Presentation during the session on LMG Training Successes at the First National Conference on Health Leadership, Management and Governance

1. MOPHS/JICA SEMAH Project
Health Systems Management Training Programme
Results & Achievements 2010- 2013
Presented by Clementine Gwoswar
Provincial Public Health Nurse, Nyanza/Chair of Training Management Working Group, SEMAH Project
1st National Conference on Health Leadership, Management and Governance
Nairobi, 30th January 2013

2. Health Systems Management Training Programme
Objective:
To strengthen core management capacity of health managers and
their teams, through selected topical and practical areas to provide
core competencies required for effective and efficient health systems
management for change.

3. Health Systems Management Training Programme : Module Outline
Day1
Day1 Module1
Module1 Introduction of Health Systems Management
Introduction of Health Systems Management
Cluster 1 Day2
Day2 Module2
Module2 Team Building
Team Building
(4days)
Day3
Day3 Module3
Module3 Leadership, Management & Governance
Leadership, Management & Governance
Day4
Day4 Module4
Module4 Strategic Thinking & Project Management
Strategic Thinking & Project Management
Day1
Day1 Module5
Module5 Health Policy Management in Action
Health Policy Management in Action
Day2
Day2 Module6
Module6 Supportive Supervision, Coaching & Mentoring
Supportive Supervision, Coaching & Mentoring
Cluster 2
(4days)
Day3
Day3 Module7
Module7 Evidence Based Practice & &OperationsResearch
Evidence Based Practice &Operations Research
Evidence Based Practice Operations Research
Day4
Day4 Module8
Module8 Information Management
Information Management
Day1
Day1 Module9
Module9 Resource Generation, Mobilization& Management
Resource Generation, Mobilization& Management
Cluster 3 Day2
Day2 Module10
Module10 Basic Health Promotion
Basic Health Promotion
(4days)
Day3
Day3 Module11
Module11 Service Quality Management
Service Quality Management
Day4
Day4 Module12
Module12 Customer Relationship Management
Customer Relationship Management

4. Programme Duration
The programme is designed to be delivered in 3 times as Clusters for 5
months as follows. Each cluster of the Training will be organised to take
4days.
IT Training
IT Training

5. Training Management Working Group
Core Members
MOPHS/MOMS-HQ
MOPHS/MOMS-HQ
Chair/
Vice Chair Community of
JICA
JICA
Practice
Training
Training HRD Advisors
HRD Advisors
Coordinator
Coordinator Maseno
GLUK
University
Training Focal Persons KCA
KSG
University
PHMT-Nyanza, DHMT-Kisumu West, Siaya, Ugenya, Suba, (KIA)
Kisii Central, Nyamira, Kuria West, Bondo, Nyando Borabu, Mzumbe
Homabay, Nyatike Uni
Edenconsu KMTC
lt
MSH AMREF
UNICEF, World Bank
UZIMA Foundation
PHMT&DHMTs in Nyanza Province
PHMT&DHMTs in Nyanza Province University of Nairobi, Moi
 Pricewatershouse Coopers
APHIA-Plus
KEMSA

6. Case Story: Peer Facilitation & Cost Sharing Approach
Master Trainers (Universities/MOH-HQ/DPHK)
Master Trainers (Universities/MOH-HQ/DPHK)
A Home Based Care Coordinator (HBCC) of
A Home Based Care Coordinator (HBCC) of
DHMT-Manga was NOT selected for a official
DHMT-Manga was NOT selected for a official
participants for the HSM training initially. Yet
participants for the HSM training initially. Yet
Participants 2010/11 (Pilot Teams) she was eager to develop her managerial
she was eager to develop her managerial
TOF
TOF capacity and decided to join the training
Peer Facilitator 2011/12
Peer Facilitator 2011/12 capacity and decided to join the training
as self-sponsored participants. She
as self-sponsored participants. She
aggressively participated in the training and
aggressively participated in the training and
completed all 12 modules . .
completed all 12 modules
Participants 2011/12(Group A&B) TOF
TOF
Peer Facilitator 2012/13
Peer Facilitator 2012/13
Participants 2012/13 (Group C)
She showed great performance including
She showed great performance including
score of the Post Test (one of the best scorer)
score of the Post Test (one of the best scorer)
during the training. Therefore her team
during the training. Therefore her team
nominated her name and she was finally
nominated her name and she was finally
selected a New HSM Training Facilitator !!!!
selected a New HSM Training Facilitator

7. Health Systems Management Training Programme in Nyanza Province
Year 2009 - 2013
Total 389 Health Managers
Total 389 Health Managers
were trained
were trained
ALL DHMTs
ALL DHMTs
Operations
Operations were
were
Research
Research covered !!
covered !!
Year 2011 Year 2012 Year 2013
Total 4 teams covered Total 22 teams covered Total 37 teams covered
(PHMT+3Pilot DHMTs) ( +18 DHMTs) ( +15 DHMTs )
97 Health Managers 172 Health Managers 120 Health Managers
were newly trained were newly trained were newly trained

8. Operation Research on Health Systems Management
Baseline Survey on Health Leadership and Management for Group A,B &C (March 2011)
Baseline Survey on Health Leadership and Management for Group A,B &C (March 2011)
Health Systems Management Training Programme
Group A:
Group A: Group B:
Group B: Group C:
Group C:
9DHMTs
9DHMTs 9DHMTs
9DHMTs 9DHMTs
9DHMTs
20days Training
20days Training 10days Training
10days Training Control Group
Control Group
(Package A)
(Package A) (Package B)
(Package B)
Nyatike
Nyatike
Kisii -S
Kisii -S Masaba -N
Masaba -N Nyamache
Nyamache
Gucha
Gucha Masaba -S
Masaba -S Homabay
Homabay
Kisii Central
Kisii Central Kuria -E
Kuria -E Kisumu East
Kisumu East
Nyamira
Nyamira Kuria -W
Kuria -W Borabu
Borabu
Manga
Manga Gucha -S
Gucha -S Migori
Migori
Kisumu- MCP
Kisumu- MCP Rachuonyo-N
Rachuonyo-N Ndhiwa
Ndhiwa
Nyando
Nyando Nyakach
Nyakach Gem
Gem
Mbita
Mbita Bondo
Bondo Rongo
Rongo
Rarieda
Rarieda Rachuonyo -S
Rachuonyo -S
Endline Survey fort the comparative impact analysis between Group A,B & CC (May 2012)
Endline Survey fort the comparative impact analysis between Group A,B & (May 2012)

9. Pre/Post Test Result Comparison
Group A & Group B
Total Average Score

10. Capacity Assessment Result

11. P=0.019
P=0.003
There was significant differences between groups. (Kruskal-
Wallis test: P=0.009). In addition, by using Scheffe multiple-
comparison test, we compared each group. Compared with
control, Group A and Group B were significantly higher

12. Resource Corner & 5S Kaizen
(DHMT-Kisumu West)
RESOURCE CORNER
RESOURCE CORNER RESOURCE CORNER
RESOURCE CORNER
“Before 5S Kaizen”
“Before 5S Kaizen” “After 5S Kaizen”
“After 5S Kaizen”

13. Calendar of Activities
KISUMU WEST DHMT CALENDER OF ACTIVITIES
October 2012 Legend:
DHMT Routine Activities
Other Activities this Month (Undated) JICA Supported Activities
WRP-PEPFAR Supported Activities
Activities Organized from the Office of
the PDPHS
Activities supported by AMPATH
Activities supported by other partnes
Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5 6
Monday Morning Brief Facility in-charges meeting Dialogue day at West Othany
PHOs monthly meeting
CHC training for new CU supported by Plan International
EQA by DMLT and DTLC EQA by DMLT and DTLC
7 8 9 10 11 12 13
IYCF training for CHEWs
DHMT/AMPATH consultative
Monday Morning Brief
meeting
HTC quarterly review meeting and update
14 15 16 17 18 19 20
IYCF training for CHWs
Monday Morning Brief DHMT support suprevision supported by APHIA Plus
DHMT/WRP consultative
CME for clinicians
meeting
Training of village elders on CLTS supported by Plan International
Jiggers campaign in Maseno
division supported by
AMPATH
Counsellors' support supervision meeting (2 groups)
21 22 23 24 25 26 27
IYCF training for CHWs
DHMT/Implementing partners WASH stakeholders meeting
DHMT meeting
consultative meeting supported by Plan International
CHEWS quarterly performance
review meeting
28 29 30 31
Bi-annual nutrition quarterly
Monday Morning Brief
meeting

14. Note: This slides will
Note: This slides will
be elaborated by 28thth
be elaborated by 28
Jan
Jan
DHMT-Bondo:
Notice Board with Visualized Plan
DHMT-Nyando
Customer Care Desk DHMT-Nyamira (5S-Kaizen)

15. Asanteni Sana !!