Management And Organization Reforms At The Muhimbili National Hospital: Challenges And Prospects

Objective: To establish the state of organization structures and management situation existing at the Muhimbili National Hospital (MNH) and Muhimbili University College of Health Sciences (MUCHS) prior to the start of the MNH reforms and physical infrastructure rehabilitations. Methods: A checklist...

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Bibliographic Details
Published in:	East African journal of public health Vol. 5; no. 2; pp. 94 - 102
Main Authors:	Mwangu, M.A, Mbembati, N.A.A, Muhondwa, E.P.Y, Leshabari, M.T
Format:	Journal Article
Language:	English
Published:	Tanzania East African Public Health Association 01-08-2008
Subjects:	Bed Occupancy - statistics & numerical data Corporate reorganization Health and Medicine Health Care Surveys Hospital Administration - methods Hospitals Hospitals, Public - organization & administration Humans Interviews as Topic Length of Stay - statistics & numerical data Management Management, Organization structures, Muhimbili National Hospital and Muhimbili University College of health Sciences Medical schools Models, Organizational Organizational Innovation Pilot Projects Quality Assurance, Health Care Dar es Salaam, Tanzania
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Summary:	Objective: To establish the state of organization structures and management situation existing at the Muhimbili National Hospital (MNH) and Muhimbili University College of Health Sciences (MUCHS) prior to the start of the MNH reforms and physical infrastructure rehabilitations. Methods: A checklist of key information items was used to get facts and figures about the organization of the MNH and management situation. Interviews with MNH and MUCHS leaders, and documentation of existing hospital data were done to gather the necessary information. Results: The survey reveals that there are a number of organizational, managerial and human resource deficiencies that are impinging on the smooth running of the hospital as a national referral entity. The survey also revealed a complex relationship existing between the hospital and the college (MUCHS) that has a bearing on the functioning of both entities. Conclusion: In order for the hospital to function effectively as a referral hospital with a training component inbuilt, four basic things need to be put in place among others: a sound organization structure; adequate staffing levels especially of specialist cadre; a functional information system especially for inpatient services and a good working relationship with the college.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0856-8960 0856-8960