of resources available for team coaching and a perceived higher value of taking action over making time for learning by many participants. Practical implications -Research shows that most people develop leadership skills from actual work experiences. Action-learning which focuses on solving complex, real-world challenges is a common component of leadership development programs. In this paper, the authors describe how this methodology is being carried out in public health leadership institutes and recommend ways to increase the developmental return on these work experiences in public health settings. Originality/value -These public health leadership programs, partially funded by the Centers for Disease Control and Prevention, reach health care practitioners in 46 states and the District of Columbia. The application of best practices from these initiatives could lead to increased understanding of how to maximize the return from experiential learning initiatives designed to promote life-long learning.

Purpose The purpose of this article is to share the lessons learned about the role of team sponsors in action-learning teams as part of community-based health leadership development programs. Design/methodology/approach This case study uses program survey results from fellow participants, action learning coaches and team sponsors to understand the value of sponsors to the teams, the roles they most often filled and the challenges they faced as team sponsors. Findings The extent to which the sponsors were perceived as having contributed to the work of the action learning teams varied greatly from team to team. Most sponsors agreed that they were well informed about their role. The roles sponsors most frequently played were to provide the teams with input and support, serve as a liaison to the community and serve as a sounding board, motivator and cheerleader. The most common challenges or barriers team sponsors faced in this role were keeping engaged in the process, adjusting to the role and feeling disconnected from the program. Practical implications This work provides insights for program developers and community foundations who are interested in building the capacity for health leadership by linking community sponsors with emerging leaders engaged in an action learning experience. Originality/value This work begins to fill a gap in the literature. The role of team sponsors has been studied for single organization work teams but there is a void of understanding about the role of sponsors with multi-organizational teams working to improve health while also learning about leadership.

The Emerging Leaders in Public Health (ELPH) Initiative, sponsored by The Kresge Foundation, provided leadership development to local governmental public health leaders. An adaptive leadership framework was used to shape the curriculum. The coleads attended multiday convenings and webinars over a 16- to 18-month period. Key components of the initiative included using applied learning to solidify their leadership skills as they worked to develop a new role for their agencies provision of a resource grant from The Kresge Foundation to support agency transformation and technical assistance and consultation provided by a National Program Office. An external evaluator conducted a multicomponent evaluation of individual leadership skill change. Graduates assessed change in their own leadership and change in their colead. Colleagues of ELPH participants were surveyed about their observed changes in the leadership actions of the program graduates. One hundred four leaders from 30 states participated in the initiative in 3 successive cohorts. Leaders demonstrated improvement as shown by self-report and external observation. Improved ability to communicate in a way that inspires others was one of the most significant changes in leadership behaviors. Additional leadership actions were strengthened including the ability to create and maintain high-performing teams, the ability to ask transformational questions, and the ability to actively listen to understand. The pandemic has shown the importance of developing the field, starting with leadership. Leadership development and agency transformation are synergistic; they depend on each other and support each other.