Training health system leaders

One of the key reasons for weak public health systems is poor leadership.

It is urgent to up-skill aspirant leaders if countries want to achieve universal health coverage.

Here are some tips on how to do this in a way that is sensitive to the needs of workplaces:

Doherty J, Gilson L. 2015. Workplace-based learning for health systems leaders. London: RESYST Consortium. 

 

Leadership from ‘below:’ clinical staff and public hospitals in South Africa

Here is the link for a briefing document I produced recently on the topic of clinical leadership:

Doherty J. 2014. Leadership from ‘below:’ clinical staff and public hospitals in South Africa. Briefing note No. 4. Municipal Services Project. Available at: http://www.municipalservicesproject.org/publication/leadership-below-clinical-staff-and-public-hospitals-south-africa

 

 

Developing clinical leadership as a strategy for hospital transformation at district level

Here is the poster I presented last week at the Third Global Symposium on Health Systems Research, International Convention Centre, Cape Town, 1-3 October:  Jane Doherty

It summarises findings from a study on developing clinical leadership as a strategy for hospital transformation in district hospitals.

Leadership from ‘below’?: clinical staff and public hospitals in South Africa

In earlier posts I’ve referred to two relatively lengthy reports on clinical leadership – one a literature review and the other reporting findings from interviews with clinical leaders in South African district hospitals.

The main findings from these reports are now summarised in a policy note that is applicable to practitioners from other sectors.

 

 

Clinical leadership in district hospitals in South Africa

Here is a report based on interviews with clinical staff at South African district hospitals about their leadership roles:

2014_Improving public hospitals through clinical leadership

 

The study was conducted for the Municipal Services Project which is located at the School of Government, University of the Western Cape, Republic of South Africa, and funded by the International Development Research Centre of Canada.

Clinical leadership: a literature review

Here is a review of international and South African  literature on the concept of clinical leadership in hospitals: Strengthening clinical leadership in hospitals: a review of international and South African literature

The review was conducted for the Municipal Services Project which is located at the School of Government, University of the Western Cape, Republic of South Africa, and funded by the International Development Research Centre of Canada.

Partnering professional leadership with good management

A colleague drew my attention to this blog post by Becky Malby, Director of the Centre for Innovation in Health Management at Leeds University in the UK:  The potential of UK/South Africa collaboration in health leadership and management.

In the blog she reflects on her recent visit to South Africa and suggests some priorities for health system transformation which I find refreshing.

Her suggestions speak to the issue of how to restore order to a highly complex and sometimes floundering health system: should (and can) order be imposed from above or are more local, dynamic solutions required?

Harnessing clinical academic leadership to transform rural health systems

Here are the powerpoint slides for a presentation I gave on behalf of colleagues at the most recent Prince Mahidol Award Conference which was held in Thailand between 27 and 31 January 2014.

The theme of the conference “Transformative Learning for Health Equity” and it focused on issues around the production of human resources to achieve universal health coverage. You can look at more presentations from the conference on the conference website.

The title of our paper was:  Doherty J, Couper I, Campbell D, Walker J. 2014. Transforming rural health systems through clinical academic leadership: lessons from South Africa:  PS2.1 Jane Doherty

 

Getting South Africa ready for National Health Insurance: critical next steps

Here are the powerpoint slides for a recent presentation I gave about National Health Insurance to a Symposium by Economic Research Southern Africa (ERSA) on 6 February 2014:   ERSA NHI presentation_Jane Doherty 

The theme of the Symposium was “Critical choices regarding universal health coverage” and it was held at the Stellenbosch Institute for Advanced Study.

My presentation was titled “Getting South Africa ready for NHI: critical next steps.” 

If you look on ERSA’s website you will find more details on the Symposium.

Legislation on the for-profit private health sector in East and Southern Africa

Here is some information on my latest policy brief, as well as the report on which it is based:

 

EQUINET Policy Brief 35: Legislation on the for-profit private health sector in East and Southern Africa

Doherty J (2013) with UCT HEU, TARSC. Wemos Foundation,  Policy brief 35, EQUINET, Harare

At http://www.equinetafrica.org/bibl/docs/Pol%2035%20finregs.pdf

 

While the private sector contributes new resources to the health system, international evidence shows that if left unregulated it may distort the quantity, distribution and quality of health services, and lead to anti-competitive behaviour. As the for-profit private sector is expanding in east and southern African (ESA) countries, governments need to strengthen their regulation of the sector to align it to national health system objectives. This policy brief examines how existing laws in the region address the quantity, quality, distribution and price of private health care services, based on evidence made available from desk review and in-country experts. It proposes areas for strengthening the regulation of individual health care practitioners, private facilities and health insurers.  A more detailed discussion paper (#87) on the laws and information in the brief is available at www.equinetafrica.org/bibl/docs/EQ%20Diss%2087%20Private%20HS.pdf.