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Most health systems in Africa are experiencing a management crisis. Individuals available to fill management positions are often clinical personnel with no management training and no clear management guidelines to define their responsibilities and help direct their work. Initiatives Inc. developed the Management Performance Standards to set clear standards for health systems management and contribute to efforts to improve the performance of management and service delivery in the Ethiopian health system. The standards are designed to be used by managers at the regional, district (woreda) and health facility levels and should be adopted in combination with systems for integrated supportive supervision.

Published in 2004 under the USAID Essential Services for Health in Ethiopia Project II.

performance standards