Health Program Management

Josephine Carnate, MD, MPH

Department of Family and Community Medicine

HEALTH PROGRAM MANAGEMENT

1. Definition 2. Rationale 3. Functions of Management 4. Styles of Management 5. Principles of Management 6. Administrative Functions 7. The Planning Process

MANAGEMENT ADMINISTRATION
1. A group of people cooperating to achieve a given objective 1.1 over-all governing power 1.2 responsible for policy-making

2. A series of activities done to achieve a given objective 2.1 technical functions 2.2 administrative functions

RATIONALE 1. Best use of limited resources

2. Systematic attainment of goals

3. Rational decision-making

FUNCTIONS

1. Technical Functions Specific activities Differentiating

FUNCTIONS 2. Administrative Functions Common activities Allow the organization to fulfill its technical functions Planning, implementation, evaluation Legitimize, fund, protect, project

ADMINISTRATIVE/MANAGERIAL FUNCTIONS
PM PI(M)E POAE POMA POSDCORBE

Planning Planning

Planning

Planning

Planning Budgeting Organizing Staffing Directing Coordinating Reporting Evaluation

Organizing Organizing Implementation Actuating Management Monitoring Evaluation Managing

Evaluation Appraisal

PLANNING
Formulation of steps to be undertaken by the organization at some future period to achieve a desired state Where are we now? Where do we want to go? How do we get there? How do we know that we have arrived?

Implementation

1. ORGANIZING and STAFFING

1.1 internal structuring of the organization human factor/elements 1.2 activities: division of labor assignment of duties establishment of lines of authority 1.3 tools: organizational manual job descriptions organizational chart
Procedures, policies and rules Qualifications, duties, compensation Lines of authority

Implementation

2. DIRECTING and LEADING

2.1 initiation and maintenance of actions towards the objectives of the organization performance 2.2 activities: delegation of labor training communication Financial remuneration motivation
The work environment The work The worker

Implementation

3. COORDINATING
3.1 synchronization of activities towards the achievement of goals 3.2 tools: total vs. partial plans common objectives common basic strategies

Implementation

4. MONITORING and REPORTING

4.1 keeping track of the work of an organization Quality and quantity Proper time Cost Target population 4.2 tools: reporting systems staff conferences spot checking budget control/auditing Activities People responsible Gantt Chart Schedule/time

EVALUATION
1. A judgement process that concludes whether a program was able to achieve the purpose for which it was formulated and what should be done with it Judgement process Basis for future action

EVALUATION
2. Types:
TYPE Creative/ Formulative Formative/ Process (Monitoring) Summative WHEN DONE Planning During implementation After implementation QUESTIONS ADDRESSED Relevance Adequacy Progress Efficiency Effect Impact