Health System Decentralization Course


INTRODUCTION

Sustainable development goal 3 aims at ensuring healthy lives and promoting the well-being for all at all ages; to achieve these it is essential to strengthen health systems as well as empower health workers. Decentralization has long been advocated as a desirable process for improving health systems. Recently, it has been seen as an integral part of broader health reforms to strengthen health system and achieve improved equity, efficiency, quality and financial soundness. Nevertheless, we are still experiencing a top down approach in health system where almost all decisions, policies and developments are made by the central government.

According to Gilson et al. 1994, anecdotal and country-study evidence confirms that poorly designed and hastily implemented decentralization has serious consequences for health service delivery however, active involvement of health managers in the decentralization design, clear national resource allocation standards and health service norms, and an ongoing trainings and capacity building of managers are essential for guarding equity and quality and for improving efficiency in health service delivery. This training course on health system decentralization will empower leaders in the counties, districts, cities and local government to make decisions, develop sustainable policies and be the catalyst of change and drivers of development. 

WHO SHOULD ATTEND?

Managers, leaders of medical bodies, supervisors

DURATION

10 Days

COURSE OBJECTIVES

By the end of ten days, participants shall be equipped with skills and knowledge to meet challenges faced during decentralization. The issues encountered during designing, implementing and managing a decentralization transition these includes: financial, strategic, and quality management, monitoring and evaluation, needs assessment and prioritization and teambuilding. The first week will address the policy level process, assessing needs of a given community and setting priority while the second week will focus on enhancing management skills in the context of decentralization.

COURSE OUTLINE

MODULE 1: Introduction to Decentralization Framework

  • Definition of terms
  • Case study: success and failure
  • Policy frame work formulation

MODULE 2: Need assessment and prioritization

  1. Need Assessment
  • Assessment preparation
  • Design and planning
  • Data collection
  • Analysis and reporting
  • Prioritization requirements
  • Prioritization scales
  • Prioritization based on value, cost and risk

Module 3: Strategic Planning

  • Introduction to strategic planning
  • Attributes of a good planning framework
  • Components of a strategic planning

Module 4: Leadership and teambuilding

  • Understanding the distinction between personal leadership and organizational leadership
  • Planning and innovation process
  • Understanding the performance process and accountability
  • Creating a coaching and appraisal process
  • Improving problem analysis and decision making
  • Recognizing human potential
  • Employing a delegation process
  • Handling mistakes
  • Striving for continuous improvement

Module 5: Quality Management

  • Introduction and definition
  • The purpose and benefit of quality system
  • The seven quality principles
  • Introduction to the ISO 9001 standard and its requirements.
  • Introduction to management systems and the process approach.
  • General requirements
  • Implementation phases of the ISO 9001 standard.
  • Conducting an ISO 9001 audit.

Module 6: Financial planning and Financing Mechanism

  • Revenue collection
  • Budgeting
  • Finance and expenditure overview

Module 7: Theory of Change in relation to decentralization

  • Change theory
  • Outcome framework
  • Identifying assumptions
  • Identifying indicators
  • Designing interventions
  • Output of theory of change

Module 8: Managing Organization Change: Decentralization in Healthcare

  • Define organizational structure and its basic elements.
  • Describe matrix, boundary less, and learning organizations.
  • Describe why and how organizations change.
  • Understand reasons why people resist change, and strategies for planning and executing change effectively.

Module 9: Decentralization and Human Resource

  • Introduction
  • Distribution of human resources
  • Regulation of Human resources
  • Human Resource management
  • Future trend

Module 10: Field visit

  • Visit to sub county hospital
  • Overview of health system decentralization

Enroll for this Course

We are proud to offer this course in a variety of training formats to suit your needs.

IRES

Enroll to In-Person (Face to Face)

We use the highest quality learning facilities to make sure your experience is as comfortable as possible.

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IRES

Enroll for a Virtual Zoom Class

Join a scheduled class with a live instructor and other delegates.

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IRES

Enroll for Online Self-paced Class

Keep track of your own progression throughout your course and ensure continuous improvement.

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Benefits of Taking a Course at IRES

LEARN

Our courses are carefully curated to keep you abreast of latest industry trends, technological advancements, and best practices. We employ a variety of teaching methodologies, including hands-on workshops, case studies, and interactive sessions, all aimed at fostering an engaging and effective learning environment. Our expert instructors bring a wealth of knowledge and real-world experience, providing our clients with insights that can be immediately applied in their professional lives.

NETWORK

Our courses serve as a vibrant platform for professionals to connect and engage with a diverse community of peers, industry leaders, and experts. By participating in our programs, you gain access to an invaluable network that spans across various sectors and geographical boundaries. This networking aspect is not just about forming professional relationships; it's about creating a supportive ecosystem where ideas, opportunities, and collaborations can flourish.

GROW

Our courses are designed to challenge and inspire professionals to step out of their comfort zones and explore new horizons. Through a combination of theoretical knowledge and practical application, our programs help professionals refine their existing skills and acquire new ones, making them more versatile and competitive.

FAQs & Course Administration Details:

This training can also be customized to suit the needs of your institution upon request. You can have it delivered in our IRES Training Centre or at a convenient location. For further inquiries, please contact us on Phone: +254 715 077 817 or Email: [email protected].
The instructor led trainings are delivered using a blended learning approach and comprise of presentations, guided sessions of practical exercise, web-based tutorials and group work. Our facilitators are seasoned industry experts with years of experience, working as professional and trainers in these fields. All facilitation and course materials will be offered in English. The participants should be reasonably proficient in English.
Upon successful completion of this training, participants will be issued with an Indepth Research Institute (IRES) certificate certified by the National Industrial Training Authority (NITA).
Payment should be transferred to IRES account through bank on or before start of the course. Send proof of payment to [email protected].
Accommodation and airport pickup are arranged upon request. For reservations contact the Training Officer. Email: [email protected] Phone: +254 715 077 817.