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Completed

NCT Number: NCT03639961

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

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?

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Key information

Conditions

Leadership

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

North Achefer district

Līben, Amhara, 1000, Ethiopia

About this study

The investment on integrated health system leading, managing and governing for result model narrow down health system gaps.

The need to integrate these three distinct, but not hostile paths is that mostly: leading is people oriented process, managing is task oriented process and governing is organization oriented path.

Moreover, these paths are reflected even in a single person, task, or organization. Thus, testing and implementing integrated model is cost effective.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.

Exclusion criteria

  • No exclusion criteria

Treatment and study plan

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.

Traditional model

Behavioral

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

Primary outcomes

  1. Institutional delivery

    Time frame: Up to six months

    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%.

Secondary outcomes

  1. Habit of institutional delivery

    Time frame: two weeks

    Improvement on habit of institutional delivery has been explored from key informants, by key informant guideline. The explored data will be analyzed thematically, using the Qualitative Data Analysis (QDA) miner 4 software.

Sponsors and collaborators

Lead sponsor

Bahir Dar University

Other

Registry information

Official study title

The Effect of Integrated Health System Leading, Managing and Governing for Result Model Towards Institutional Delivery Among Staff of Health Facilities in Northwest Ethiopia

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Aug 21, 2018
Registry last updated
Jun 6, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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