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1Management Sciences for Health
LMG Leading, Managing, and Governing for Results Model
February 2014
2Management Sciences for Health
Leading, Managing, and Governing for Results Model
Leading
•Scan•Focus•Align/Mobilize•Inspire
Managing
•Plan•Organize•Implement•Monitor/Evaluate
Governing
•Cultivate Accountability
•Engage Stakeholders
•Set Shared Direction
•Steward ResourcesStrong
Management systems
Capable, accountable and
responsive health systems prudently
raising and allocating resources
Enhanced work environment &
empowered health workers
Increased service access
Expanded service availability
Improved Quality
Lower Cost
Sustainable health outcomes and impact aligned with national
health goals and MDG’s 3, 4, 5 and 6
Improved Health System Performance
Results People and Teams Empowered to Lead, Manage and Govern
3Management Sciences for Health
Managers who lead framework
4Management Sciences for Health
Leadership, management, and governance development
intermediate outcomes
Capable, accountable and
responsive health systems prudently
raising and allocating resources
Strong Management
systems
Enhanced work environment &
empowered health workers
5Management Sciences for Health
Results for health systems performance and health
outcomes
Increased service access
Expanded service availability
Improved Quality
Lower Cost
Sustainable health outcomes and impact aligned with national
health goals and MDG’s 3, 4, 5 and 6
6Management Sciences for Health
Example 1: Strengthening family planning services in
TanzaniaAverage number of new family planning clients per month
in health centers and dispensaries participating in the Leadership Development Program (LDP)
LDP for FP services began Scanning revealed underperformance in
health centers
Reallocation of health personnel Mobilize resources Training and refreshers for FP
providers Raise awareness of FP services
# of FP users increased 50% in health centers and
district hospitals 43% in dispensaries
LDP scaled up in two districts
Program onset
Leading and managing skills into action
ResultsNew
clie
nts
per m
onth
7Management Sciences for Health
Example 2: Strengthening health services in Egypt
LDP (10 teams) for MCH and FP services began Shared vision, measurable result and
action plan developed and adopted
First year
LDP (5 teams) expanded Medical info systems established Use of contraceptives
Aswan Government support LDP scaled up (100+ health facilities)
Infant mortality: 13% Maternal mortality: 35% Contraceptive prevalence: 17%
Second year
Third year
Fourth year
8Management Sciences for Health
Leading, Managing, and Governing for Results Model