Section D
Shared Vision
Team Works!
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Team Learning: STAR Question
! How can we align everyone to learn together how to reach a
shared vision?
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Leadership the New Way – “Learning
Organization” Strategy
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Health System Development – “Learning
Organization” Strategy
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1. Learning to Fit
Demand
expression
Decision
process
! The task—learning how to engage all stakeholders in a
creative partnership with shared values that will generate a
shared vision leading to policies, strategies, and cooperative
programs that will promote and support the household
production of health
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Engaging Stakeholders in a Shared Vision for
a Health Future that Everyone Desires
! Are families, the primary
producers of health,
engaged by government in
shaping the national
health vision?
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Millennium Development Goals:
! Reduce maternal mortality by 75% between 1990 and 2015
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Reducing Maternal Mortality—Vision Shared
by Whom?
! Donors and governments—
Reduce MMR* by 3% a year (75% in 25 years)
- *MMR = Maternal Mortality Ratio, generally expressed
as maternal deaths per 100,000 live births
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Maternal Mortality
! Let’s ask a pregnant woman’s
husband: “How much maternal
mortality would you like?”
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Community
! Let’s ask the community:
How much maternal mortality would you like?
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Vision Shared by Whom?
! Donors and governments—reduce MMR by 3% a year
! Households—zero MMR
! Communities—zero MMR
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Maternal Mortality - Blueprint Project: Can
the Community Participate Here?
! Strategic objective:
Reduce MMR by 15% in
5 years from 500/100,000
to 425/100,000
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Maternal Mortality – Action Learning:
Can the Community Participate Here?
! Vision—no mother dies
from childbirth in our
community!
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Health System Development – “Learning
Organization” Strategy
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2. Learning to Fit
Distinctive
competencies
Task
requirements
! The task—learning how to change the organizational
culture so it can develop the competencies to do the tasks
required to design, implement, and be accountable for
programs that promote the household production of health
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*
Reducing Maternal Mortality
! CHPS = Community-based Health Planning and Services
! *Nkwanta District is in rural east-central Ghana
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CHPS
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Introduction
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Results of Engaging the Households and
Communities
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CHPS
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Health System Development – “Learning
Organization” Strategy
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3. Learning to Fit
Needs
Outputs
! The task—learning how to understand the household’s needs
and constraints, and how to introduce new values, practices,
knowledge, skills, and technologies to help households/
mothers become more resourceful in the production of
health
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King’s Medical Centre
! Starting in 2006, the King’s Medical Centre has grown to
become a centre of excellence!
! The Centre is based in a rural area of Northern Ghana near
the city of Tamale
Dr James Duah. The King's Medical Centre.
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Malnutrition, Culture, and Evil Spirits in
Tamale, Ghana
Dr James Duah. The King's Medical Centre.
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King’s Medical Centre
! Mothers will not take their children to live in the hospital
Dr James Duah. The King's Medical Centre.
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Mothers and Children Live in the Huts for 6
Weeks for Rehabilitation
Dr James Duah. The King's Medical Centre.
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Saving Lives of Many Children
! In 2010, 350 children were admitted. Only 3 died. The rest
were treated and restored to their families.
After
Before
Dr James Duah. The King's Medical Centre.
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The Response of the Mothers of Tamale ! “How many of our children would be alive if we had known
this was diet and not evil spirits.”
! “We just didn’t know, nobody told us.”
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Resourcefulness
“Development can be neither given nor received—it must
come from within …
What the less developed have been most deprived of is not
the fruits of development, but the opportunity to develop
themselves.”
—Jamshid Gharajedaghi
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Leadership—Helping People Be More
“Resourceful” in Producing Health
Old way
! Professionals in facilities
providing services
New way
! Resourceful households
producing health
Transforming the health system
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Where Do Leaders Operate?
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Lecture Evaluation
Please take a moment to evaluate
this lecture. Your feedback is very
important and will be used for future
revisions. The Evaluation link is
available on the lecture page.
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