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

Study Overview
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Brief Summary
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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?

Detailed Description
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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.

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

Conditions
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Leadership

Intervention / Treatment
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* Behavioral: Integrated leading, managing and governing for results model
* Behavioral: Traditional model


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The integrated health system leading, managing and governing for results model is constructed from: leading practices, managing practice, and governing practices; moderating factors ; health services performance, and sustainable health outcomes and impact aligned with national health goals and Sustainable Development Goals (SDGs).
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Staff of facilities for intervention<br>Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model. | Behavioral: Integrated leading, managing and governing for results model<br>* Integrated leading, managing and governing for results model is an intervention launched to improve institutional delivery.<br>|
| Active Comparator: Staff of facilities for control<br>Intervention: Participants have been trained two times in six months period with traditional model. | Behavioral: Traditional model<br>* Traditional model is a health service delivery model already in place in the government health system.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Institutional delivery | 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%. | Up to six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Habit of institutional delivery | 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. | two weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Integrated, leading, managing, governing, practices