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Leadership and governance have long been acknowledged as critical elements in the development of strong and successful health systems.

Here we talk through the lessons learnt on The Maternal and Newborn Improvement (MANI) project, which used an executive coaching package to build the leadership and management capacity of the Bungoma County Health Management Team (CHMT) from June – September 2018.

The objective was to go beyond a one-off training where learning can be lost upon returning to work – largely due to confounding external factors impeding one’s ability to implement what has been learned. This sustained and innovative coaching methodology aims to ensure a long-term adoption of strong leadership capacity that is engrained into individual and collective processes.

Innovative coaching vs. classroom courses

This coaching approach is very different from classroom-based short courses, which have been more the norm for public sector officials. It starts and ends by bringing together all participants to share and learn as a group. This shows them that everybody is facing the same kind of challenges, including feeling helpless and powerless to tackle the real problems around the provision of healthcare in the county – helping to enable a bond within the group. Additional coaching sessions focus on individual development, this takes place both in a group setting and in one-to-one sessions.

This approach helped the health team to learn and use management and leadership tools, which allowed them to analyse what was ailing the current system and come up with strategic interventions to help overcome the challenges. These interventions were then used to identify strengths within the individuals which could be built upon and used as objectives for leadership and management development. Finally, a one-to-one coaching tracked the indiviuals implementation of this objective allowing them to develop their leadership and management skills.

Figure 1: The process of applying objectives in coaching

Image 1

What did participants think?

Despite the initial perceived preference for a classroom-based approach, the health team appreciated the opportunity to use real-life examples from which to grow and learn.

For many, the personal development plans and coaching exercises were an eye-opener to their strengths and areas that they should further develop, such as self-confidence, analytical approaches to problem solving such as the use of process mapping, why techniques and and evidence-based decision making.
Throughout the process we saw and heard many benefits to the approach:


“The coaching sessions have improved my way of approaching challenges, I sometimes felt as though an individual attacking me.” …

“This has helped me to think about my success, the coach asked me to identify my personal strengths and I was hard tasked to identify them, he asked to go home and really think about it and name at least 10”…

“When you implement the initiative, it gives you the will to move on as you feel you are making an impact.”


Evidence this approach worked

The project used a capacity tracking tool to measure the health team’s progress throughout the coaching. This showed that substantial improvements had been made in:

  • The amount of capacity to manage and use leadership tools
  • The drive for change initiatives
  • The team’s sphere of influence and ability to enrol and expand their networks
  • Coaching impact across the management team, with an average increase across all four indicators of 65% from baseline.

 

 


The Department for International Development has confirmed the latest £20 million round of UK Aid Match will open on 22 October 2018.

The UK Aid Match funding round will encourage wildlife and conservation charities to apply for funds for projects that tackle wildlife crime and deforestation – and so reduce poverty in the world’s poorest communities. It also invites applications from charities working to achieve sustained poverty reduction and to achieve the Global Goals.

Making the announcement on Thursday, 11 October International Development Secretary Penny Mordaunt said:

“UK Aid Match gives the British public a chance to see the money they donate to their most passionate development causes matched pound-for-pound by the government.

“We owe it to future generations for UK aid to work alongside some of our most innovative and hard-working charities to tackle the scourge of the Illegal Wildlife Trade and protect our natural environment. I want to encourage our partners to look to UK Aid Match as a way of furthering their efforts to do this and connecting with the British public.

“To do so is a win for the public; a win for the world’s poorest people; and a win for wildlife.”

UK Aid Match will match fund up to £2m in donations made by the public to appeals developed to reduce poverty in some of the world’s poorest and most fragile countries. It brings charities, the public and the UK government together to change the lives of people living in poverty and gives British people an opportunity to have their say about how the UK’s aid is spent.

To date UK Aid Match has supported 42 charities, working on 84 projects in 27 countries, to help more than 25 million people.

Applications open on 22 October 2018, but there’s guidance available on the UK Aid Match website now 

UK Aid Match is a government project run by the Department for International Development. The Fund Manager for UK Aid Match is MannionDaniels, working in consortium with Oxford Policy Management (OPM), Education Development Trust (EDT), Royal Tropical Institute (KIT), and the Social Change Agency (SCA).


We have updated our privacy policy

In line with new EU regulations, we have updated our privacy policy and you can view it here.

If you have any questions regarding the policy, you can write, email or call:

The Data Protection Officer
MannionDaniels Limited
Universal House
1-2 Queen’s Parade Place
Bath, BA1 2NN

operationsandcompliance@manniondaniels.com

Tel: +44(0)1225 421153


MannionDaniels has developed an organisational capacity assessment tool (OCAT) that is used to identify the extent of a health management team’s organisational capacity to support health systems.

This diagnostic is accompanied by the development of a targeted capacity development plan to address identified capacity gaps. The assessment is conducted on an annual basis.

The baseline for the Maternal Newborn and Child Health Programme (MNCH2) was gathered in 2015 and the accompanying poster reveals the progress achieved in 2016.

Click here to download the Kano State OCA poster.

Kano State OCA poster 13.03.18

 


MannionDaniels has been contracted by Mott MacDonald to undertake two critical reviews for the DFID-funded Evidence for HIV Prevention in Southern Africa Programme.

The reviews focus on HIV prevention for adolescents with the aim of producing two discussion papers that will contribute to and broaden regional debates on issues affecting policy and programming on HIV prevention for adolescents in the Eastern and Southern Africa Region.

The topics of the discussion papers are:

  • The future of social and behaviour change communication (SBCC) in an era of combination prevention; and
  • The impact and value of a more nuanced and disaggregated definition of ‘adolescents’ for HIV prevention programming

The two discussion papers are in the final stages of development. The preliminary findings have been presented at a Technical Forum, hosted by EHPSA in Cape Town in September, with Alex le May present. Participants included researchers, multilaterals, donors, civil society organisations and representatives of national ministries of health and education, national AIDS commissions, and regional bodies.

Further information on the event can be found here on the EHPSA website.