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The documentary series “The Visionaries,” broadcast on public television stations across the United States, tells the stories of individuals and organizations that are changing the world. One of its programs in 2000 explored the vision of MSH’s founder, Ron O’Connor, and the ideas that have shaped MSH’s work in more than 100 countries since its founding in 1971.

Management Sciences for Health has developed a comprehensive approach for evaluating the outcomes of its leadership development programs with health program managers and workers in developing countries. This paper describes the methodology used to evaluate how leadership development contributes to measurable changes in organizational performance.

Senegal has recently emerged as a leader in West Africa in the extension of postabortion care (PAC). This paper describes the extension of PAC to the district level in Senegal, where Management Sciences for Health has introduced PAC services in 23 districts covering more than half the population of Senegal.

With good preparation in effective leadership and management, health care managers will be able to develop and manage the kind of health services that achieve health goals, reduce illness, and save lives.

Restoring health services is an essential component of any major nation rebuilding that follows prolonged periods of conflict. Decisions governing human resources for health are thus crucially important for rebuilding the health system.

This Occasional Paper explores financial management approaches for rapid funding of HIV/AIDS programs. The authors identify the major constraints to rapid transfer of funds and provide options for avoiding or mitigating these constraints. These options can be applied to disburse funding where and when it is needed, while satisfying accounting and contracting requirements.  

The e-Manager issue Coaching for Professional Development and Organizational Results explains basic coaching OALFA skills (which stands for Observe, Ask, Listen, give Feedback, and Agree) and provides tools to expand a manager's role to manager-as-coach.

For the past few months we have been working with our colleagues to prepare Malawi’s antiretroviral treatment (ART) scale-up plan for 2006–0. This poor landlocked country is gripped by a serious HIV epidemic. With a population of almost 12 million, Malawi has an HIV/AIDS burden the same size as that of the USA; nearly 1 million people are infected with HIV.

This article describes the validation of an instrument to measure work group climate in public health organizations in developing countries. The instrument, the Work Group Climate Assessment Tool (WCA), was applied in Brazil, Mozambique, and Guinea to assess the intermediate outcomes of a program to develop leadership for performance improvement.

The India Local Initiatives Program adapted a model used in Indonesia and Bangladesh to implement the government’s reproductive and child health strategy. From 1999 to 2003, three Indian nongovernmental organizations (NGOs) provided services for 784,000 people in four northern states.

In the fields of health and development, donors channel multiple resources into the design of new practices and technologies, as well as small-scale programmes to test them. But successful practices are rarely scaled up to the level where they beneficially impact large, impoverished populations.

As family planning programs expand, the mandate to do more with fewer resources becomes stronger. Family planning managers must strive to improve access and quality without increasing the financial burden on already under-funded programs. Perhaps you are concerned about future sustainability and the withdrawal of subsidies.

Throughout the world, family planning organizations devote a significant portion of their funds and staff time to training, with the expectation of improving the effectiveness and efficiency of their programs. But it is often not clear whether the training has made any difference, or whether specific performance problems can be solved through training.

Managers are increasingly focusing on bringing reproductive health services to hard to reach, underserved populations that are geographically, culturally, and economically isolated. By serving the reproductive health needs of these populations, managers will not only increase the use of family planning but also improve the health of mothers and increase child survival rates.

This issue concludes Volumes I through IV of The Family Planning Manager.

Increasingly health and family planning programs are decentralizing managerial responsibilities. As a result, managers at the local and district level need to make strategic decisions so that their programs will continue to meet the health needs of the communities they serve.

In recent years, some ministries of health around the world have embarked on a process of decentralization.

How can health programs and organizations achieve results under increasingly complex and changing conditions? How can health managers focus their organizations on tackling complicated problems, such as HIV/AIDS or organizational restructuring?

Customer service is a powerful tool that helps managers focus their services on what customers, or clients, want and need.

Partnerships between two or more organizations can be effective vehicles for achieving important public health goals.

Human Resource Development (HRD) is a strategic and comprehensive management area that involves establishing policies, practices, and administrative structures that focus on an organization’s most valuable resource--its people.HRD is a leadership, financial, and management issue. Personnel costs consume 70 to 80% of the budget of most organizations.

Tuberculosis (TB) is a highly contagious disease that people catch after inhaling a very small number of TB germs and becoming infected. One-third of the world’s population is currently infected with the TB bacillus, and five to ten percent of these people will become sick or infectious at some time during their life. Nearly one third of people with HIV are also infected with TB.

Community participation has long been recognized as an effective means of helping rural and urban people focus energy and mobilize resources to solve their health, environmental, and economic problems.

Strategic thinking is a powerful skill that clinic managers and supervisors can use in creating clinic or program plans designed to meet future goals and effectively use available resources. In the past, formulating strategy has been reserved for senior managers and policy makers of large organizations.

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