The Effect of Integrated Leading, Managing and Governing for Result Model Towards Institutional Delivery

NCT03639961 | Completed

• 1 other identifier: 090/18-04
• Study Type: interventional
• Target: 418
• Locations: 1 country
• Sites: 1

Brief Summary

The need for leading people, managing work, and governing organizations never changed over the civilization paths of society. However, people in every pole of the globe observe: over-led and under-managed, over-managed and under-governed, and even out of these organizations. These disparities have remained worse in the health system of developing countries like Ethiopia. To date, Ethiopia put a goal of ending preventable child and maternal death, in achieving universal healthcare by 2035. Nevertheless, the investment on integrated leadership, management and governance is limited. Therefore, this study hypothesize that institutional delivery are expressively linked with integrated health system leading, managing and governing for results model among health facilities staff in northwest Ethiopia?

Conditions

Leadership

Keywords

Integrated; leading; managing; governing; practices

Outcome Measures

Primary Outcomes (1)

• Institutional delivery

  Increased institutional delivery. These have been assessed by institutional delivery follow up checklist. To declare that integrated leading, managing and governing for result model has an effect on institutional delivery improvement, on which it could be increased at least by 15%.

  Up to six months

Secondary Outcomes (1)

• Habit of institutional delivery

  two weeks

Study Arms (2)

Staff of facilities for intervention

EXPERIMENTAL

Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model.

Behavioral: Integrated leading, managing and governing for results model

Staff of facilities for control

ACTIVE COMPARATOR

Intervention: Participants have been trained two times in six months period with traditional model.

Behavioral: Traditional model

Interventions

Integrated leading, managing and governing for results model BEHAVIORAL

Integrated leading, managing and governing for results model is an intervention launched to improve institutional delivery.

Staff of facilities for intervention

Traditional model BEHAVIORAL

Traditional model is a health service delivery model already in place in the government health system.

Staff of facilities for control

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All staff nominated by the respective districts that have been selected, but not deployed yet, for integrated health system leadership, management and governance for intervention by Amhara regional health office in the study setting have been included.

Sponsors & Collaborators

• Bahir Dar University: lead

Study Sites (1)

North Achefer district

Līben, Amhara, 1000, Ethiopia

Location

Related Publications (1)

• Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.

  PMID: 36214207 DERIVED

MeSH Terms

Interventions

Disease Management

Intervention Hierarchy (Ancestors)

Patient Care Management; Health Services Administration

Study Officials

• G D Alene, PhD

  Bahir Dar University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: The integrated health system leading, managing and governing for results model is constructed from: leading practices, managing practice, and governing practices; moderating factors ; health services performance, and sustainable health outcomes and impact aligned with national health goals and Sustainable Development Goals (SDGs).

Study Record Dates

• First Submitted: July 9, 2018
• First Posted: August 21, 2018
• Study Start: April 10, 2018
• Primary Completion: April 30, 2018
• Study Completion: October 30, 2018
• Last Updated: June 6, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: From October 2019 to June 2020
• Access Criteria: For any humanistic purposes

Locations

ET (1)