Training Course: Management for District Health Systems
12 August 01 - 08 September 2001
The German Foundation for International Development (DSE) is an institution
for development policy dialogue, which is commissioned by the government of
the Federal Republic of Germany to hold and support conferences and ad-
vanced training programmes for specialists and executive personnel from
southern hemisphere countries and Eastern Europe. The DSE works in the ar-
eas of "Education", "Economic and Social Development", "Public Administra-
tion", "Industrial Occupations Promotion", "Food and Agriculture" as well
as "Health", and prepares personnel of development and co-operation agen-
cies before taking on their mission abroad.
Within the framework of the "Joint Promotion Programme of the Land Berlin
and the DSE in the Field of Health" the Centre for Education, Health and
Public Administration of the DSE organises from 12.08.2001 - 08.09.2001 the
training course "Management for District Health Systems". The four weeks
course takes place at the conference facilities in Bonn.
The Division for Public Health has been conducting different advanced
training programmes for personnel of the medical professions for many
years. These programmes include beside clinical training, health care fi-
nancing, adolescent sexual and reproductive health, and programmes for NGO
working for and with women also courses in public health, management and
The need for practical and relevant training is evident, particularly in
countries, with ongoing health sector reforms and decentralisation of
health care systems. One of the deficits, which hinders the development of
population and needs oriented health care services lies in the lack of ade-
quately trained personnel in the health management sector. The diversified
area of responsibilities of health personnel in decentralised health fa-
cilities includes not only the treatment of patients, but also a variety of
administrative and managerial duties.
In order to contribute to improved capacity in handling these duties, the
Division of Public Health offers in co-operation with the Department for
Health and Social Affairs of the Senate of Berlin the four weeks course
"Management for District Health Systems"
The course is designed for health managers working in decentralised health
systems, in health services with enlarged responsibilities or in health
management training institutions, in order to strengthen their leadership
capacity and to enable them to organise and carry out appropriate training
in health management for their health personnel.
2. General Learning Objectives
The course shall enable the participants to:
* Undertake a situation analysis of health problems and health services
problems in a district or "region of responsibility" (including identifica-
tion of training needs).
* Use management tools for the development and implementation of interven-
tions (health plans) as well as
* The monitoring and evaluation of this process in order to contribute to
the improvement of health through better health management in their coun-
* Use improved communication and leadership skills for better human re-
source management (HRM), team work and organisation of management training
with the aim of a long term general capacity building in health management
in the district or "region of responsibility".
3. Contents and Methodical Proceedings
Following domains will be discussed in line with the main managerial duties
of a District Health Manager:
* Community diagnosis and needs assessment
* Methods for planning
* Resource management including human resource management
* Communication and systems management
* Monitoring and evaluation
* Training methodology
The learning methods applied during the course will include mainly student
oriented, participatory techniques like group work, role play etc. The spe-
cific issues of women as a user and as an employee of the health care sys-
tem will be integrated in all study topics.
Overview of topics to be dealt with in the training course 2001:
Part A: Communication, Leadership, Human Resource Management (1 week)
Tutors: Nathaniel Mjema and Birgit Mallmann
Communication, effective leadership, team building and management, conflict
management, supervision, coaching (staff motivation), social participation,
participatory rapid appraisal.
Part B: Applied epidemiology and health management (2 weeks)
Tutors: Axel Kroeger and Sonia Diaz, Marie Claude Foster
The district concept, tasks of the district health manager, the management
cycle, needs assessment: identification of health problems (9 epidemiologi-
cal questions), priority setting, rates and indicators, data sources, sea-
sonal variation and endemic curve, risk approach, outbreak analysis, plan-
ning: situation analysis of health services, PPM-Vertical Logic, formula-
tion of goals and aims, formulation of outputs and activities, monitoring
and evaluation, plan of operation, intrasectoral collaboration, intersec-
toral collaboration, intercultural aspects of management, management of un-
Part C: Financial management (1 week)
Tutors: Meinolf Kuper and Manfred Stoermer
Cost analysis, budgeting, resource allocation, accountancy, controlling,
distribution of power and responsibility.
4. Target Group
Regional and district health administrators or health personnel with compa-
rable duties, personnel of the regional and district HRD, members of the
district health management team, personnel from health training institu-
tions, leading personnel from NGO working in the field of health, who are
required to carry out managerial and planning duties or to train health
personnel in these areas.
5. General Information
The participants will be guests of the DSE during their stay in
Bonn/Germany. In addition to board and lodging the participants will re-
ceive a small daily allowance of 24 DM for incidental expenses. Neverthe-
less it is recommended to bring sufficient extra money for personal ex-
During the course the participants are covered by an insurance for emer-
gency care and accidents. This insurance does not include though, travel
insurance, costs of visa, medical examinations or any loss or damage of
The German Embassy in the home country of candidates is informed about the
event and will provide assistance in case of need.
For participants from LDC the DSE is in the position to provide the inter-
national air flight tickets. For all other countries the international
travel costs are expected to be covered by the home country delegating in-
stitution or the participant him/herself. Should this not be possible, the
DSE would be prepared to bear or share the travel costs if a substantial
request is submitted to the DSE and approved by the German Embassy.
6. Application Procedure
Candidates fulfilling the following admission criteria are requested to
fill in an application form and send it back to the DSE/ZG to the following
e-mail or fax number:
before June 30, 2001.
- University degree or equivalent in medicine, economy, pedagogy, sociol-
ogy nursing sciences, or public administration;
- Minimum two years of professional experience in the health system at
district or regional level, in a training institution or a NGO working
in the health sector;
- In charge or responsible for management and leadership, in the training
field or development of training programmes;
- Recommended by the employer;
- Maximum 40 years old;
- Female candidates are especially invited to hand in their application.
The course will be held at the DSE training centre in
For any further information please contact the
German Foundation for International Development (DSE)
Public Health Division
Cooperation DSE/Secretariat for Health, Berlin
Dr. Barbara Kloss-Quiroga
Tel: +49-30-43-996 256
Miss Claudia Sonntag
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