Leadership and Management

A broken health system is a silent killer. People get sicker and die in disproportionate numbers just as they do during an epidemic. Yet the culprit is not lack of knowledge. Nor is it always a shortage of funds. Technically and medically, we know what to do to reduce illness and save lives. But what is sorely amiss is the dearth of knowledge and skill to manage these very complicated health systems. Dr. William H. Foege sums up the issue as "global health waits expectantly for management to match its science."

Signed, Sealed, Delivered? Evidence from Rwanda on the Impact of Results-based Financing for Health

Excitement is growing about results-based financing (RBF) for health, a financing mechanism that turns the traditional donor approach of paying for inputs on its head. RBF for health is a cash payment or non-monetary transfer made to a national or sub-national government, provider, payer, or consumer of health services after predefined results have been attained and verified.

Paying Primary Health Care Centers for Performance in Rwanda

Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. P4P can affect health care by providing incentives for providers to put more effort into specific activities, and by increasing the amount of resources available to finance the delivery of services. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda.

2009 Annual Activity Report for MLI Senegal

Since Senegal’s Ministry of Health and Prevention (MHP) had decided to meet the new challenges related to local and global initiatives such as the Poverty Reduction Strategy and the Millennium Development Goals (MDGs), the Ministry of Health began carrying out reforms intended to improve the management of outside support and the effectiveness of health expenses with the assistance of the Ministerial Leadership Initiative (MLI). Thus, the MLI, which has been cooperating with the Ministry of Health and Prevention since 2008, will present several of its accomplishments in this report.

Rapport d'Activites Annuel 2009 ILM Sénégal

Devant la volonté du Ministère de la Santé et de la Prévention (MSP) du Sénégal de relever de nouveaux défis liés aux initiatives locales et globales comme la Stratégie de Réduction de la Pauvreté et les Objectifs du Millénaire  pour le développement (OMD), le ministère de la santé a entrepris des réformes pour une meilleure gestion de l’aide et pour améliorer l’efficacité de la dépense en santé avec l’appui de l’Initiative pour le Leadership Ministériel (ILM).

Strong Ministries for Strong Health Systems

Through detailed interviews with those who know these issues best — the ministers and their stakeholders — this report examines the roles of health ministries, their resource needs, and the challenges they face. Based on the candid and thoughtful input of those interviewed, and the supporting research and consultation activities, this report offers seven action items geared toward building a systematic and sustained program of support for health ministries.

  • MLI Voices

    Jun 22 2009 - 4:25pm

    Sierra Leone

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


Upcoming MLI Events

There are no upcoming events

Email Newsletter

Sign up for our e-newsletter

Contact Us

Please direct all inquiries to

Connect with Us