Hospital management in the context of health sector reform: a planning model in Ethiopia

Abstract

Through health sector reform in developing countries, Ministries of Health have sought to enhance health care through greater community governance and improved management effectiveness in their public hospitals. In this paper, we present a partnership-mentoring model for enhancing management capacity that has been piloted in Ethiopia and may be useful in other developing countries. The model included needs assessment and baseline evaluation using a hospital management indicator checklist, deployment of 24 Fellows (US and international hospital administrators) for 1 year to work as mentors with hospital management teams in 14 Ethiopian hospitals, continuing didactic and practical training in quality improvement methods for hospital management teams, and 24 management improvement projects to be completed during the year with plans for replication more broadly as appropriate. Surveys of Fellows and Ethiopian managers within the first quarter of onsite activity found high levels of trust in one another's abilities and intent to implement changes. The partnership-mentoring model promotes sustainability and may provide other countries with approaches for improving the quality of hospital care through improved hospital management.

Designing a balanced scorecard for a tertiary care hospital in Pakistan: a modified Delphi group exercise

“…In the context of low income countries (LICs), however, we know little about successful models to promote greater management effectiveness at the hospital level (Hartwig et al, 2008). Evidence about BSC usage in LICs is deficient mainly due to lack of committed leadership, cultural readiness, quality information systems, viable strategic plans, and optimum resources (Rabbani et al, 2007).…”

Exploring Barriers to Medication Safety in an Ethiopian Hospital Emergency Department: A Human Factors Engineering Approach

“…10 Although efforts to develop formal EDs in Ethiopian hospitals began in the early 2000s, a major impetus for such development came from the Ethiopian Hospital Management Initiative-an initiative launched through a partnership between the Ethiopian Federal Ministry of Health (FMOH), Clinton Health Access Initiative (CHAI) and Global Health Leadership Institute at Yale University. 11 One key output of this initiative was the Ethiopian Hospital Reform Implementation Guideline. Introduced in 2010, this guideline served as a blueprint-and consolidated support for reorganizing hospital services into three major areas: in-patient, ambulatory, and emergency services.…”

Capacity Gaps in Post Disaster Waste Management: Case Study in Sri Lanka

“…Coping with disasters and enhancing capabilities of communities are termed as prior targets of vulnerable countries (Ozden, 2007). Hartwig et al, (2008) identify it as a key concept facilitating sustainability in developing countries. Boyd and Juhola, (2009) explained that it provides an opportunity to understand strengths, weaknesses, threats and opportunities towards a resilient future through identification of broader issues around sustainable development of a particular program, project or process, including unique cultural, social and ecological characteristics.…”