This post originally appeared on K4Health's Blog and the Leadership, Management & Governance (LMG) Project Blog.
I struggled with the plateauing or even declining performance of a health service delivery organization I was supporting. I agonized over weaning another such organization away from relying on aid and becoming self-reliant. I spent sleepless nights wondering why yet another health sector organization was adrift, and how I could help it get onto a steady course and in a definitive direction.
Increasingly, I am convinced that the answer lies in improving how these organizations are governed.