The Effect of Integrated Leading, Managing and Governing for Result Model Towards Institutional Delivery

• ClinicalTrials.gov Identifier: NCT03639961
• Recruitment Status: Completed
• First Posted: August 21, 2018
• Last Update Posted: June 6, 2019
• Sponsor: Bahir Dar University
• Information provided by (Responsible Party): Yeshambel Agumas Ambelie, Bahir Dar University

Study Description

Brief Summary:

The need for leading people, managing work, and governing organizations never changed over the civilization paths of society. However, people in every pole of the globe observe: over-led and under-managed, over-managed and under-governed, and even out of these organizations. These disparities have remained worse in the health system of developing countries like Ethiopia.

To date, Ethiopia put a goal of ending preventable child and maternal death, in achieving universal healthcare by 2035. Nevertheless, the investment on integrated leadership, management and governance is limited.

Therefore, this study hypothesize that institutional delivery are expressively linked with integrated health system leading, managing and governing for results model among health facilities staff in northwest Ethiopia?

Condition or disease	Intervention/treatment	Phase
Leadership	Behavioral: Integrated leading, managing and governing for results model; Behavioral: Traditional model	Not Applicable

Detailed Description:

The investment on integrated health system leading, managing and governing for result model narrow down health system gaps.

The need to integrate these three distinct, but not hostile paths is that mostly: leading is people oriented process, managing is task oriented process and governing is organization oriented path.

Moreover, these paths are reflected even in a single person, task, or organization. Thus, testing and implementing integrated model is cost effective.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 418 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: The integrated health system leading, managing and governing for results model is constructed from: leading practices, managing practice, and governing practices; moderating factors ; health services performance, and sustainable health outcomes and impact aligned with national health goals and Sustainable Development Goals (SDGs).
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: The Effect of Integrated Health System Leading, Managing and Governing for Result Model Towards Institutional Delivery Among Staff of Health Facilities in Northwest Ethiopia
• Actual Study Start Date: April 10, 2018
• Actual Primary Completion Date: April 30, 2018
• Actual Study Completion Date: October 30, 2018

Arms and Interventions

Arm	Intervention/treatment
Experimental: Staff of facilities for intervention; Intervention: Participants have been trained two times in six months period with integrated leading, managing and governing for results model.	Behavioral: Integrated leading, managing and governing for results model; Integrated leading, managing and governing for results model is an intervention launched to improve institutional delivery.
Active Comparator: Staff of facilities for control; Intervention: Participants have been trained two times in six months period with traditional model.	Behavioral: Traditional model; Traditional model is a health service delivery model already in place in the government health system.

Outcome Measures

Primary Outcome Measures :

1. Institutional delivery [ Time Frame: Up to six months ]
   Increased institutional delivery. These have been assessed by institutional delivery follow up checklist. To declare that integrated leading, managing and governing for result model has an effect on institutional delivery improvement, on which it could be increased at least by 15%.

Secondary Outcome Measures :

1. Habit of institutional delivery [ Time Frame: two weeks ]
   Improvement on habit of institutional delivery has been explored from key informants, by key informant guideline. The explored data will be analyzed thematically, using the Qualitative Data Analysis (QDA) miner 4 software.

Eligibility Criteria

• Ages Eligible for Study: Child, Adult, Older Adult
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• All staff nominated by the respective districts that have been selected, but not deployed yet, for integrated health system leadership, management and governance for intervention by Amhara regional health office in the study setting have been included.

Exclusion Criteria:

• No exclusion criteria

Contacts and Locations

Locations

Ethiopia

North Achefer district

Liben, Amhara, Ethiopia, 1000

Sponsors and Collaborators

Bahir Dar University

Investigators

• Study Director: G D Alene, PhD; Bahir Dar University

More Information

• Responsible Party: Yeshambel Agumas Ambelie, Lecturer, Bahir Dar University
• ClinicalTrials.gov Identifier: NCT03639961
• Other Study ID Numbers: 090/18-04
• First Posted: August 21, 2018
• Last Update Posted: June 6, 2019
• Last Verified: June 2019

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Yes
• Plan Description: The IPD will be shared up on the intervention study report has been published.
• Supporting Materials: Study Protocol; Statistical Analysis Plan (SAP); Informed Consent Form (ICF)
• Time Frame: From October 2019 to June 2020
• Access Criteria: For any humanistic purposes

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Yeshambel Agumas Ambelie, Bahir Dar University:

Integrated; leading; managing; governing; practices