Chapter 10
LEADERSHIP AND
MANAGEMENT
10.1 INTRODUCTION TO GOOD MANAGEMENT
Th e aim of good management is to provide services to the community in an appropriate, effi cient, equitable, and sustainable manner. Th is can only be achieved if key resources for service provision, including human resources, fi nances, hardware and process aspects of care delivery are brought together at the point of service delivery and are carefully synchronized. Critical management considerations for assessment and planning, managing the care process, human resources, interacting with the community, and managing information are covered in the Planning, Human Resources, Integration and Monitoring chapters. Th is chapter fi rst discusses good management and leadership in general, then outlines relevant considerations for managing relations with patients and the district team, as well as fi nances and hardware and management schedules.
10.2 MANAGERS AND LEADERS
Management and leadership are important for the delivery of good health services. Although the two are similar in some respects, they may involve diff erent types of outlook, skills, and behaviours. Good managers should strive to be good leaders and good leaders, need management skills to be eff ective.
Leaders will have a vision of what can be achieved and then communicate this to others and evolve strategies for realizing the vision. Th ey motivate people and are able to negotiate for resources and other support to achieve their goals. OPERATIONS MANUAL FOR STAFF AT PRIMARY HEALTH CARE CENTRES l
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Managers ensure that the available resources are well organized and applied to produce the best results. In the resource constrained and diffi cult environments of many low – to middle-income countries, a manager must also be a leader to achieve optimum results.
What are the attributes of a good leader? Leaders oft en (but not necessarily