Evaluation of the Status of Strategic Management in Non-Governmental Health Organizations -Gaza Governorates
Date
2011-08-02
Authors
Samira khalil Ahmad Abu Hmaid
سميرة خليل ابو حميد
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
Strategic management was recently adopted in health sector to cope with huge changes
that have been occurring, it is the beginning of efficient and effective managerial system.
Therefore, an evaluation of status of strategic management in non-governmental health
organizations and identification of obstacles hindering health programming and strategic
management in Gaza strip was done with cross-sectional descriptive analytical study.
Using self –administered questionnaire , data were derived from 130 managers and
chairpersons of 32 health NGOs in Gaza strip aged from 25-70 years,80% of them were
males how were working in those organizations in the period of data collection which
extend from December 29th, 2010 to January 25th,2011.
Data was collected regarding demographic variables, organizational variables and
strategic management practice. T test and one way ANOVA were used to analyze the
association between dependent and independent variables.
The respondent health organizations were providing different health care services;
primary health care (46%), secondary and territory health care (15.6%), rehabilitation
(68.8%), diagnostic services (50%), psychosocial support (50%), and most of them were
providing health education (84%). High percentages of rehabilitations and psychosocial
support services indicated to the quick response of NGOs toward the needs of local society
as reports talking about increase incidence of mental illness and number of disables due to
Israeli attacks and blockade of Gaza Strip, the total number of working health
professionals were 1088, only( 35%) of them females.
It was concluded that the overall strategic management practice mean scores was
79.8%, but the lowest main scores was for strategic plan (67%). Although the results
indicated that 85% of the organization's employees have job description, only 42% of
respondent agreed that their organizations conduct annual performance appraisal while
52% of them indicated that there were individual work plans for employees that was
annual plan with 26% of respondent.
Regarding financial resources of health NGOs,( 61.2%) are from external donation (Arab
and foreign) while only 27% from its private revenues.
There were statistically significant associations between genders, managerial years of
experience, size of organization and strategic management practice (P<0.05).
Most respondents considered the unstable political environment in Gaza strip as the main
constrain for practice of strategic management followed by limited fund and financial flow
instability .
The findings of this study are important for understanding gaps of strategic
management practice, and landmarks in improving its practice within health NGOs in
Gaza Strip.
So it is recommended to health NGOs to pay more attention for strategic plans formulation
as perfect tool for seeking fund, human recourses management strategies as they the back
bone of any organization through more capacity buildings , effective involvement in all
management process, and creating culture encourages continuous education and
facilitates information transferring. Finally, MOH is required to enforce the
complementary relationship with local health NGOs to decrease its dependency on
external fund.