Performance management challenges in the Ministry of Health and Child Care in Zimbabwe

2023 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Shika Vyas Doorgapersad ◽  
Mervis Chiware
Keyword(s):  
Child Care ◽  
Performance Management ◽  
Ministry Of Health

scholarly journals Implementation Gaps in Human Resource Performance Management Practices in the Ministry of Health and Child Care, Zimbabwe.

2021 ◽  
Vol 10 (2) ◽  
pp. 316-335
Author(s):  
Shikha Vyas-Doorgapersad ◽  
◽  
Mervis Chiware ◽  
Keyword(s):  
Child Care ◽  
Performance Management ◽  
Management Practices ◽  
Implementation Strategies ◽  
Research Approach ◽  
Successful Implementation ◽  
Ministry Of Health ◽  
Political Policy ◽  
Performance Results ◽  
Implementation Gaps

Any performance management (PM) practice implemented by an organisation has a direct impact on organisational performance and development; this paper therefore discusses challenges based on primary and secondary research findings, with the aim to explore how these findings correlate with how the successful implementation of PM practices is perceived and applied in the Ministry of Health and Child Care (MOHCC) in Zimbabwe. A qualitative research approach was used to collect data. The findings confirm that the implementation of PM has been marred by various challenges, which have, in turn, greatly affected performance results. Challenges identified by this study were, and continue to be, experienced at different levels of PM implementation strategies (e.g., at the formulation stage versus the implementation stage), and hence may hinder the effective implementation of PM practices in the MOHCC. The paper offers recommendations for consideration at political, policy, organisational, departmental, individual, and stakeholder levels.

scholarly journals An Evaluation of Excellence in Primary Healthcare Units After Introduction of a Performance Management Innovation in Two Regional States of Ethiopia: A Facility Based Comparative Study

2021 ◽  
Author(s):  
Wubishet Kebede Heyi ◽  
Elias Mamo Gurmamo ◽  
Amare Assefa Arena ◽  
Agegnehu Gebru Sendeku ◽  
Abera Refissa ◽  
...  
Keyword(s):  
Organizational Culture ◽  
Comparative Study ◽  
Performance Management ◽  
Primary Healthcare ◽  
Health Workers ◽  
T Test ◽  
Management Innovation ◽  
Ministry Of Health ◽  
Significant Difference ◽  
The Mean

Abstract Background The Ethiopian Ministry of Health strives to achieve universal health coverage (UHC) through increasing the number of its high-performing primary healthcare units. Although the Ethiopian health system is managed within a decentralized political system, the Ministry of Health works towards institutionalizing performance management innovations and organizational cultures that increase the excellence of primary healthcare entities. To date, there has been little evidence gathered on the factors influencing the excellence of primary healthcare units in Ethiopia. Therefore, the aim of this study was to assess and compare how the introduction of performance management and organizational culture innovations through project support affect the excellence of primary healthcare units in Ethiopia. Methods A facility-based comparative study was conducted in USAID Transform: Primary Health Care project supported, and non-supported primary healthcare units located in the Oromia and Southern Nations Nationalities and Peoples’ (SNNP) regions of Ethiopia. Quantitative data were collected from randomly selected health workers using interviewer-administered questionnaires. In addition, primary healthcare unit excellence measurements were extracted from routine health information databases over eight quarters. The data were analyzed using the Statistical Package for Social Science (SPSS IBM v 20) research software package. Results were presented in frequency tables and graphs. After checking the data for homogeneous distribution, a paired sample t-test for equal variances otherwise a Mann-Whitney U test was analyzed to claim statistically significant difference at P<0.05. Results Out of 368 invited health workers, 364 (a response rate of 98.9%) participated in this study. Slightly higher than two-thirds of participants were enrolled from the Jimma Zone of Oromia Region. Orientations on performance management standards were provided to 101 (68.2%) and 45 (48.3%) health workers from project-supported and non-supported facilities, respectively. The mean perceived organizational culture score with [±Standard Deviation (SD)] was 3.72 ± 0.75 among project-supported health workers and 3.385 ± 0.75 among non-supported health workers, respectively. An independent sample t-test showed statistically significant differences, where project-supported health workers had higher mean scores on perceived organizational culture than their non-supported counterparts, with t=433, df=362, P=0.001. The mean baseline primary healthcare unit excellence score was 63.2% and 50.5% for project-supported and non-supported health facilities, respectively. The end line excellence scores were increased to 93.3% for project-supported and 79.1% for non-supported facilities. The end line overall primary healthcare units’ mean rank excellence scores were 257.67 for the project supported and 105.66 for non-project supported facilities. This result of a non-parametric test called the Mann-Whitney U test revealed that project-supported facilities were higher and had a positive statistically significant difference (U=2,728, z=-13.78, P=0.001). Conclusions The findings of this study underscore a direct relationship between implementing performance management innovations and enhancing organizational cultures with excellence at primary healthcare units. Project-supported primary healthcare units had a higher organizational culture and excellence scores than their counterpart non-supported facilities. Therefore, achieving UHC through excellence in primary healthcare facilities requires scaling up of performance management innovation interventions.

“It Has Been Quite a Journey”

2019 ◽  
pp. 913-927
Author(s):  
Njabulo Bruce Khumalo
Keyword(s):  
Child Care ◽  
Health Information ◽  
Information Management ◽  
Health Information System ◽  
Health Information Management ◽  
Ministry Of Health ◽  
Success Stories ◽  
Information Management Systems ◽  
Electronic Health Information ◽  
Successes And Challenges

Zimbabwe's health information system has developed over the years from a paper-based system using T-tally systems which had their fair share of successes and challenges. These challenges prompted the then Ministry of Health and Child Welfare, now, the Ministry of Health and Child Care and its partners to implement electronic health information management systems. This chapter therefore describes the challenges faced in Zimbabwe's health information management and how the Ministry of Health and Child Care and its partners responded to these challenges. The study also highlights success stories in health information management in the country. The purpose of the study is achieved through a literature review covering health information management in Zimbabwe.

“It Has Been Quite a Journey”

2017 ◽  
pp. 193-207 ◽  
Author(s):  
Njabulo Bruce Khumalo
Keyword(s):  
Child Care ◽  
Health Information ◽  
Information Management ◽  
Health Information System ◽  
Health Information Management ◽  
Ministry Of Health ◽  
Success Stories ◽  
Information Management Systems ◽  
Electronic Health Information ◽  
Successes And Challenges

Zimbabwe's health information system has developed over the years from a paper-based system using T-tally systems which had their fair share of successes and challenges. These challenges prompted the then Ministry of Health and Child Welfare, now, the Ministry of Health and Child Care and its partners to implement electronic health information management systems. This chapter therefore describes the challenges faced in Zimbabwe's health information management and how the Ministry of Health and Child Care and its partners responded to these challenges. The study also highlights success stories in health information management in the country. The purpose of the study is achieved through a literature review covering health information management in Zimbabwe.

Clinical Impressions of How Young Children Use AAC at Home and in Child Care Settings: A Canadian Perspective

2010 ◽  
Vol 19 (1) ◽  
pp. 21-28
Author(s):  
Kathryn Wishart
Keyword(s):  
Child Care ◽  
Young Children ◽  
High Tech ◽  
Speech Language Pathologists ◽  
Cultural Backgrounds ◽  
Community Based ◽  
Multicultural Community ◽  
Canadian Perspective ◽  
Communication Devices ◽  
Stakeholder Input

Abstract Speech-language pathologists, working in a multicultural, community-based environment for young children with special needs in Vancouver, Canada, collected information on 84 clients using AAC from a chart review. The speech-language pathologists collected additional usage information and attended a group interview to discuss barriers and facilitators of AAC. Thirty-one percent of the children were using AAC. Children aged between 16 and 72 months typically relied on multiple modes of communication, including sign, communication boards and binders, and low- and high-tech communication devices. All of the children used at least one type of unaided mode. Fifty-five percent used pictures or communication boards/displays, and 29% used technology with speech output. Similarities in usage of AAC were noted in home and child-care settings with increased use of unaided in homes and a slightly increased use of aided communication in child care settings. Speech-language pathologists reported that the time needed for AAC intervention as well as limited funding for high-tech devices continue to be major barriers. Additional research is needed to describe current AAC practices with young children particularly from minority linguistic and cultural backgrounds. Stakeholder input is needed to explore perceptions of children's usage of AAC in daily life with familiar and unfamiliar communication partners.

A Pioneer in Child Care

1974 ◽  
Vol 19 (5) ◽  
pp. 377-378
Author(s):  
CHRISTOPH M. HEINICKE
Keyword(s):  
Child Care

The Business of Child Care Research

1999 ◽  
Vol 44 (6) ◽  
pp. 512-514
Author(s):  
Brian Corby
Keyword(s):  
Child Care ◽  
Care Research

Evaluating Residential Child Care in England

2000 ◽  
Vol 45 (2) ◽  
pp. 215-216
Author(s):  
Leslie B. Whitbeck
Keyword(s):  
Child Care ◽  
Residential Child Care
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