2ND EDITION JULY 2014

Health Systems Management

A Senior Management Course for Health Managers

in Kenya

UNIT 1.0 (PART I)

Introduction to Health Systems Management Training Programme

Course Purpose• To build capacity of middle-level health managers at

national and county level to deliver health services

effectively and efficiently by:

• Developing a standardised and comprehensive

package for health system and services

management in Kenya;

• Training health managers on health system and

services management in Kenya;

• Establishing an institutionalised mechanism for

sustaining health system and services management

capacity in Kenya;

Course Purpose (Cont’d)

• Developing investment/business plans

for respective planning units;

• Contributing to health workers’

continuous professional development;

• Providing a checklist and direction to the

sector on leadership, management and

governance competencies for delivery of

quality services.

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Course Rationale

Slow/limited improvements in health outcomes even with improved investments in health;

Weaknesses in health workers capacity for management;

Need to strengthen strategic approach to deliver health services;

Challenges of devolved management and governance functions

Need to link professional development with actual capacity of health managers.

Coure GoalCoure GoalThe goal of the Health Systems

Management (HSM) course is to build capacity of health care managers to deliver effective and efficient health services.

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Course Objectives

By the completion of this course, participants shall be able to:

Apply the health systems approach to planning, implementing and monitoring priority interventions;

Describe the organisation and governance of health systems and how these influence performance and health outcomes;

Explain the key principles, health laws and regulations governing health care delivery;

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Course Objectives (Cont’d)

Demonstrate ability to to lead, manage and practice good governance in health care delivery;

Describe resource generation, mobilisation and management strategies and their application to health care delivery;

Conduct relevant operations research and document and disseminate evidence for continual quality improvement in service delivery.

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Target Group

All health services managers in the Country (private and public sector) at various levels whose central role is policy implementation:

National level: Heads of directorates, divisions, units, programme managers, facility managers, members of Boards;

County level: County managers, facility managers;

Sub-County level: Management, facility managers.

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Certification

Required attendance is 80%.Pass mark for the skills and attitudes assessment is 60%.Pass mark for knowledge assessment is 40%.A certificate of competence will be issued if one attains 50% and above; a certificate of attendance if one attains less than 50%.Those who score 75% and above are eligible for training of trainers (TOT) training.

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The course is modular and runs for 3 months:Blocks/Themes Modules Duration

Block1 - Systems Approach to Organization and Planning in the Health Sector

Module 1 -Understanding foundations of the health system in Kenya

10 -day class-based teaching and 4-weeks at workplace to develop Investment Plan

Module 2 -Planning for health service delivery

Block 2 – Leadership, Management and Governance for Sustainable Health Investments

Module 3 – Leading, managing and governing practices in health service delivery

10-day class-based teaching and 4-weeks at workplace to develop Investment plan

Module 4 - Managing resources for sustainable investments in health service delivery

Blcok 3 – Tracking and Reviewing Evidence for Health System Performance

Module 5 – Monitoring, evaluating and reviewing for performance in health service delivery

10-day classroom-based teaching

Training Tools

Course curriculum; Conceptual learning aid: outlines the basic understanding of concepts; Technical learning aid: outlines the application of concepts to the Kenya Health System;Facilitator’s guide; Guide on Investment Plan; andSet of generic slides

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Learning Methods

Short lectures;Interactive group and plenary discussions;Guiding questions;Practical exercises; Brainstorming;Observation/field trips;Role plays/simulations;Case studies.

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Training Approach

Orientation on coverage of each module;

Group exercises during modules which are linked to the investment planning development;

Further exercises at the end of each module to assess extent of understanding;

Investment plan/project development in teams of four (4).

Thank You

Systems Approach to Organization and Planning in

the Health Sector

(Part II)Overview of block 1

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Block I: Purpose

Introduces participants to health systems in Kenya and shows how they are organised to facilitate delivery of quality health services;

Offers a conceptual framework for a health managers that enables a better understanding of health systems management in Kenya;

Helps participants articulate the complex linkages between policies, laws, components and organisation of the health system to its intermediate outcomes and goals;

BLOCK I: Purpose (Cont’d)

Outlines the principles of health service delivery Provides a clear understanding of the health planning processes and tools in Kenya including project management;The module has several practical activities including investment planning to guide participants to develop their Investment Plan/ project.

This module comprises 5 units and an overview session:Unit 1.1: Strategic Directions and Regulatory frameworksUnit 1.2: Introduction to systems approach Unit 1.3: Key Principles of Health Care Delivery; Unit 1.4: Organization of the healthcare system

and health services;

Unit 1.5: Regional Integration and, partnerships

This module comprises 5 units session:Unit 2.1: Introduction to planning in the health sector; Unit 2.2: The planning process and Tools Unit 2.3: Elements of the planning process Unit 2.4: Developing health plans at various

levels of the health sector Unit 2.5: Project planning (investment planning)

Module I: Competencies

The participants will be able to demonstrate knowledge in;Apply appropriate principles to strengthen the health system and health service provision at facility, County and national levels

Plan effectively and mobilize resources to support priority health investments in health plans

Apply systems and strategic thinking to envision health system priority investment areas at national and county levels

Use appropriate tools to plan for health services at all levels of the health system

Practice good governance and promote strategic partnerships for effective management of the health system

Interpret health policies, laws and regulatory frameworks to improve performance of health system elements and outcomes

By the end of this module, participants shall: Explain the systems approach to health systems functioning Describe the concepts and principles that inform health care delivery in KenyaExplain the organizational and governance structures

of health systems in KenyaAnalyze how health policies, laws and regulatory frameworks influence health system performance and outcomes Plan and manage health plans at all levels of the health system Demonstrate ability to develop an investment plan at

facility, county and sub county levels

Tentative Training Schedule

The block will be delivered in ten (10) days as follows:

Day 1 Health system building blocks

Day 2 Principles of healthcare delivery and application

Day 3 Principles of healthcare delivery and application

Day 4 Organisation and governance of the health system

Day 5 Regulatory structures and laws in health

Day 6 Health policies and health sector reforms

Day 7 Planning concepts and processes

Day 8 Strategic planning

Day 9 Annual work plans

Day 10 Project management

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Linkages between Teaching Module I and Development of

Investment Plan/ Project•During this module, participants will be introduced to purpose, objectives, format, implementation and assessment plan for the project as detailed in guidelines for Investment Plan document;

•Participants will write up sections of the first two chapters of their county, facility or programme level plans based on the content covered in this Module;

•Specific exercises (activities) under each unit are linked to the Investment Plan and provide opportunity for practical approach to writing up chapter 1 and 2 of the plan;

•One hour has been set aside daily for teamwork in developing the Investment Plan from 2nd week.

Field Visits

•One-day field visits in 2 sites during the training programme in module 2 and 3;

•Six (6) themes are outlined for the two visits;

•Participants will be engaged in proposing possible facilities and programmes to be visited;

•Where there are prerequisites for the trips, participants will be briefed accordingly;

•All logistics will be handled by the coordinating team but participants are welcome to assist where necessary.

Learning Resources

•The key references for this training are the Technical and Conceptual Learning Aids; (TLA & CLA)

•There are additional material that may be accessible online- on CD and on hardcopy at the training venue;

•Whenever possible, guest speakers will be invited to augment the knowledge and practical learning;

•Participants will also be invited to facilitate some sessions of the training to reinforce application of these concepts.

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Course Assessment and Evaluation

Assessment: Two tools will be used for continuous assessment tests in this module:

1. A checklist to assess chapter 1 and 2 of the Investment Plan;

2. Peer assessment tool to assess teamwork.

The content will be assessed in the final exam to be taken at the beginning of Module 3.

Course Assessment and Evaluation (Cont’d)

•Evaluation: Various tools will be used to evaluate this module:

1. Daily facilitator tool;

2. End-of unit and end of module assessment tools.

•Participants are reminded to hand in the pre-test for the module.

•A post-test will be administered at the end and the scores summarised to determine individual progress. But these do not constitute the formal assessment scores.

THE END