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

Leadership Clinical Trial

Official title:

The Effect of Integrated Health System Leading, Managing and Governing for Result Model Towards Institutional Delivery Among Staff of Health Facilities in Northwest Ethiopia

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03639961
• Other study ID #: 090/18-04
• Status: Completed
• Phase: N/A
• Start date: April 10, 2018
• Est. completion date: October 30, 2018

Study information

• Verified date: June 2019
• Source: Bahir Dar University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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?

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 418
• Est. completion date: October 30, 2018
• Est. primary completion date: April 30, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

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.

Exclusion Criteria:

• No exclusion criteria

Related Conditions & MeSH terms

• Leadership

Intervention

Behavioral:
• Integrated leading, managing and governing for results model
Integrated leading, managing and governing for results model is an intervention launched to improve institutional delivery.
• Traditional model
Traditional model is a health service delivery model already in place in the government health system.

Locations

Country	Name	City	State
Ethiopia	North Achefer district	Liben	Amhara

Sponsors (1)

Lead Sponsor	Collaborator
Bahir Dar University

Country where clinical trial is conducted

Ethiopia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Institutional delivery	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%.	Up to six months
Secondary	Habit of institutional delivery	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.	two weeks