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. 2023 Aug 2;13(8):e071344. doi: 10.1136/bmjopen-2022-071344

Table 11.

Reported outcomes

Levels Reported outcomes Papers (n) References
Individual level Increased management or leadership knowledge 3 17 86 94
Increased management or leadership skills 10 69 71 72 79 82 85 86 89 94 96
Work commitment 1 89
Openness to being mentored and willingness to implement recommended changes 1 98
Increased self-confidence to undertake management tasks 1 17
Changes in the behaviour of supervisors who became more supportive 1 91
Organisational level Improvement in overall leadership and management practices, such as systems thinking, change management or performance management 1 86
Use of management tools to systematically set priorities, develop evidence-based work plans and allocate resources 3 87 94 101
Improved district performance 2 83 100
Improved financial management 8 47 68 70 81 95 96 98 99
Improved human resource management, 4 47 73 81 96
Improved health information management 4 47 82 94 101
Improved supply chain and transportation management 4 47 68 70 82
Improved supportive supervision 2 72 82
Improved hospital management 4 73 80 96 98
More regular and effective team meetings 8 4 17 49 68 70 72 85 95
Improved team confidence to undertake management tasks 4 4 68 79 95
Increased team and staff morale, motivation or commitment 7 49 67 68 70 89 90 99
Improved work climate or environment 2 17 99
Improved community engagement 2 68 72
Improved collaboration between district health teams and local administrators 1 67
Health outcomes Reduction in maternal mortality among pregnant women referred to a district hospital 1 67
Markedly reduced incidence of measles cases in a district 67
Increased health service usage 5 67 77 84 99 103
Increased immunisation coverage 4 72 73 89 103
Increased antenatal care, skilled birth attendance 4 72 73 89 103
Increased yaws and Buruli ulcer detection rate 1 89
Increased health service coverage 1 77
Improved (quality of) service delivery 5 47 73 74 96 105
Improved malaria, pneumonia and diarrhoea treatment for children 1 87
Increased tuberculosis cure rate 1 89