It is difficult to convince governments to commit more resources to the public health sector.  One of the reasons is the perceived inefficiency of government facilities. 

Well, perhaps it’s impossible to perform well when one’s under-resourced:  this is often the case in low- and even middle-income countries. 

It’s going to be hard to put this argument across, though.  So, one strategy is to develop some best-practice sites:  introduce innovative management approaches, get things working better, show that it can be done – and then highlight the obstacles to further progress  posed by insufficient resources!

Has anyone got case studies of successful management transformation projects, especially in public hospitals?  It would be great to have detailed reports – sometimes the ‘magic’ that makes things work might lie in the little things …