Assessment of Board Work Performance and Do an Intervention in Adwa Hospital, Tigray, Ethiopia

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Date

2013-11

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Addis Ababa University

Abstract

Background: Since 1995 Ethiopia has been decentralizing functions, resources authority to the local level and a more decentralized health care system has been part of this movement. The first wave of decentralization resulted in Federal Ministry of Health (FMoH), Regional Health Bureau (RHB), and woreda health office, sharing the decision making about the design, development, and implementation of health care system. To improve governance structure at point of service delivery, the government of Ethiopia introduced facility governing board. But assessment of board members work performance in Adwa Hospital was ineffective Objective: To assess board work performance and suggest plausible improvement methods by the end of August 2013. Method: Pre–post intervention study during 2012–13, using EHRIG standards, board work performance evaluation survey and cancellation rate of board regular meetings. Result: The overall Board work performance evaluation was improved significantly from 64% to 85% (P< 0.05) based on pre- and post-intervention comparisons. The percentage of meetings cancelled reduced from 66.66% to 0%. The number of EHRIG operational standards met was also increased by 33.33 %. Conclusion and recommendation: The findings indicate that a well-organized BMs training brought a significant change in their work performance and therefore such activities are recommended in other facilities. Key words: Board members, regular meeting, performance, Adwa Hospital, governance, operational standards

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Keywords

Board members, Regular meeting, Performance, Adwa Hospital, governance, operational standards

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