Performance Improvement 2011-2012. What Evidence Supports The Contributions Of Management and Leadership To Improved Outcomes In Global Health?


There is growing awareness that well-led and -managed global health solutions are required to achieve effective, efficient, and sustainable health programs, especially at the scale needed to attain Millennium Development Goals and other global targets. Researchers at George Washington University examined more than 300 documents to assess the evidence available about the contribution of good leadership and management to improved global health outcomes. Content analysis was used to determine retrospectively the reported presence in each program of 81 leadership and management characteristics. Program achievements were classified into one of three categories: health effects, increased service outputs, or improved processes. Improvements for processes ranged from 46-483%; for service delivery outputs from 125-571%, and for health effects from 61-175%.

The background review and case studies were assembled into a searchable compendium entitled the “Presence of Leadership and Management in Global Health Programs: A Compendium of Case Studies.” The Compendium, which is being widely disseminated, suggests the potentially substantial magnitude of health returns on investments that can be achieved by improving management and leadership. It also identifies steps that should be taken to strengthen the evidence base for the impact of leadership and management on global health outcomes.

Report Title:  Presence of Leadership and Management in Global Health Programs: A Compendium of Case Studies. URL:


Agency Sponsor: CDC, Centers for Disease Control and Prevention
Federal Contact: Elizabeth Howze, 404-639-7422
Performer: George Washington University, Washington, D.C.
Record ID: 9547 (Report issued January 31, 2011)

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"PerformanceImprovement2011-2012.pdf" (pdf, 701.44Kb)

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