Achieving the health Millennium Development Goals (MDGs) will require a significant scaling up of health service delivery in many countries. The number of competent managers will also have to be scaled up at the same time – managers are an essential resource for ensuring that priority needs are met and resources are used effectively.
This study describes various management strengthening activities in three countries - South Africa, Togo and Uganda. Key findings were presented and discussed in a number of fora, including the "International Consultation on Strengthening Health Leadership & Management in Low-Income
Countries" held in February 2007 in Accra, Ghana where 20 low-income countries (LICs) were represented. The discussions clearly showed that all LICs are facing and struggling with very similar issues as those coming out of this study.
Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.
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