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    This presentation summarizes MSH's work in Nicaragua using leadership to address health sector challenges. It discusses three elements: the HRH Framework, systems approach, and leadership model. MSH used a challenge model where ministry leaders identified challenges and competencies. This led to restructuring the ministry with defined systems, processes, staffing needs and manuals. Leadership programs were conducted. Results included a redesigned HR system, new policies, results-based budgets, and leadership competency development. Lessons highlighted the non-linear nature of change, importance of communication, managing labor issues, and local ownership.

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    This presentation summarizes MSH's work in Nicaragua using leadership to address health sector challenges. It discusses three elements: the HRH Framework, systems approach, and leadership model. MSH used a challenge model where ministry leaders identified challenges and competencies. This led to restructuring the ministry with defined systems, processes, staffing needs and manuals. Leadership programs were conducted. Results included a redesigned HR system, new policies, results-based budgets, and leadership competency development. Lessons highlighted the non-linear nature of change, importance of communication, managing labor issues, and local ownership.

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    Download as ppt, pdf, or txt
    50 views14 pages

    Leadership and HR Systems Strengthening: The Nicaragua Experience

    Uploaded by

    Maansi Kataria
    This presentation summarizes MSH's work in Nicaragua using leadership to address health sector challenges. It discusses three elements: the HRH Framework, systems approach, and leadership model. MSH used a challenge model where ministry leaders identified challenges and competencies. This led to restructuring the ministry with defined systems, processes, staffing needs and manuals. Leadership programs were conducted. Results included a redesigned HR system, new policies, results-based budgets, and leadership competency development. Lessons highlighted the non-linear nature of change, importance of communication, managing labor issues, and local ownership.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
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    of 14

    Leadership and HR

    Systems
    Strengthening:
    The Nicaragua
    experience

    Elena Décima, LMS Program, MSH


    April 2004
    World Health Conference
    INTRODUCTION

    This presentation will focus on the


    work MSH is and has been doing
    in Nicaragua, where leadership
    has been used as the key to
    address many of the challenges
    faced by the health sector,
    using a systems approach.
    Three elements of HR strengthening

    • The HRH Framework


    • The Systems Approach
    • The Leadership Model
    Systems approach
    .
    HRH Technical Framework
    Leading and Managing Results model
    THE CHALLENGE MODEL: stage I

    • Methodology • Leadership dialogue.

    • Participants (Minister and high level


    • Dialogue Directors) identify a challenge and
    leadership competencies

    • To arrive to a Health Care Model which


    • Challenge would integrate well with the Strategic
    Plan.
    • The competencies selected were Change
    Management, Systemic Thought,
    • Competencies Communication and Negotiation
    THE CHALLENGE MODEL: stage II

    • Dialogue • Participants (representatives of all the


    areas of the ministry) identified a second
    challenge and leadership competencies

    • Challenge • To produce a proposal for restructuring/


    modernizing the Ministry of Health.

    • The competencies selected were systemic


    thought, negotiation, change management
    • Competencies and some technical competencies (results-
    based budgeting, critical path design, etc.)
    RESTRUCTURING of the MOH

    • Mission and vision reviewed


    • Systems identified
    • Processes of each system (with their
    procedures, activities, norms) defined
    • Human resources identified (staff needed,
    job descriptions and profiles, work loads)
    • Manuals produced for each system
    • Critical paths identified
    • Implementation plan drawn
    NICARAGUAN PROGRAM RESULTS

    1. Human resources management


    - A redesigned Human Resource System at central level
    - Staff concerns and issues heard: staff surveys of
    personnel conducted
    - Needed human resources identified, new jobs created,
    job descriptions and profile defined, union negotiations
    conducted.

    2. Policy
    - New Health Care Model approved
    - New health policies
    - Chapter 9 of Law 290 revised to approve the restructuring of the
    MOH
    NICARAGUAN PROGRAM RESULTS

    3. Finance
    - Results-based budgets and planning, which are expected to promote a more
    fair evaluation of staff performance
    - Beginning to work with Ministry of Finance on results-based budgeting and
    planning, which if approved would become a national policy

    4. Education
    - Entrust the HR Division with human capacity development in
    coordination with the training institutions
    - Insure that this HR development responds in quantity and quality
    to the needs of the health sector
    NICARAGUAN PROGRAM RESULTS

    5. Leadership
    - Leadership competencies have been developed
    - Three Leadership programs have been conducted with MOH
    personnel, one at the municipal level and the other two
    associated with the challenges here described.
    LESSONS LEARNED

    • Systemic changes are “non-linear”, slow processes and at times


    results are scarcely visible.
    • Communication at all levels and at every step is very important
    • Labor unions and labor conflicts are a hurdle and have an impact
    • Technical assistance must be present at both the operational and
    policy levels
    • The participatory nature of the process is a key to the success of the
    program; counterpart ownership is indispensable
    • Donor collaboration benefits the program
    Closing the gap between

    what is known about public health problems

    and what is done

    to solve them

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