ArticleInternational journal of health policy and management2015
Implementation of a health management mentoring program: year-1 evaluation of its impact on health system strengthening in Zambézia Province, Mozambique.
Article in International journal of health policy and management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed.
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- Practice of Leadership, Governance, and Management Related to Maternal Nutrition Intervention Research Embedded in Antenatal Care in Burkina Faso.The American journal of tropical medicine and hygiene · 2025Article
- Workplace-based learning in district health leadership and management strengthening: a framework synthesis.Health policy and planning · 2025Review
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- A national HIV clinical mentorship program: Enabling Zambia to accelerate control of the HIV epidemic.PLOS global public health · 2022Article
- Conducting rapid research to aid the design of a health systems governance intervention in the Somali Region of Ethiopia.Frontiers in sociology · 2022Article
- Establishing evidence-based decision-making mechanism in a health eco-system and its linkages with health service coverage in 25 high-priority districts of Uttar Pradesh, India.BMC health services research · 2021Article
- Comparison of maternal and child health service performances following a leadership, management, and governance intervention in Ethiopia: a propensity score matched analysis.BMC health services research · 2021Article
- Key informant perspectives on the challenges and opportunities for using routine health data for decision-making in Senegal.BMC health services research · 2021Article
- Evaluation of the partnership between international non-governmental organizations and the State in the health sector in Mozambique.The Pan African medical journal · 2021Article
- Leadership, governance and management for improving district capacity and performance: the case of USAID transform: primary health care.BMC family practice · 2020Article
- Redressing the gender imbalance: a qualitative analysis of recruitment and retention in Mozambique's community health workforce.Human resources for health · 2020Article
- Monitoring Pharmacy and Test Kit Stocks in Rural Mozambique: U.S. President's Emergency Plan for AIDS Relief Surveillance to Help Prevent Ministry of Health Shortages.AIDS research and human retroviruses · 2020Article
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAvante Zambézia is an initiative of a Non-Governmental Organization (NGO), Friends in Global Health, LLC (FGH) and the Vanderbilt Institute for Global Health (VIGH) to provide technical assistance to the Mozambican Ministry of Health (MoH) in rural Zambézia Province. Avante Zambézia developed a district level Health Management Mentorship (HMM) program to strengthen health systems in ten of Zambézia's 17 districts. Our objective was to preliminarily analyze changes in four domains of health system capacity after the HMM's first year: accounting, Human Resources (HRs), Monitoring and Evaluation (M&E), and transportation management.
methodsQuantitative metrics were developed in each domain. During district visits for weeklong, on-site mentoring, the health management mentoring teams documented each indicator as a success ratio percentage. We analyzed data using linear regressions of each indicator's mean success ratio across all districts submitting a report over time.
resultsOf the four domains, district performance in the accounting domain was the strongest and most sustained. Linear regressions of mean monthly compliance for HR objectives indicated improvement in three of six mean success ratios. The M&E capacity domain showed the least overall improvement. The one indicator analyzed for transportation management suggested progress.
conclusionOur outcome evaluation demonstrates improvement in health system performance during a HMM initiative. Evaluating which elements of our mentoring program are succeeding in strengthening district level health systems is vital in preparing to transition fiscal and managerial responsibility to local authorities.
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