STRATEGY for ENHANCING LEADERSHIP
IN PRIMARY HEALTH CARE
Have FAITH in our own people
Needs paradigm shift
Needs overcoming resistance to change
A need to go for a phrase that can be shared
Setting a clear goal is the key.
This goal reflects a paradigm shift of health
authorities (that people themselves could be
Give more importance to social measure.
Integrate technical with social measure.
A process innovation that enables people to
take actions in health matters.
- Health security.
Assign roles of various players accordingly.
Enhancing leadership means people’s leadership
People’s Expected roles determine
1 Strategies of all stakeholders.
2 Critical processes to be applied.
3 Learning and development of human
4 Information system development.
5 Organization’s characteristics and culture.
Strategy must be managed
A need to put all diverse aspects of
development into order.
Clear destination statements as to where we
shall go from here (by what year?)
What are the various strategic objectives ?
Who is going to do what, when, where ?
To answer these questions
Development Process Stakeholder People
Local Gov’t role
An Example of a Strategic Route Map
People’s capability to
take action in health
People’s project :
Surveillance/ Social Measures
system (innovation at
The 3 Pillars of Community Self-Reliance
About Community Health Workers
CHWs is not the only answer to PHC.
They are a means, not an end.
Their work should be “developmentoriented”
as against “service-oriented”.
About government sectors
Inputs, including monetary, must be
balanced between those that go to develop the
community and those that are used within
It is hypocritical to talk about empowering
people but do otherwise.
PHC work can be through other partners as
much as what can be done by ourselves.
Time may be right to crystallize experiences
from community-based initiative programs
and develop guidelines and
Emphasis may be put upon innovation
because the whole program is in fact an
innovation of the strategy and management
of primary health care.
clear destinations in terms of people’s
capability and role may be put forward for
countries in the region to reach within a
given time frame (e.g.3-5 years according to
the Millennium Development Goals)
Find for ourselves if we have faith in the
people and what we are going to do for them.
Have courage to hold on to our belief.