Technical and management coaching for government institutions: Lessons learned and health systems transformations across 8 countries in sub-Saharan Africa and India
2025

Strengthening Health Systems Through Coaching in Africa and India

Sample size: 343 publication 10 minutes Evidence: moderate

Author Information

Author(s): Graham Kate, Kalbarczyk Anna, Ajijola Lekan, Das Emily, Sow Fatimata, Owino Kenneth, Malik Maheen

Primary Institution: Johns Hopkins Bloomberg School of Public Health

Hypothesis

How does the Challenge Initiative's coaching model impact local government capacity in health systems?

Conclusion

The coaching model significantly improved local government capacity to lead and sustain family planning and adolescent health programs.

Supporting Evidence

  • Coaching improved local government leadership and management of health programs.
  • Participants reported increased confidence and skills in program implementation.
  • Coaching led to better interdepartmental collaboration and resource allocation.

Takeaway

This study shows that coaching helps local governments learn how to manage health programs better, making them more independent and effective.

Methodology

Qualitative case study involving in-depth interviews and focus group discussions across 8 countries.

Potential Biases

Potential bias in self-reported data from participants.

Limitations

The study was qualitative and may not generalize to all contexts; it also faced challenges due to staff turnover and internet connectivity.

Participant Demographics

Participants included TCI staff, local government officials, and health service providers from various countries.

Digital Object Identifier (DOI)

10.1371/journal.pgph.0004058

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