메뉴 건너뛰기




Volumn 1, Issue 2, 2015, Pages 167-177,

What governs district manager decision making? A case study of complex leadership in dangme west district, ghana

Author keywords

Complex leadership theory; District Health Management Team; District health system; Emergency obstetric and neonatal care; EmONC; Governance; High impact rapid delivery; HIRD; Management; Maternal and newborn health; Maternal health Abbreviations: DHMT; Maternal mortality ratio; MDGs; Millennium Development Goals; MMR; MNH

Indexed keywords


EID: 84962563070     PISSN: 23288604     EISSN: 23288620     Source Type: Journal    
DOI: 10.1080/23288604.2015.1032475     Document Type: Article
Times cited : (27)

References (82)
  • 1
    • 75749106618 scopus 로고    scopus 로고
    • The global health system: Strengthening national health systems as the next step for global progress
    • Frenk J. The global health system: strengthening national health systems as the next step for global progress. PLoS Med 2010; 7: e1000089.
    • (2010) Plos Med , vol.7
    • Frenk, J.1
  • 5
    • 4243105170 scopus 로고    scopus 로고
    • Closing the management competence gap
    • Filerman G. Closing the management competence gap. Hum Resour Health 2003; 1: 7.
    • (2003) Hum Resour Health , vol.1 , pp. 7
    • Filerman, G.1
  • 11
    • 49349114079 scopus 로고    scopus 로고
    • Empowering primary care workers to improve health services: Results from Mozambique’s leadership and management development program
    • Perry C. Empowering primary care workers to improve health services: results from Mozambique’s leadership and management development program. Hum Resour Health 2008; 6: 14.
    • (2008) Hum Resour Health , vol.6 , pp. 14
    • Perry, C.1
  • 14
    • 84903452048 scopus 로고    scopus 로고
    • Advancing the application of systems thinking in health: Realist evaluation of the leadership development programme for district manager decision-making in Ghana
    • Kwamie A, van Dijk H, Agyepong I. Advancing the application of systems thinking in health: realist evaluation of the leadership development programme for district manager decision-making in Ghana. Health Res Policy Syst 2014; 12: 29.
    • (2014) Health Res Policy Syst , vol.12 , pp. 29
    • Kwamie, A.1    van Dijk, H.2    Agyepong, I.3
  • 15
    • 84866071030 scopus 로고    scopus 로고
    • Experiences of leadership in health care in sub-Saharan Africa
    • Curry L, Taylor L, Chen P, Bradley E. Experiences of leadership in health care in sub-Saharan Africa. Hum Resour Health 2012; 10: 33.
    • (2012) Hum Resour Health , vol.10 , pp. 33
    • Curry, L.1    Taylor, L.2    Chen, P.3    Bradley, E.4
  • 16
    • 84865433387 scopus 로고    scopus 로고
    • Strengthening management and leadership practices to increase health-service delivery in Kenya: An evidence-based approach
    • Seims LR, Alegre J, Murei L, Bragar J, Thatte N, Kibunga P, Cheburet S. Strengthening management and leadership practices to increase health-service delivery in Kenya: an evidence-based approach. Hum Resour Health 2012; 10: 25.
    • (2012) Hum Resour Health , vol.10 , pp. 25
    • Seims, L.R.1    Alegre, J.2    Murei, L.3    Bragar, J.4    Thatte, N.5    Kibunga, P.6    Cheburet, S.7
  • 17
    • 0242521449 scopus 로고    scopus 로고
    • Health systems in developing countries: Public sector managers and the management of contradictions and change
    • Green A, Collins C. Health systems in developing countries: public sector managers and the management of contradictions and change. Int J Health Plann Manag 2003; 18: S67–S78.
    • (2003) Int J Health Plann Manag , vol.18 , pp. S67-S78
    • Green, A.1    Collins, C.2
  • 18
    • 0001489023 scopus 로고    scopus 로고
    • Accountability in a “reinvented government
    • Deleon L. Accountability in a “reinvented government.” Public Adm 1998; 76: 539–558.
    • (1998) Public Adm , vol.76 , pp. 539-558
    • Deleon, L.1
  • 19
    • 84982189664 scopus 로고    scopus 로고
    • Exploring the nature of governance at the level of implementation for health system strengthening: The DIALHS experience
    • Scott V, Schaay N, Olckers P, Nqana N, Lehmann U, Gilson L. Exploring the nature of governance at the level of implementation for health system strengthening: the DIALHS experience. Health Policy Plan 2014; ii59-ii70.
    • (2014) Health Policy Plan , pp. ii59-ii70
    • Scott, V.1    Schaay, N.2    Olckers, P.3    Nqana, N.4    Lehmann, U.5    Gilson, L.6
  • 20
    • 79953851839 scopus 로고    scopus 로고
    • Improving the implementation of health workforce policies through governance: A review of case studies
    • Dieleman M, Shaw D, Zwanikken P. Improving the implementation of health workforce policies through governance: a review of case studies. Hum Resour Health 2011; 9: 10.
    • (2011) Hum Resour Health , vol.9 , pp. 10
    • Dieleman, M.1    Shaw, D.2    Zwanikken, P.3
  • 25
    • 33750801354 scopus 로고    scopus 로고
    • Knowledge gaps in scientific literature on maternal mortality: A systematic review
    • Gil-Gonzalez D, Carrasco-Portino M, Ruiz MT. Knowledge gaps in scientific literature on maternal mortality: a systematic review. Bull World Health Organ 2006; 84: 903–909.
    • (2006) Bull World Health Organ , vol.84 , pp. 903-909
    • Gil-Gonzalez, D.1    Carrasco-Portino, M.2    Ruiz, M.T.3
  • 26
    • 16544391523 scopus 로고    scopus 로고
    • It makes me want to run away to Saudi Arabia”: Management and implementation challenges for public financing reforms from a maternity ward perspective
    • Penn-Kekana L, Blaauw D, Schneider H. “It makes me want to run away to Saudi Arabia”: management and implementation challenges for public financing reforms from a maternity ward perspective. Health Policy Plan 2004; 19: i71–i77.
    • (2004) Health Policy Plan , vol.19 , pp. i71-i77
    • Penn-Kekana, L.1    Blaauw, D.2    Schneider, H.3
  • 28
    • 28644449028 scopus 로고    scopus 로고
    • Evaluating effectiveness of complex interventions aimed at reducing maternal mortality in developing countries
    • Ross L, Simkhada P, Smith WCS. Evaluating effectiveness of complex interventions aimed at reducing maternal mortality in developing countries. J Public Health 2005; 27: 331–337.
    • (2005) J Public Health , vol.27 , pp. 331-337
    • Ross, L.1    Simkhada, P.2    Smith, W.C.S.3
  • 29
    • 79955095831 scopus 로고    scopus 로고
    • Maternal health interventions in resource limited countries: A systematic review of packages, impacts and factors for change
    • Nyamtema A, Urassa D, van Roosmalen J. Maternal health interventions in resource limited countries: a systematic review of packages, impacts and factors for change. BMC Pregnancy Childbirth 2011; 11: 30.
    • (2011) BMC Pregnancy Childbirth , vol.11 , pp. 30
    • Nyamtema, A.1    Urassa, D.2    van Roosmalen, J.3
  • 33
    • 85064469943 scopus 로고
    • Local Government Act (Act 462)
    • Republic of Ghana. Local Government Act (Act 462). 1993.
    • (1993)
  • 34
    • 0032999692 scopus 로고    scopus 로고
    • Reforming health service delivery at district level in Ghana: The perspective of a district medical officer
    • Agyepong IA. Reforming health service delivery at district level in Ghana: the perspective of a district medical officer. Health Policy Plan 1999; 14: 59–69.
    • (1999) Health Policy Plan , vol.14 , pp. 59-69
    • Agyepong, I.A.1
  • 38
    • 78149265692 scopus 로고    scopus 로고
    • Geneva: World Health Organization
    • WHO, UNICEF, UNFPA, The World Bank. Trends in maternal mortality: 1990 to 2013. Geneva: World Health Organization; 2014.
    • (2014) Trends in Maternal Mortality: 1990 to 2013
  • 39
    • 63749127120 scopus 로고    scopus 로고
    • Evaluation of the delivery fee exemption policy in Ghana: Population estimates of changes in delivery service utilisation in two regions
    • Penfolds S, Harrison E, Bell J, Fitzmaurice A. Evaluation of the delivery fee exemption policy in Ghana: population estimates of changes in delivery service utilisation in two regions. Ghana Med J 2007; 41: 100–109.
    • (2007) Ghana Med J , vol.41 , pp. 100-109
    • Penfolds, S.1    Harrison, E.2    Bell, J.3    Fitzmaurice, A.4
  • 40
    • 63749086984 scopus 로고    scopus 로고
    • Effect of delivery care user exemption fee policy on institutional maternal deaths in the central and Volta regions of Ghana
    • Bosu W, Bell J, Armar-Klemesu M, Ansong-Tornui J. Effect of delivery care user exemption fee policy on institutional maternal deaths in the central and Volta regions of Ghana. Ghana Med J 2007; 41: 118–124.
    • (2007) Ghana Med J , vol.41 , pp. 118-124
    • Bosu, W.1    Bell, J.2    Armar-Klemesu, M.3    Ansong-Tornui, J.4
  • 41
    • 58149221098 scopus 로고    scopus 로고
    • Hospital-based maternity care in Ghana: Findings of a confidential enquiry into maternal deaths
    • Ansong-Tornui J, Armar-Klemesu M, Ahinful D, Penfold S, Hussein J. Hospital-based maternity care in Ghana: findings of a confidential enquiry into maternal deaths. Ghana Med J 2007; 41: 110–117.
    • (2007) Ghana Med J , vol.41 , pp. 110-117
    • Ansong-Tornui, J.1    Armar-Klemesu, M.2    Ahinful, D.3    Penfold, S.4    Hussein, J.5
  • 42
    • 85064471709 scopus 로고    scopus 로고
    • Accra, Ghana: Ghana Statistical Service, Government of Ghana, and ICF Macro
    • Ghana Statistical Service, Government of Ghana, and ICF Macro. Ghana health and demographic survey 2008. Accra, Ghana: Ghana Statistical Service, Government of Ghana, and ICF Macro; 2009.
    • (2009) Ghana Health and Demographic Survey 2008
  • 43
    • 84870504054 scopus 로고    scopus 로고
    • Accra: National Development Planning Commission/Government of Ghana, United Nations Development Programme
    • Ghana National Development Planning Commission. 2008 Ghana Millennium Development Goals Report. Accra: National Development Planning Commission/Government of Ghana, United Nations Development Programme; 2010.
    • (2010) 2008 Ghana Millennium Development Goals Report
  • 44
    • 0032212429 scopus 로고    scopus 로고
    • Analyzing the decentralization of health systems in developing countries: Decision space, innovation and performance
    • Bossert T. Analyzing the decentralization of health systems in developing countries: decision space, innovation and performance. Soc Sci Med 1998; 47: 1513–1527.
    • (1998) Soc Sci Med , vol.47 , pp. 1513-1527
    • Bossert, T.1
  • 45
    • 0036191724 scopus 로고    scopus 로고
    • Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: A comparative analysis of decision space
    • Bossert TJ, Beauvais JC. Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines: a comparative analysis of decision space. Health Policy Plan 2002; 17: 14–31.
    • (2002) Health Policy Plan , vol.17 , pp. 14-31
    • Bossert, T.J.1    Beauvais, J.C.2
  • 46
    • 49949109481 scopus 로고    scopus 로고
    • How to start thinking about investigating power in the organizational settings of policy implementation
    • Erasmus E, Gilson L. How to start thinking about investigating power in the organizational settings of policy implementation. Health Policy Plan 2008; 23: 361–368.
    • (2008) Health Policy Plan , vol.23 , pp. 361-368
    • Erasmus, E.1    Gilson, L.2
  • 47
    • 84880392580 scopus 로고    scopus 로고
    • Actor interfaces and practices of power in a community health worker programme: A South African study of unintended policy outcomes
    • Lehmann U, Gilson L. Actor interfaces and practices of power in a community health worker programme: a South African study of unintended policy outcomes. Health Policy Plan 2012; 28(4): 358–366.
    • (2012) Health Policy Plan , vol.28 , Issue.4 , pp. 358-366
    • Lehmann, U.1    Gilson, L.2
  • 48
    • 0001656608 scopus 로고
    • Structural sources of intraorganiza-tional power: A theoretical synthesis
    • Astley WG, Sachdeva PS. Structural sources of intraorganiza-tional power: a theoretical synthesis. Acad Manage Rev 1984; 9: 104–113.
    • (1984) Acad Manage Rev , vol.9 , pp. 104-113
    • Astley, W.G.1    Sachdeva, P.S.2
  • 49
    • 0032376858 scopus 로고    scopus 로고
    • Trust and distrust: New relationships and realities
    • Lewicki R, McAllister D, Bies R. Trust and distrust: new relationships and realities. Acad Manage Rev 1998; 23: 438–458.
    • (1998) Acad Manage Rev , vol.23 , pp. 438-458
    • Lewicki, R.1    Mcllister, D.2    Bies, R.3
  • 50
    • 23144435923 scopus 로고    scopus 로고
    • Trust and distrust in organizations: Emerging perspectives, enduring questions
    • Kramer RM. Trust and distrust in organizations: emerging perspectives, enduring questions. Annu Rev Psychol 1999; 50: 569–598.
    • (1999) Annu Rev Psychol , vol.50 , pp. 569-598
    • Kramer, R.M.1
  • 51
    • 33748980268 scopus 로고    scopus 로고
    • Trust in health care: Theoretical perspectives and research needs
    • Gilson L. Trust in health care: theoretical perspectives and research needs. J Health Organ Manag 2006; 20: 359–375.
    • (2006) J Health Organ Manag , vol.20 , pp. 359-375
    • Gilson, L.1
  • 52
    • 0035716935 scopus 로고    scopus 로고
    • Leadership in complex organizations
    • Marion R, Uhl-Bien M. Leadership in complex organizations. Leadersh Q 2001; 12: 389–418.
    • (2001) Leadersh Q , vol.12 , pp. 389-418
    • Marion, R.1    Uhl-Bien, M.2
  • 54
    • 0002830570 scopus 로고    scopus 로고
    • A complex adaptive systems model of organization change
    • Dooley KJ. A complex adaptive systems model of organization change. Nonlinear Dynamics Psychol Life Sci 1997; 1: 69–97.
    • (1997) Nonlinear Dynamics Psychol Life Sci , vol.1 , pp. 69-97
    • Dooley, K.J.1
  • 55
    • 0036888896 scopus 로고    scopus 로고
    • Toward a contextual theory of leadership
    • Osborn RN, Hunt JG, Jauch LR. Toward a contextual theory of leadership. Leadersh Q 2002; 13: 797–837.
    • (2002) Leadersh Q , vol.13 , pp. 797-837
    • Osborn, R.N.1    Hunt, J.G.2    Jauch, L.R.3
  • 56
    • 33745947389 scopus 로고    scopus 로고
    • Organizations as complex adaptive systems: Implications of complexity theory for leadership research
    • Schneider M, Somers M. Organizations as complex adaptive systems: implications of complexity theory for leadership research. Leadersh Q 2006; 17: 351–365.
    • (2006) Leadersh Q , vol.17 , pp. 351-365
    • Schneider, M.1    Somers, M.2
  • 58
    • 34347329220 scopus 로고    scopus 로고
    • Complexity Leadership Theory: Shifting leadership from the industrial age to the knowledge era
    • Uhl-Bien M, Marion R, McKelvey B. Complexity Leadership Theory: Shifting leadership from the industrial age to the knowledge era. Leadersh Q 2007; 18: 298–318.
    • (2007) Leadersh Q , vol.18 , pp. 298-318
    • Uhl-Bien, M.1    Marion, R.2    Mcelvey, B.3
  • 59
    • 67649343921 scopus 로고    scopus 로고
    • The leadership of emergence: A complex systems leadership theory of emergence at successive organizational levels
    • Lichtenstein BB, Plowman DA. The leadership of emergence: a complex systems leadership theory of emergence at successive organizational levels. Leadersh Q 2009; 20: 617–630.
    • (2009) Leadersh Q , vol.20 , pp. 617-630
    • Lichtenstein, B.B.1    Plowman, D.A.2
  • 60
    • 67649372479 scopus 로고    scopus 로고
    • Complexity leadership in bureaucratic forms of organizing: A meso model
    • Uhl-Bien M, Marion R. Complexity leadership in bureaucratic forms of organizing: a meso model. Leadersh Q 2009; 20: 631–650.
    • (2009) Leadersh Q , vol.20 , pp. 631-650
    • Uhl-Bien, M.1    Marion, R.2
  • 61
    • 84892507982 scopus 로고    scopus 로고
    • Advances in leader and leadership development: A review of 25years of research and theory
    • Day DV, Fleenor JW, Atwater LE, Sturm RE, McKee RA. Advances in leader and leadership development: A review of 25years of research and theory. Leadership Q 2014; 25: 63–82.
    • (2014) Leadership Q , vol.25 , pp. 63-82
    • Day, D.V.1    Fleenor, J.W.2    Atwater, L.E.3    Sturm, R.E.4    Mcee, R.A.5
  • 67
    • 77649145367 scopus 로고    scopus 로고
    • A realist evaluation of the management of a well-performing regional hospital in Ghana
    • Marchal B, Dedzo M, Kegels G. A realist evaluation of the management of a well-performing regional hospital in Ghana. BMC Health Serv Res 2010; 10: 24.
    • (2010) BMC Health Serv Res , vol.10 , pp. 24
    • Marchal, B.1    Dedzo, M.2    Kegels, G.3
  • 68
    • 84925884770 scopus 로고    scopus 로고
    • Advancing the application of systems thinking in health: A realist evaluation of a capacity building programme for district managers in Tumkur, India
    • Prashanth N, Marchal B, Devadasan N, Kegels G, Criel B. Advancing the application of systems thinking in health: a realist evaluation of a capacity building programme for district managers in Tumkur, India. Health Res Policy Syst 2014; 12: 42.
    • (2014) Health Res Policy Syst , vol.12 , pp. 42
    • Prashanth, N.1    Marchal, B.2    Devadasan, N.3    Kegels, G.4    Criel, B.5
  • 69
    • 33646698557 scopus 로고    scopus 로고
    • How many interviews are enough?: An experiment with data saturation and variability
    • Guest G, Bunce A, Johnson L. How many interviews are enough?: an experiment with data saturation and variability. Field Methods 2006; 18: 59–82.
    • (2006) Field Methods , vol.18 , pp. 59-82
    • Guest, G.1    Bunce, A.2    Johnson, L.3
  • 71
    • 79551586048 scopus 로고    scopus 로고
    • “We charge them; otherwise we cannot run the hospital” front line workers, clients and health financing policy implementation gaps in Ghana
    • Agyepong IA, Nagai RA. “We charge them; otherwise we cannot run the hospital” front line workers, clients and health financing policy implementation gaps in Ghana. Health Policy 2011; 99: 226–233.
    • (2011) Health Policy , vol.99 , pp. 226-233
    • Agyepong, I.A.1    Nagai, R.A.2
  • 73
    • 84872332462 scopus 로고    scopus 로고
    • The importance of values in shaping how health systems governance and management can support universal health coverage
    • Fattore G, Tediosi F. The importance of values in shaping how health systems governance and management can support universal health coverage. Value Health 2013; 16: S19–S23.
    • (2013) Value Health , vol.16 , pp. S19-S23
    • Fattore, G.1    Tediosi, F.2
  • 74
    • 84900457119 scopus 로고    scopus 로고
    • People-centred science: Strengthening the practice of health policy and systems research
    • Sheikh K, George A, Gilson L. People-centred science: strengthening the practice of health policy and systems research. Health Res Policy Syst 2014; 12: 19.
    • (2014) Health Res Policy Syst , vol.12 , pp. 19
    • Sheikh, K.1    George, A.2    Gilson, L.3
  • 75
    • 84954367762 scopus 로고    scopus 로고
    • Ghana Ministry of Health, Government of Ghana, United Nations Country Team in the Republic of Ghana, Accra, Ghana
    • Ghana Ministry of Health, Government of Ghana, United Nations Country Team in the Republic of Ghana. MDG acceleration framework and country action plan—maternal health. Accra, Ghana; 2011.
    • (2011) MDG Acceleration Framework and Country Action plan—maternal Health
  • 77
    • 84906965356 scopus 로고    scopus 로고
    • Evidence from district level inputs to improve quality of care for maternal and newborn health: Interventions and findings
    • Salam R, Lassi Z, Das J, Bhutta Z. Evidence from district level inputs to improve quality of care for maternal and newborn health: interventions and findings. Reprod Health 2014; 11(Supp. 2): S3.
    • (2014) Reprod Health , vol.11 , pp. S3
    • Salam, R.1    Lassi, Z.2    Das, J.3    Bhutta, Z.4
  • 78
    • 33748632900 scopus 로고    scopus 로고
    • Getting by on credit: How district health managers in Ghana cope with the untimely release of funds
    • Asante A, Zwi A, Ho M. Getting by on credit: how district health managers in Ghana cope with the untimely release of funds. BMC Health Serv Res 2006; 6: 105.
    • (2006) BMC Health Serv Res , vol.6 , pp. 105
    • Asante, A.1    Zwi, A.2    Ho, M.3
  • 79
    • 33747339260 scopus 로고    scopus 로고
    • Equity in resource allocation for health: A comparative study of the Ashanti and northern regions of Ghana
    • Asante AD, Zwi AB, Ho MT. Equity in resource allocation for health: a comparative study of the Ashanti and northern regions of Ghana. Health Policy 2006; 78: 135–148.
    • (2006) Health Policy , vol.78 , pp. 135-148
    • Asante, A.D.1    Zwi, A.B.2    Ho, M.T.3
  • 80
    • 79961162505 scopus 로고    scopus 로고
    • Barriers to implementing health sector administrative decentralisation in Ghana
    • Kojo Sakyi E, Koku Awoonor Williams J, Adzei FA. Barriers to implementing health sector administrative decentralisation in Ghana. J Health Organ Manag 2011; 25: 400–419.
    • (2011) J Health Organ Manag , vol.25 , pp. 400-419
    • Kojo Sakyi, E.1    Koku Awoonor Williams, J.2    Adzei, F.A.3
  • 81
    • 13444256636 scopus 로고    scopus 로고
    • A realistic approach to the evaluation of the quality management movement in health care systems: A comparison between European and African contexts based on Mintzberg’s organizational models
    • Blaise P, Kegels G. A realistic approach to the evaluation of the quality management movement in health care systems: a comparison between European and African contexts based on Mintzberg’s organizational models. Int J Health Plann Manage 2004; 19: 337–364.
    • (2004) Int J Health Plann Manage , vol.19 , pp. 337-364
    • Blaise, P.1    Kegels, G.2
  • 82
    • 84881527621 scopus 로고    scopus 로고
    • Resources, attitudes and culture: An understanding of the factors that influence the functioning of accountability mechanisms in primary health care settings
    • Cleary S, Molyneux S, Gilson L. Resources, attitudes and culture: an understanding of the factors that influence the functioning of accountability mechanisms in primary health care settings. BMC Health Serv Res 2013; 13: 320.
    • (2013) BMC Health Serv Res , vol.13 , pp. 320
    • Cleary, S.1    Molyneux, S.2    Gilson, L.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.