Evaluation of the Status of Strategic Management in Non-Governmental Health Organizations -Gaza Governorates

Samira khalil Ahmad Abu Hmaid
سميرة خليل ابو حميد
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Al-Quds University
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.