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. 2012 Feb;7(3):73-84.

Enhancing leadership and governance competencies to strengthen health systems in Nigeria: assessment of organizational human resources development

Chigozie J Uneke  1 , Abel E Ezeoha, Chinwendu D Ndukwe, Patrick G Oyibo, Fri Day Onwe
Affiliations

Enhancing leadership and governance competencies to strengthen health systems in Nigeria: assessment of organizational human resources development

Chigozie J Uneke et al. Healthc Policy. 2012 Feb.

Abstract
in English, French

The lack of effective leadership and governance in the health sector has remained a major challenge in Nigeria and contributes to the failure of health systems and poor development of human resources. In this cross-sectional intervention study, leadership and governance competencies of policy makers were enhanced through a training workshop, and an assessment was conducted of organizational activities designed to promote evidence-informed leadership and governance to improve human resources for health (HRH). The training workshop increased the understanding of policy makers with regard to leadership and governance factors that ensure the functionality of health systems and improve human resources development, including policy guidance, intelligence and oversight, collaboration and coalition building, regulation, system design and accountability. Findings indicated that systems for human resources development exist in all participants' organizations, but the functionality of these systems was suboptimal. More systematic and standardized processes are required to improve competencies of leadership and governance for better human resources development in low-income settings.

Le manque de leadership et de gouvernance efficaces dans le secteur de la santé demeure un défi de taille au Nigeria et contribue à l'échec des systèmes de santé et au faible développement des ressources humaines. Cette étude transversale sur le terrain s'est penchée sur le renforcement, grâce à un atelier de formation, des compétences de leadership et de gouvernance chez les responsables de politiques ainsi que sur l'évaluation des activités organisationnelles conçues pour favoriser le leadership et la gouvernance fondés sur les données probantes afin d'améliorer les ressources humaines en santé. L'atelier de formation a permis aux responsables de politiques de mieux comprendre les facteurs du leadership et de la gouvernance qui permettent d'assurer la fonctionnalité des systèmes de santé et d'améliorer le développement des ressources humaines, notamment l'orientation des politiques, le renseignement et la surveillance, la mise en place de collaborations et de coalitions, la réglementation, la conception des systèmes et l'obligation de rendre compte. Les résultats indiquent la présence de systèmes pour le développement des ressources humaines dans toutes les organisations des participants, mais leur fonctionnalité reste sous-optimale. Des processus plus systématiques et normalisés sont nécessaires pour améliorer les compétences de leadership et de gouvernance afin d'assurer un meilleur développement des ressources humaines dans les établissements à faible revenu.

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References

    1. Adano U.“Human Resources Management (HRM) in the Health Sector.”. 2006. Capacity Project Knowledge Sharing Technical Brief 2. Management Sciences for Health. Retrieved December 7, 2011. < http://www.capacity-project.org/images/stories/files/techbrief_2.pdf>.
    1. Asante A., Hall J.“Analysis of Health Leadership and Management Capacity in Six Asia and Pacific Island Countries.”. 2010. HRH Knowledge Hub, University of New South Wales. Retrieved February 11, 2011. < http://www.med.unsw.edu.au/HRHweb.nsf/resources/LM_Capacity_AsiaPacific....>.
    1. Federal Ministry of Health (FMOH) 2004. Health Sector Reform Programme: Strategic Thrusts with a Logical Framework and a Plan of Action, 2004–2007. Abuja, Nigeria: Author. Retrieved December 7, 2011. <http://www.herfon.org/docs/Nigeria_HealthSectorReformProgramme_2004_2007...>
    1. Huddart J.“Assessment of Ministry of Health Human Resource Management Policies and Practices.”. 2005. Jordan Human Resources Development Project Report no. 5. Initiatives Inc. Retrieved December 7, 2011. < http://pdf.usaid.gov/pdf_docs/PNADE685.pdf>.
    1. Islam M., ed. 2007. Health Systems Assessment Approach: A How-To Manual. Submitted to the US Agency for International Development in collaboration with Health Systems 20/20, Partners for Health Reformplus, Quality Assurance Project and Rational Pharmaceutical Management Plus. Arlington, VA: Management Sciences for Health

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