Putting Management Capacity Building at the Forefront of Health Systems Strengthening; Comment on “Management Matters: A Leverage Point for Health Systems Strengthening in Global Health”

Document Type : Commentary


School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA


The current limited focus on management in global health activities is highly problematic given the amounts of financial and human resources that are pouring into health system strengthening interventions and the complexity of clinical operations across settings. By ensuring that public health and healthcare practitioners in domestic and international settings receive management training in their educational programs and that we build management capacity among individuals already in the health workforce, we can begin to prepare for more effective health systems strengthening efforts. Rigorous evaluation of health systems strengthening and the impact of management capacity building is crucial to building evidence for the field.


Main Subjects

  1. Royston G. Meeting global health challenges through operational research and management science. Bull World Health Organ. 2011;89(9):683-688. Doi:10.2471/blt.11.086066
  2. Bradley EH, Taylor LA, Cuellar CJ. Management matters: a leverage point for health systems strengthening in global health. Int J Health Policy Manag. 2015;4(7):411-415. Doi:10.15171/ijhpm.2015.101
  3. Kleinman CS. Leadership roles, competencies, and education: how prepared are our nurse managers? J Nurs Adm. 2003;33(9):451-455. Doi:10.1097/00005110-200309000-00005
  4. Baker S, Marshburn DM, Crickmore KD, Rose SB, Dutton K, Hudson PC. What do you do? Perceptions of nurse manager responsibilities. Nurs Manage. 2012;43(12):24-29. Doi:10.1097/01.numa.0000422890.99334.21
  5. Kerridge J. Why management skills are a priority for nurses. Nurs Times. 2013;109(9):16-17.
  6. Novak S. Hands-On Medical Education in Rwanda. The New York Times. May 13, 2012. http://www.nytimes.com/2012/05/14/world/africa/14iht-educlede14.html?pagewanted=all&_r=1. Accessed August 8, 2015.
  7. Potter C, Brough R. Systemic capacity building: a hierarchy of needs. Health Policy Plan. 2004;19(5):336-345. Doi:10.1093/heapol/czh038
  8. Institute of Medicine (IOM). The US Commitment to Global Health: Recommendations for the Public and Private Sectors. Washington (DC): National Academies Press (US); 2009.
  9. Novak S. Hands-On Medical Education in Rwanda. The New York Times. May 13, 2012. http://www.nytimes.com/2012/05/14/world/africa/14iht-educlede14.html?_r=0.
  10. Díaz-Monsalve, SJ. The impact of health-management training programs in Latin America on job performance.Cad Saude Publica. 2004;20(4):1110-1120.
  11. Egger D, Travis P, Dovlo D, Hawken L. Strengthening Management in Low-Income Countries. Making Health Systems Work: Working Paper Series Number 1. Geneva: World Health Organization; 2005. http://www.who.int/management/working_paper_1_en_opt.pdf.  Accessed October 23, 2015.
  12. Adam T, Hsu J, de Savigny D, Lavis JN, Rottingen JA, Bennett S. Evaluating health systems strengthening interventions in low-income and middle-income countries: are we asking the right questions? Health Policy Plan. 2012;27(suppl 4):iv9-19. Doi:10.1093/heapol/czs086
  13. Hatt L, Johns B, Connor C, Meline M, Kukla M, Moat K. Impact Of Health Systems Strengthening on Health. Bethesda, MD: Health Finance & Governance Project. Abt Associates; 2015.