Linking Leadership and Management Training to Health Service Delivery

LDP Participants, Kenya

New Study Published Linking Management and Leadership Training to Improvements in Service Delivery Outcomes

With support from USAID’s Office of Population and Reproductive Health, Management Sciences for Health (MSH) conducted a collaborative study in Kenya in 2009-2010 to evaluate the impact of the Leadership Development Program (LDP) on service delivery outcomes.  The main result of the study, just published online in Human Resources for Health, was that the LDP intervention produced improved coverage in service delivery that did not occur in comparison areas where the LDP was not implemented.

The study looked at measures of key indicators addressed by 67 LDP teams before intervention, immediately after the intervention, and approximately six months later against comparison groups that did not receive the intervention.  For all 67 teams at district and facility levels that received the LDP intervention, the average coverage rate for selected health indicators was 38% before intervention, 48% immediately after intervention, and 51% approximately six months after the LDP had ended, showing that the teams, on average, were able to improve their results and to sustain the improvements.  Data collected for comparison areas remained stable for the three time periods. 

The factors contributing to sustained results most often cited included:  1) increased demand for health services generated through social mobilization and health education; 2) increased access to services by providing more outreach sites or more service hours or days; and 3) improved work climate due to renovated staff quarters, training, or supervision.   The entire article is available at the following link:

        Kenyan parents with children. Photo by Elizabeth Walsh, Management Sciences for Health

For more information on the LDP In Kenya, please visit: /sites/