The Role of Leadership in Management of Maternal Health Service in Kagera Region, Tanzania
paper is about the role of leadership for effective management of maternal health
in Kagera Region Tanzania. Maternal health leadership is a very important component
in the entire Maternal and child health (MCH) Programme and its smooth running depend
on leadership capacities in management of services. In Kagera region it was claimed
that leadership gaps contribute to low user rate of maternal health services that
lead to high maternal mortality. However, its role in management, success and challenges
in the overall programme has not been explored. Therefore, this paper is detailing
about findings on what extent to which leadership is responsible for ensuring effective
maternal health delivery.
design was an exploratory qualitative approach that employed in-depth interviews.
involved formal health leaders who are involved in maternal health services including:
Regional Health Management (RHMT) members and Council Health Managing Team (CHMT)
members who were considered to be information rich cases. Ethical consideration
was attained through approval from Texila American
and seeking permission from Tanzania Government authority. Participation was voluntary
whereby informed consent from participants was sought and adherence to confidentiality.
Result: Coding and analysis of results on self-competencies revealed
Professionalism, Ethic, Self-reflection, critical thinking, developing others through
teaching, developing others through mentoring, interdisciplinary team building and
negotiation. Leadership competences in relation to wider community revealed; working
with community, working with systems, policy adherence and policy advocacy. It was
found out that respondents have high level of understanding in working with community,
policy adherence and working with system. However, it was observed that; respondents
lacked awareness and recognition, ethics, self-reflection, critical thinking and
less aware on developing others through mentoring, interdisciplinary team building
Conclusion: Basing of the above finding it is concluded that leadership
play a major role in the management of maternal health services. Recommendations
were put forward including to increase understanding about maternal health
leadership competence in MCH programme with more emphasis on interdisciplinary team
building, negotiation, and capacity, policy advocacy practices which were not recognized
by respondents and improve understanding
on all identified weakness.
Role, Leadership, maternal health, management, Kagera region, Tanzania.
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