A new scale to assess health-facility level management: the development and validation of the facility management scale in Ghana, Uganda, and Malawi

03 Apr 2024
Paul Mubiri, Freddie Ssengooba, Thomasena O’Byrne, Adelaine Aryaija-Keremani, Justine Namakula, Kingsley Chikaphupha, Moses Aikins, Tim Martineau & Frédérique Vallières
A group of African men and women standing smiling on steps outside a building

The increased recognition of governance, leadership, and management as determinants of health system performance has prompted calls for research focusing on the nature, quality, and measurement of this key health system building block. In low- or middle-income contexts (LMIC), where facility-level management and performance remain a challenge, valid tools to measure management have the potential to boost performance and accelerate improvements. We, therefore, sought to develop a Facility-level Management Scale (FMS) and test its reliability in the psychometric properties in three African contexts.


Read this BMC Health Services Research paper here.

Ghana; Uganda; Malawi