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Abstract

Understanding the managerial competency of healthcare managers is very important. However, more evidence is needed on the managerial competency of primary healthcare facility managers in low- and middle-income countries. This research examined the managerial competency of primary healthcare facility managers in the selected District Councils in Tanzania. This research is grounded on positivism philosophy, a cross-sectional survey descriptive research design, a complete enumeration sampling strategy, and a survey used to collect primary data from 102 public primary healthcare facility managers located in Kondoa, Iramba, and Sumbawanga District Councils in Tanzania. The study used version 25 of SPSS to analyze the data and adopted the MCAP framework to examine the managerial competency of primary healthcare facility managers. For the communication and relationship management domain, 74.5% were competent, while 25.5% were less than fully competent. Likewise, 65.68% of them were competent, while 34.32% needed to be more competent in the knowledge of the healthcare environment domain. 62.74% and 37.26% of the primary healthcare facility managers were competent and less than competent in operations, administration, and resources management. Correspondingly, 67.65% and 32.35% of primary healthcare facility managers needed to be more competent in evidence-informed decision-making. Similarly, 74.55% and 25.45% were competent and less competent in enabling and managing change. The study used primary data and contributed recently well-worth and highly demanded knowledge on the managerial competency of healthcare managers in the LMICs.

Keywords

Managerial Competency Primary Healthcare Facility Managers Tanzania

References

  1. Aggarwal R, & Ranganathan P. (2019). Study designs: Part 2– Descriptive studies. Perspective Clin research. https://doi: 10.4103/picr.PICR_154_1
  2. Akhtar, I. (2016). Research Design. Research in Social Science: Interdisciplinary Perspectives. https://doi.org/10.2139/ssrn.2862445
  3. Al-Maqbali, M. (2019). Transdisciplinarity: What competencies do future healthcare managers need to succeed? Journal of Nursing Research Practice, 2(4), 13–18.
  4. Al-Momani, M. M. (2018). Exploring characteristics and perceptions of private hospital physician managers regarding their management training needs. Biomedical Research, 29(8), 1712–1717.
  5. Bitton, A., Fifield, J., Ratcliffe, H., Karlage, A., Wang, H., Veillard, J. H., & Hirschhorn, L. R. (2019). Primary healthcare system performance in low-income and middle-income countries: a scoping review of the evidence from 2010 to 2017. BMJ Global Health, 4(8), e001551.
  6. Boyatzis, R. E. (1982). The competent manager: A model for effective performance. New Jersey: John Wiley & Sons.
  7. Bradley, E. H., Taylor, L. A., & Cuellar, C. J. (2015). Management matters: A leverage point for health systems strengthening in global health. International Journal of Health Policy and Management, 4(7), 411–415.
  8. Burchett, H. E. D., Mounier-Jack, S., Griffiths, U. K., Biellik, R., Ongolo-Zogo, P., Chavez, E., & Mills, A. (2012). New vaccine adoption: qualitative study of national decision-making processes in seven low-and middle-income countries. Health Policy and Planning, 27(2), 5–16.
  9. Couper, I. D., & Hugo, J. M. (2005). Management of district hospitals- exploring success. Journal of Rural and Remote Health, 283. https://doi.org/10.22605/RRH433
  10. Russo, D, Competency Measurement Model, European Conference in Official Statistics (2016), Madrid, 31 May- 3 June 2016.
  11. Dikic, M., Nikolic, D., Todorovic, J., Terzic-Supic, Z., Kostadinovic, M., Babic, U., & Santric-Milicevic, M. (2020). Alignment of perceived competencies and perceived job tasks among primary care managers. In Healthcare (Vol. 8, No. 1, p. 9). Multidisciplinary Digital Publishing Institute.
  12. Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal, 5(1), 3–7.
  13. Gilson, L., Kilima, P., & Tanner, M. (1994). Local government decentralization and the health sector in Tanzania. Public Administration and Development, 14(5), 451–477.
  14. Hamidi, Y., & Eivazi, Z. (2010). The relationships among employees' job stress, job satisfaction, and the organizational performance of Hamadan urban health centers.2010.38.7.963. Social Behavior and Personality, 38(7), 963–968.
  15. Harris, J. L. (2016). National center for healthcare leadership competency model use in a Midwestern Healthcare Organization. Minneapolis, MN: Walden University.
  16. Isouard, G., Martins, J. M., & Friedman, L. H. (2015). Competency in innovation, creative and innovative thinking: challenges within the Health Management course curriculum. The Journal of Health Administration Education, 32(3), 257–261.
  17. Kak, N., Burkhalter, B., & Cooper, M. A. (2001). Measuring the competence of healthcare providers. Operations Research Issue Paper, 2(1), 1–28.
  18. Kakemam, E., & Dargahi, H. (2019). The health sector evolution plan and the technical efficiency of public hospitals in Iran. Iranian Journal of Public Health, 48(9), 1681–1687.
  19. Kakemam, E., Dargahi, H., & Rahimi Forushani, A. (2017). Association between managers' competency and technical efficiency in general hospitals in Iran. Journal of Patient Safety & Quality Improvement, 5(3), 567–571.
  20. Kakemam, Edris, Janati, A., Mohaghegh, B., Gholizadeh, M., & Liang, Z. (2021). Developing competent public hospital managers: a qualitative study from Iran. International Journal of Workplace Health Management, 14(2), 149–163. https://doi.org/10.1108/IJWHM-07-2020-0120
  21. Kantanen, K., Kaunonen, M., Helminen, M., & Suominen, T. (2017). Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. Journal of Research in Nursing, 22(3), 228–244.
  22. Kaushik, V., & Walsh, C. A. (2019). Pragmatism as a research paradigm and its implications for social work research. Social Sciences, 8(9), 255–260.
  23. Khadka, D. K., Gurung, M., & Chaulagain, N. (2014). Managerial competencies–A survey of hospital managers' working in Kathmandu valley, Nepal. Journal of Hospital Administration, 3(1), 62–72.
  24. Kovner, A. R., & Rundall, T. C. (2006). Evidence-based management reconsidered. Front Health Serv Manage, 22(3), 3–21.
  25. Krontorad, F. T., & Trčka, M. (2005). Manažerské standardy ve veřejné správě. Praha: Národní.
  26. Kubeš, M., Spillerová, D., & Kurnický, R. (2004). Managing Competencies. Praha: Grada Publishing.
  27. Kuhlmann, E., & von Knorring, M. (2014). Management and medicine: why we need a new approach to the relationship. Journal of Health Services Research & Policy, 19(3), 189–191.
  28. Liang, Z., Blackstock, F. C., Howard, P. F., Briggs, D. S., Leggat, S. G., Wollersheim, D., & Rahman, A. (2018). An evidence-based approach to understanding the competency development needs of the health service management workforce in Australia. BMC Health Services Research, 18(1), 976–980.
  29. Liang, Z., & Howard, P. F. (2010). Competencies required by senior health executives in New South Wales, 1990–1999. Australian Health Review, 34(1), 52–58.
  30. Liang, Z., Howard, P. F., Leggat, S. G., & Murphy, G. (2012). A framework to improve evidence-informed decision-making in health service management. Australian Health Review, 36(3), 284–289.
  31. Liang, Z., Howard, P., & Wollersheim, D. (2017). Assessing the competence of evidence-informed decision-making amongst health service managers. Asia Pacific Journal of Health Management, 12(3), 16–23.
  32. Lopes, A. G., Narattharaksa, K., Siripornpibul, T., & Briggs, D. (2019). An assessment of management competencies for primary health care managers in Timor‐Leste. The International Journal of Health Planning and Management, 35(2), 520–531.
  33. Lopes, S. C., Guerra-Arias, M., Buchan, J., Pozo-Martin, F., & Nove, A. (2017). A rapid review of the rate of attrition from the health workforce. Human Resources for Health, 15(1), 14–19.
  34. Mabuchi, S., Sesan, T., & Bennett, S. C. (2018). Pathways to high and low performance: factors differentiating primary care facilities under performance-based financing in Nigeria. Health Policy and Planning, 33(1), 41–58.
  35. Mabuchi, Shunsuke, Alonge, O., Tsugawa, Y., & Bennett, S. (2020). Measuring management practices in primary health care facilities – development and validation of management practices scorecard in Nigeria. Global Health Action, 13(1), 1763078. https://doi.org/1080/16549716.2020.1763078
  36. Macarayan, E. K., Ratcliffe, H. L., Otupiri, E., Hirschhorn, L. R., Miller, K., Lipsitz, S. R., & Bitton, A. (2019). Facility management associated with improved primary health care outcomes in Ghana. PLoS One, 14(7), e0218662.
  37. Majid, M. A. A., Othman, M., Mohamad, S. F., & Lim, S. A. H. (2017). Employee satisfaction with offshore catering job: Piloting for interviews. International Journal of Academic Research in Business and Social Sciences, 7(10), 729–737.
  38. Ministry of Health. (2003). National Health Policy of 2003. Dar -es -Salaam: Government Printer.
  39. Ministry of Health Community Development Gender Elderly and Children. (2018). Health facility performance. Dar es Salaam: Ministry of Health. Retrieved from http://www.tzdpg.or.tz/fileadmin/documents/dpg_internal/dpg_working_groups_clusters/cluster_2/health/JAHSR_2018/2._Health_facility_performance.pdf
  40. Mohd-Shamsudin, F., & Chuttipattana, N. (2012). Determinants of managerial competencies for primary care managers in Southern Thailand. Journal of Health Organization and Management, 26(2), 258 – 280.
  41. Mugenda, M., & Mugenda, A. (2012). Research methods dictionary. Nairobi: Applied Research & Training Services Press.
  42. Munyewende, P. O. (2016). Analysing the nature and dynamics of nursing management at primary health care clinics in two South African provinces (Doctoral dissertation). University of the Witwatersrand, Johannesburg.
  43. Munyewende, P. O., Levin, J., & Rispel, L. C. (2016). An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces. Global Health Action, 9(1), 32486.
  44. Naranjee, N., Sibiya, M. N., & Ngxongo, T. S. (2019). Development of a financial management competency framework for Nurse Managers in public health care organisations in the province of KwaZulu-Natal, South Africa. International Journal of Africa Nursing Sciences, 11(2), 100154.
  45. Ng'ang'a, N., Byrne, M. W., Kruk, M. E., Shemdoe, A., & De Pinho, H. (2016). District health manager and mid-level provider perceptions of practice environments in acute obstetric settings in Tanzania: a mixed-method study. Human Resources for Health, 14(1), 47.
  46. Ngowi, F. Z. (2017). Assessment of administrative competencies among nurse managers in tertiary hospitals in the central and northern zones of Tanzania: a cross-sectional study (Doctoral dissertation). The University of Dodoma.
  47. Nirachon, C., Mohmad-Yazam, S., & Faridahwati, M. S. (2007). Determinants of managerial competencies in the public health sector. Proceedings of the International Conference in Penang, Malaysia, 233–241.
  48. Paul, M., & Saha, P. (2016). Spirituality as a potential psychological capital tool to deal with academic stress among management students. IUP Journal of Organizational Behavior, 15(4), 46.
  49. Pillay, R. (2008). Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors. Journal of Human Resources for Health, 6(1), 4.
  50. Ponto, J. (2015). Understanding and evaluating survey research. Journal of the Advanced Practitioner in Oncology, 6(2), 168–170.
  51. Prime Minister's Office – regional administration and local government. (2021). History of Local Government System in Tanzania. Retrieved from http://www.pmoralg.go.tz/about_us/history.php
  52. Quinn, E. R., Faerman, R. S., Thompson, P. M., & Mcgrath, R. M. (1990). Becoming a master manager: A competency framework. New York: John Wiley and Son.
  53. Samky, H. P. (2019). The influence of direct health facility financing on perceived health system responsiveness, health service satisfaction and accountability compliance among public primary health facilities in central zone of Tanzania (Doctoral thesis). The University of Dodoma.
  54. Santrić Milicevic, M. M., Bjegovic-Mikanovic, V. M., Terzic-Supić, Z. J., & Vasic, V. (2010). Competencies gap of management teams in primary health care. European Journal of Public Health, 21(2), 247–253.
  55. Supic, Z. T., Bjegovic, V., Marinkovic, J., Milicevic, M. S., & Vasic, V. (2010). Hospital management training and improvement in managerial skills: Serbian experience. Health Policy, 96(1), 80–89.
  56. Topp, S. M., Chipukuma, J. M., & Hanefeld, J. (2015). Understanding the dynamic interactions driving Zambian health centre performance: A case-based health systems analysis. Health Policy and Planning, 30(4), 485–499.
  57. Umbetzhanova, A., Derbissalina, G., Koikov, V., Karsakbayeva, L., Nurgaliyeva, N. Akhmetova, D., & Kassimova, D. (2014). Review of Hospital Manager's Competencies in Astana. CBU International Conference Proceedings, 293–298.
  58. The United Republic of Tanzania. (2018). Ministry of Health, Community Development, Gender, Elderly and Children President's Office- Regional Administration and Local Governments: Basic Hospital Management Training for Regional Referral Hospitals. Dar -es -Salaam: Government Printer.
  59. Umbetzhanova, A., Derbissalina, G., Koikov, V., Karsakbayeva, L., Nurgaliyeva, N. Akhmetova, D., & Kassimova, D. (2014). Review of Hospital Manager's Competencies In Astana. CBU International Conference Proceedings, 293–298.
  60. van Teijlingen, E. R., & Hundley, V. (2001). The importance of pilot studies. Social Research Update.
  61. Veliu, L., & Manxhari, M. (2017). The impact of managerial competencies on business performance: SMEs in Kosovo. Journal of Management, 30(1), 59–65.
  62. Whiddett, S., & Hollyforde, S. (2003). A practical guide to competencies: how to enhance individual and organisational performance. London: CIPD Publishing.
  63. World Health Organization. (1978). Declaration of Alma-Ata International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978. Geneva, Switzerland. Retrieved from http://www.who.int/publications/almaata_declaration_en.pdf
  64. World Health Organization. (2005). Maternal mortality in 2005. Geneva, Switzerland.

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How to Cite
Kingu, U. A., Ismail, I. J., & Kibusi, S. M. (2023). Managerial Competency of Primary Healthcare Facility Managers in the Selected District Councils in Tanzania. Management & Economics Research Journal, 5(1), 45-65. https://doi.org/10.48100/merj.2023.277
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Copyright (c) 2022 Ukende Apollo Kingu , Ismail J. Ismail, Stephen M. Kibusi

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Author Biographies  
Ukende Apollo Kingu, Department of Business Administration and Management, University of Dodoma, P.O. Box 259, Dodoma (Tanzania) & Department of Business Management, Mbeya University of Science and Technology, Mbeya, P.O. Box 131 Mbeya (Tanzania)

PhD Candidate in Management. Assistant Lecturer.

Ismail J. Ismail, Department of Business Administration and Management, University of Dodoma, P.O. Box 259, Dodoma (Tanzania)

Assistant Lecturer.

Stephen M. Kibusi, Department of Public Health, University of Dodoma, P.O. Box 259, Dodoma (Tanzania)

PhD, Senior lecturer.

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Vol. 5 No. 1 (2023): March
Article History
Submitted 05 September 2022
Accepted 07 October 2022
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