Levels of the health system workforce competence and predictors to lead, manage, and govern in northwest Ethiopia
Keywords:Health system, Workforce, Competence, Lead, Manage, Govern, Predictors
Aim: The purpose of this study was to determine the levels of competence and predictors to lead, manage, and govern among the health system workforce.
Methods: A cross-sectional study was carried out in northwest Ethiopia. Eight hundred thirteen workforce were participated in the study. Competence to lead, manage, and govern was computed from 20 items. It was also leveled into four categories. Ordinal logistic regression analysis was conducted to identify predictors of this competence.
Results: From 813 participants, 396 (48.7%) and 582 (71.6%) were females and service owners respectively. The estimates for low, moderate, high and very high levels of competence to lead, manage and govern were 41.3%; 42.7%; 13.5% and 2.5% respectively. Sex (p = .031) and responsibility (p = .019) were identified as main predictors.
Conclusions: Competence to lead, manage and govern among the health system workforce in northwest Ethiopia is inadequate. Policymakers, program planners and researchers need to take action giving due attention to females and service owners. Feature research could be conducted considering hierarchical variables.
2. World Health Organization. Everybody's business--strengthening health systems to improve health outcomes: WHO's framework for action. 2007.
3. Van Lerberghe W. The world health report 2008: primary health care: now more than ever: World Health Organization; 2008.
4. Frenk J. Reinventing primary health care: the need for systems integration. The Lancet. 2009;374(9684):170-3.
5. World Health Organization. From alma Ata to the year 2000: reflections at the midpoint. 1988.
6. Vriesendorp S, De La Peza L, Perry C, Seltzer J, ONeil M. Health systems in action: an ehandbook for leaders and managers. 2010.
7. Daire J, Gilson L, Cleary S. Developing leadership and management competencies in low and middle-income country health systems: a review of the literature. Cape Town: Resilient and Responsive Health Systems (RESYST). 2014.
8. World Health Organization. World Health Statistics 2016: Monitoring Health for the SDGs Sustainable Development Goals. World Health Organization, 2016 9241565268.
9. Galer JB, Vriesendorp S, Ellis A. Managers who lead: a handbook for improving health services. 2005.
10. DeRue DS, Myers CG. Leadership development: A review and agenda for future research. Oxford handbook of leadership and organizations. 2014:832-55.
11. Martineau T, Raven J, Aikins M, Alonso-Garbayo A, Baine S, Huss R, et al. Strengthening health district management competencies in Ghana, Tanzania and Uganda: lessons from using action research to improve health workforce performance. BMJ global health. 2018;3(2):e000619.
12. Management Sciences for Health. Rice JA, Shukla, Mahesh, Johnson Lassner, Karen et al. Leaders Who Govern. June 2015. 2015.
13. Rice JA. SYNTHESIS PAPER ON EFFECTIVE GOVERNANCE FOR HEALTH. 2012.
14. Benowitz E. Cliffsquickreview Principles of management: Houghton Mifflin Harcourt; 2001.
15. Prashanth N, Marchal B, Kegels G, Criel B. Evaluation of capacity-building program of district health managers in India: a contextualized theoretical framework. Frontiers in public health. 2014;2:89.
16. Smith PC, Anell A, Busse R, Crivelli L, Healy J, Lindahl AK, et al. Leadership and governance in seven developed health systems. Health policy (Amsterdam, Netherlands). 2012;106(1):37-49.
17. Uneke CJ, Ezeoha AE, Ndukwe CD, Oyibo PG, Onwe FD. Enhancing leadership and governance competencies to strengthen health systems in Nigeria: Assessment of organizational human resources development. Healthcare Policy. 2012;7(3):73.
18. La Rue KS, Alegre JC, Murei L, Bragar J, Thatte N, Kibunga P, et al. Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach. Human resources for health. 2012;10(1):25.
19. Avolio BJ, Bass BM, Jung DI. Re‐examining the components of transformational and transactional leadership using the Multifactor Leadership. Journal of occupational and organizational psychology. 1999;72(4):441-62.
20. Comrey AL, Lee HB. A first course in factor analysis: Psychology Press; 2013.
21. Beaumont R. An introduction to principal component analysis & factor analysis using SPSS 19 and R (psych package). Factor Analysis and Principal Component Analysis (PCA). 2012;24(8-9).
22. Starkweather J. Principal Components Analysis vs. Factor Analysis… and Appropriate Alternatives. Available in original form at Benchmarks: http://it unt edu/benchmarks. 2010(2010/07).
23. Denny R. Motivate to win: how to motivate yourself and others: Kogan Page Publishers; 2006.
24. Fayol H. Principles of management. URL: http://www grandars ru/college/ekonomika-firmy/anri-fayol html (accessed: October 20, 2015).