Evaluation of District Halt Management Teak in Addis Ababa
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Date
1993-05
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Addis Abeba Universty
Abstract
This study, a cross-sectional census survey with a
case control analysis, assesses various determinants of
functionality of District Health Management Teams (DHMTs)
in Addis Ababa. The questionnaire survey component was
carried out among 16 DHMTs from December, 1992 to
February, 1993. The objectives of the study were to
describe the work of the various health teams and
classify them as functional ir nonfunctional. The
findings revealed that eight of the DHMTs were performing
60% or more of the activities mentioned in their job
description, this being the cut-off point for determining
functionality. The criterion for functionality was then
further strengthened, limiting functionality to those
teams who performed 64% of their required activities,
leaving seven in this category. comparing these with the
five nonfunctional teams (~ 56% of their required
activities) various associations between structural team
characteristics and internal team interaction processes
were found. DHMT functionality was positively associated
with the academic qualifications of the team leader
(OR=14.1 with 95% CI 14-259), with the presence of job
descriptions for the team members (OR=4.0 with 95% CI
3.8-57.3), with the size of the team (OR=10 with 95% CI
9.98-128.82), and with the presence of research
activities (OR=5 with 95% CI 4.1-106.4). Among the team
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interaction process that were found to be important to
functionality (at P<O.05) were the clarity of objectives,
knowledge of each others roles, analysis of experience,
good communications, a feeling of belonging, and respect
for differences. These findings demonstrate the
importance of structural and interaction processes for
the appropriate development of health management teams
and the further strengthening of the district health care
system.
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Keywords
Evaluation of District Halt