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首页> 外文期刊>Journal of Human Resource and Sustainability Studies >Effectiveness of Leadership, Management, and Governance Competencies for Performance Improvements at Primary Health Care Entities in Ethiopia: A Before and After Study
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Effectiveness of Leadership, Management, and Governance Competencies for Performance Improvements at Primary Health Care Entities in Ethiopia: A Before and After Study

机译：埃塞俄比亚初级医疗实体绩效改进的领导，管理和治理能力的有效性：研究前后

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Leadership, management, and governance (LMG) interventions play a significant role in improving management systems, enhancing work climate, and creating responsive health systems. The Ethiopian Federal Ministry of Health with the support of the USAID Transform: Primary Health Care Activity has been cascading basic LMG training and interventions to primary health care staff. The results of this research will help policymakers, program managers, and implementers to make informed decisions in the area of performance improvement. The study used an interventional, a before and after non-experimental survey design to assess the effectiveness of LMG trainings and interventions at primary health care entities. It was conducted from August 28, 2017, to September 30, 2018, in Amhara, Oromia, Tigray, and Southern Nations, Nationalities, and Peoples’ regions. Data collection took place through interviewer and self-administered questionnaires across 136 health facilities, in which there were 293 health workers who attended the basic LMG trainings and interventions. In addition, training records were reviewed to capture the changes in knowledge and skills through formal course tests before and after attending the basic LMG training and interventions to ascertain baseline and end-line scores on performance improvement project achievements. Furthermore, 333 non-trained health workers were given the opportunity to rate their organization’s leadership, management and governance culture before and after interventions. The data were analyzed using SSPS IBM V 20. The response rates were 100% for staff who attended the training; and 87% for staff who did not attend the training and who validated their organization’s LMG culture. Of those who attended the training, 235 (80.9%) scored 70% or more on post-test exams, and 252 (86%) scored 80% or more on their performance improvement project objectives. Using the above-mentioned criteria, composite scores were compiled from written post-test examination score and performance improvement project results. The result showed that 70% (205/293) of basic LMG trainees successfully completed the basic LMG course. As a result of the LMG trainings, management systems, work climate, and responsiveness of the health system to new challenges were significantly improved (p < 0.001). Owing to the leadership projects, within the 136 health facilities, an additional 2290.3 units of health service coverage was gained. Therefore, the basic LMG trainings and interventions were effective in enhancing the knowledge and skills of health workers. It is recommended that providing LMG trainings for more health workers and managers working at primary health care entities will accelerate the implementation of prioritized health sector interventions and is helpful in achieving the Sustainable Development Goals as a global target. An evaluation of the efficiency of the basic LMG training package is also recommended.
机译：领导，管理和治理（LMG）干预措施在改善管理系统，增强工作气候和创造敏感性健康系统方面发挥着重要作用。埃塞俄比亚联邦卫生部通过支持海事转变：初级卫生保健活动一直在级联基本的LMG培训和初级卫生保健人员的干预措施。本研究的结果将有助于政策制定者，计划管理者，实施者在绩效改进领域做出明智的决定。该研究使用了非实验调查设计之前和之后的介入，A的介入，以评估LMG培训和初级保健实体的干预措施的有效性。它是从2017年8月28日，2018年9月30日，在阿哈拉，奥罗马菊，德格莱尔和南部国家，民族和人民地区。数据收集通过面试官和在136个卫生设施的自我管理问卷中进行，其中有293名卫生工作者参加了基本的LMG培训和干预措施。此外，审查培训记录通过在参加基本LMG培训和干预措施之前和后，通过正规课程测试来捕获知识和技能的变化，以确定基线和终点分数对绩效改进项目成果的基线和终点分数。此外，333名非培训的卫生工作者获得了在干预之前和之后对其组织的领导，管理和治理文化进行评级的机会。使用SSPS IBM V 20分析数据。参加培训的员工，答复率为100％;对于没有参加培训的员工和验证其组织的LMG文化的工作人员，87％。在参加培训的人中，235名（80.9％）在测试后考试中得分70％或更多，252（86％）在其绩效改善项目目标上得分为80％或更多。使用上述标准，从书面测试后检查评分和性能改进项目结果编制了综合评分。结果表明，70％（205/293）的基本LMG学员成功完成了基本的LMG课程。由于LMG培训，管理系统，工作气候和卫生系统对新挑战的响应性显着改善（ P <0.001）。由于领导项目，在136年的卫生设施中，获得了2290.3单位的卫生服务覆盖范围。因此，基本的LMG培训和干预措施对于提高卫生工作者的知识和技能有效。建议为在初级医疗实体工作的更多卫生工作者和管理人员提供LMG培训将加速实施优先卫生部门干预措施，并有助于实现可持续发展目标作为全球目标。还推荐了对基本LMG培训包的效率的评估。

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