Table 1.

Activities used for developing the competencies in the MSI framework and correspondence to the AR cycle

DHMT management competencies	Development activities	Stages of AR cycle
Identification of root causes of problems	SA, NW1, NW2	Plan
Prioritisation of problems	SA, NW1, NW2
Options appraisal	SA, NW2
Designing integrated HRM and health systems strategies appropriate to context	NW1—introduction only; NW2
Resourcing	NW2; follow-on activities	Plan/act
Implementing the workplan including monitoring and overcoming barriers	Follow-on activities (diaries, CRT visits and interdistrict meetings)	Act/observe/reflect

CRT, country research teams; SA, situation analysis; NW1, national workshop 1; NW2, national workshop 2.