Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Scaling up proven public health interventions through a locally owned and sustained leadership development programme in rural Upper Egypt | Mansour et al. Human Resources for Health 2010 8 1 http content 8 1 1 ffWJ HUMAN RESOURCES h Ể L J FOR HEALTH CASE STUDY Open Access Scaling up proven public health interventions through a locally owned and sustained leadership development programme in rural Upper Egypt Morsi Mansour1 Joan Bragar Mansour1 Abdo Hasan El Swesy2 Abstract Introduction In 2002 the Egypt Ministry of Health and Population faced the challenge of improving access to and quality of services in rural Upper Egypt in the face of low morale among health workers and managers. From 1992 to 2000 the Ministry with donor support had succeeded in reducing the nationwide maternal mortality rate by 52 . Nevertheless a gap remained between urban and rural areas. Case description In 2002 the Ministry with funding from the United States Agency for International Development and assistance from Management Sciences for Health introduced a Leadership Development Programme LDP in Aswan Governorate. The programme aimed to improve health services in three districts by increasing managers ability to create high performing teams and lead them to achieve results. The programme introduced leadership and management practices and a methodology for identifying and addressing service delivery challenges. Ten teams of health workers participated. Discussion and evaluation In 2003 after participation in the LDP the districts of Aswan Daraw and Kom Ombo increased the number of new family planning visits by 36 68 and 20 respectively. The number of prenatal and postpartum visits also rose. After the United States funding ended local doctors and nurses scaled up the programme to 184 health care facilities training more than 1000 health workers . From 2005 to 2007 the Leadership Development Programme participants in Aswan Governorate focused on reducing the maternal mortality rate as their annual goal. They reduced it from per 100 000 live births to per 100 000. The reduction in maternal
