The Effect of Integrated Leading, Managing and Governing for Result Model Towards Institutional Delivery

Not Applicable

Completed

• Conditions: Leadership
• Interventions: Behavioral: Traditional model; Behavioral: Integrated leading, managing and governing for results model

• Registration Number: NCT03639961
• Lead Sponsor: Bahir Dar University

Brief Summary

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?

Detailed Description

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.

Study Timeline

• Study Start: 2018-04-10
• Primary Completion: 2018-04-30
• Study First Submitted: 2018-07-09
• Study First Submitted QC: 2018-08-17
• Study First Posted: 2018-08-21
• Study Completion: 2018-10-30
• Status Verified: 2019-06
• Last Update Submitted: 2019-06-04
• Last Update Posted: 2019-06-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 418

Inclusion Criteria

• 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.

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Exclusion Criteria

• No exclusion criteria

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Staff of facilities for control	Traditional model	Intervention: Participants have been trained two times in six months period with traditional model.
Staff of facilities for intervention	Integrated leading, managing and governing for results model	Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model.

Primary Outcome Measures

Name	Time	Method
Institutional delivery	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%.

Secondary Outcome Measures

Name	Time	Method
Habit of institutional delivery	two weeks	Improvement on habit of institutional delivery has been explored from key informants, by key informant guideline. The explored data will be analyzed thematically, using the Qualitative Data Analysis (QDA) miner 4 software.

Trial Locations

Locations (1)

North Achefer district; 🇪🇹 Liben, Amhara, Ethiopia