GHANA INSTITUTE OF MANAGEMENT AND PUBLIC ADMINISTRATION HEALTH ADMINISTRATION AND MANAGEMENT COURSE FOR SENIOR HEALTH PERSONNEL

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1 GHANA INSTITUTE OF MANAGEMENT AND PUBLIC ADMINISTRATION HEALTH ADMINISTRATION AND MANAGEMENT COURSE FOR SENIOR HEALTH PERSONNEL INTRODUCTION (February, July and November every Year) One notable feature of the post-independence national development has been the acceleration of the pace of change in all aspects of life. In the health systems this rapid change has manifested itself in the expansion of services provided and the decentralization and specialization of the systems. Not only do we now have to function in a larger, more complex hospitals, but also the services are rapidly spreading out to far-flung rural areas that had hitherto not been adequately provided for. Moreover, as the state of our medical knowledge and expertise improves with increased research, we find the scope of our practice as health personnel expanding to embrace a greater variety of ailments and other medical conditions. In effect, health service delivery systems are today no longer a matter of direct doctor-patient relations but a major public enterprise, manned by a complex multi-disciplinary team of workers and oriented towards community needs. Any such expanded system, of necessity, brings in its wake a whole plethora of problems, not least the administrative and managerial problems inherent in keeping large scale organizations functioning smoothly and effectively. Unfortunately, it has to be admitted that by force of circumstances, not all persons in positions of authority in our respective health services have been able to top up their professional/technical expertise with the requisite management training commensurate with the level of responsibility of their present positions. The need for effective managerial skills and tools to remedy any deficiencies in administrative training and experience or to make for more efficient performance, therefore cannot be overemphasized. OBJECTIVES The general aims of the course therefore are: To enhance participant s knowledge, understanding and application of modern management concepts and techniques in the management of Health Service and To enable participants select appropriate management skills and techniques to their particular management functions, in the Health Institutions and the Community which will lead to increased efficiency of participant s own work and of those of others associated with them. 1

2 More specifically, it is expected that the participants will be enabled: 1. To develop the knowledge, attitudes and skills needed to function more effectively as health managers. 2. To update their understanding of modern techniques and tools of scientific management, their applicability and limitations in health setting; and 3. To acquire understanding of the total organization at the micro-level, the linkages and interaction among its sub-systems and human behaviour within the organization. COURSE PROGRAMME To achieve the above objectives, the course has been designed in such a way as to allow participants to critically examine the essential functions associated with the delivery of health service. Thus the course has been divided into several modules, with each module covering a specific theme: Module I a) Managerial Principles and Processes Module II Topics discussed under Managerial Principles and Processes relate to the role, functions and activities of managers in every organization including the health service. The topics examine principles, practices and influences that determine the organization structure and functioning of an organization. Specific topics covered therefore include: 1. The Managerial Functions 2. Structure and internal relations in organisations 3. Policy Formulation and Analysis 4. Strategic Planning and Management and 5. Hospital Management (including planning for hospital and management of essential services within the hospital) (b) Planning and Management of Health Programmes Under the above module, the organizational and managerial skills learnt in the management principles and techniques are applied to concrete health systems and programmes in West Africa and topics covered include: 1. Health Sector Reforms 2. Principles in Basic Health Economics 3. Project Planning and Management 4. Planning of Health Services and Programmes, covering: 2

3 - Situation Analysis/Problem Identification - Objective and Targets Setting - Developing Strategies and Preparing Action Plans and; - Preparing Budget Estimates for Programme. 5. Health Programme Monitoring and Evaluation, including - Establishment and Measurement of Performance with the use of Indicators 6. Quality Assurance and Management in Health (including indicators of quality in the health sector) 7. Health Management Information Systems: Development and Maintenance 8. Marketing Health Services - Community Relations in Health Services Delivery (with emphasis on client interest and corporate image) 9. Research Methods and Techniques for Health Programme Management, including: - Problem Formulation and - Data Collection, Analysis and Interpretation. On the basis of the skills acquired in this module of the course, participants would be expected to identify a relevant research problem in the work situation, and develop an outline of the research proposal. Module III (c) Administrative Management and Skills Under Administrative Management and Skills, office and records management as well as intra and inter office communication skills will be taught. Specific topics covered here therefore include: 1. Process and Skills of Communication 2. Report Writing Skills 3. Office Organisation and Management (including record keeping, filing systems, and the role of the Secretary) 4. Time Management. 3

4 Module IV (d) Human Resource Management/ Gender Issues in Health Topics discussed under Human Resource Management will focus on the determination of the health sector s major human resource needs, 1. Human Resource Management - Principles of Human Resource Management - Review of current human resources policy for the health sector - Human Resource planning for the health sector - Staffing norms and guidelines 2. Leadership in Management 2. Group Dynamics and Team Building, including 3. - Socio-cultural factors in human behaviour - Human factor in management. 4. Motivation and Morale in Management 5. Change and Management of Change 6. Conflict and Management of Conflict 7. Gender Issues in Health 8. Performance Management in the Hospital, covering: - Job description: Its significance and preparation, and - Staff Appraisal Performance System - Measuring performance of the core staff of the hospital including setting objectives etc. 9 Health Research: Current Health Policy Issues Module V (e) Management of Financial and Material Resources Effective delivery of health service involves huge expenditure and utilization of financial and material resources. One of the critical managerial functions in the health sector therefore is the efficient planning and management of the financial and material resources of the health sector. The course therefore exposes participants to financial and material management, relationships and controls as applied to the health 4

5 service. The essence of the study of financial and material management is to make participants aware of the limited resources at their disposal to work with the need to effectively manage these. Specific topics covered therefore include: 1. Financial Management: Principles and guidelines - Principles of Accounting - Interpretation of Financial Statements, and - Discussion of the new Handbook on Financial Management. 2. Budgeting and Budgetary Control, covering - Functions of head of Unit and spending officers - Controlling expenditure in the public sector - Disbursement procedures - Procedures for accessing funds in Ministry of Health system (including donor funds); i.e. F.E.s and essential supporting documents. - Review of PUFMARP/MTEF Budgeting process (difficulties encountered in the field during implementation) 3. Financial Auditing, including: - Functions of Internal and External Auditors - Audit reports and responses - Cash collecting and banking procedures - Fraud detection 4. Management of Logistics, Equipment and other Supplies - Policies on Logistics (including current policies on equipment, transport and estate) - Needs Assessment/Prioritization - Logistics Planning - Procurement procedures and processes - Inventory Management - Monitoring use of logistics and supplies 5. Tender and Contract Procedures - Tender procedures (bidding), and - Contract award procedures 5

6 TEACHING METHODOLOGY The training programme seeks to achieve its objectives through a judicious mixture of several instructional and participatory methods with the following teaching techniques: (a) (b) (c) (d) (e) (f) Lectures Case study Role play and simulation Management films and other Audio-Visual Aids Syndicate work and individual assignments, and plenary presentations Field Visit TOPICS FOR SYNDICATE WORK Two separate assignments will be discussed by syndicate groups for presentation at plenary sessions, the topics selected for syndicate work and presentation are: 1. Outline of research proposed in health sector 2. Performance Management at the Hospital focus on performance assessment of the key actors in the hospital FIELD WORK: MANAGEMENT OF HOSPITALS AND PUBLIC HEALTH It is expected that participants would pay a visit to a Hospital or any appropriate Health facility to complement the presentations and discussions in the classroom. COURSE EVALUATION There will be both written and oral evaluation of the Course. COURSE FEES Tuition Fees including Snacks and Lunch- GHS 2, Application Form GHS