The Effect of Integrated Health System Leading, Managing and Governing for Result Model Towards Institutional Delivery Among Staff of Health Facilities in Northwest Ethiopia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 418
- 试验地点
- 2
- 主要终点
- Institutional delivery
研究概览
简要总结
The need for leading people, managing work, and governing organizations never changed over the civilization paths of society. However, people in every pole of the globe observe: over-led and under-managed, over-managed and under-governed, and even out of these organizations. These disparities have remained worse in the health system of developing countries like Ethiopia.
To date, Ethiopia put a goal of ending preventable child and maternal death, in achieving universal healthcare by 2035. Nevertheless, the investment on integrated leadership, management and governance is limited.
Therefore, this study hypothesize that institutional delivery are expressively linked with integrated health system leading, managing and governing for results model among health facilities staff in northwest Ethiopia?
详细描述
The investment on integrated health system leading, managing and governing for result model narrow down health system gaps.
The need to integrate these three distinct, but not hostile paths is that mostly: leading is people oriented process, managing is task oriented process and governing is organization oriented path.
Moreover, these paths are reflected even in a single person, task, or organization. Thus, testing and implementing integrated model is cost effective.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All staff nominated by the respective districts that have been selected, but not deployed yet, for integrated health system leadership, management and governance for intervention by Amhara regional health office in the study setting have been included.
排除标准
- •No exclusion criteria
研究组 & 干预措施
Staff of facilities for intervention
Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model.
干预措施: Integrated leading, managing and governing for results model (Behavioral)
Staff of facilities for control
Intervention: Participants have been trained two times in six months period with traditional model.
干预措施: Traditional model (Behavioral)
结局指标
主要结局
Institutional delivery
时间窗: Up to six months
Increased institutional delivery. These have been assessed by institutional delivery follow up checklist. To declare that integrated leading, managing and governing for result model has an effect on institutional delivery improvement, on which it could be increased at least by 15%.
次要结局
- Habit of institutional delivery(two weeks)
研究者
Yeshambel Agumas Ambelie
Lecturer
Bahir Dar University