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Health System Decentralization Course


Sustainable development goal 3 aims at ensuring healthy lives and promoting the well-being for all at all ages; to achieve these it is essential to strengthen health systems as well as empower health workers. Decentralization has long been advocated as a desirable process for improving health systems. Recently, it has been seen as an integral part of broader health reforms to strengthen health system and achieve improved equity, efficiency, quality and financial soundness. Nevertheless, we are still experiencing a top down approach in health system where almost all decisions, policies and developments are made by the central government.

According to Gilson et al. 1994, anecdotal and country-study evidence confirms that poorly designed and hastily implemented decentralization has serious consequences for health service delivery however, active involvement of health managers in the decentralization design, clear national resource allocation standards and health service norms, and an ongoing trainings and capacity building of managers are essential for guarding equity and quality and for improving efficiency in health service delivery. This training course on health system decentralization will empower leaders in the counties, districts, cities and local government to make decisions, develop sustainable policies and be the catalyst of change and drivers of development. 


Mangers, leaders of medical bodies, supervisors


10 Days


By the end of ten days, participants shall be equipped with skills and knowledge to meet challenges faced during decentralization. The issues encountered during designing, implementing and managing a decentralization transition these includes: financial, strategic, and quality management, monitoring and evaluation, needs assessment and prioritization and teambuilding. The first week will address the policy level process, assessing needs of a given community and setting priority while the second week will focus on enhancing management skills in the context of decentralization.

Module 1: Introduction to Decentralization Framework

  • Definition of terms
  • Case study: success and failure
  • Policy frame work formulation

Module 2: Need assessment and prioritization

  1. Need Assessment
  • Assessment preparation
  • Design and planning
  • Data collection
  • Analysis and reporting
  • Prioritization requirements
  • Prioritization scales
  • Prioritization based on value, cost and risk

Module 3: Strategic Planning

  • Introduction to strategic planning
  • Attributes of a good planning framework
  • Components of a strategic planning

Module 4: Leadership and teambuilding

  • Understanding the distinction between personal leadership and organizational leadership
  • Planning and innovation process
  • Understanding the performance process and accountability
  • Creating a coaching and appraisal process
  • Improving problem analysis and decision making
  • Recognizing human potential
  • Employing a delegation process
  • Handling mistakes
  • Striving for continuous improvement

Module 5: Quality Management

  • Introduction and definition
  • The purpose and benefit of quality system
  • The seven quality principles
  • Introduction to the ISO 9001 standard and its requirements.
  • Introduction to management systems and the process approach.
  • General requirements
  • Implementation phases of the ISO 9001 standard.
  • Conducting an ISO 9001 audit.

Module 6: Financial planning and Financing Mechanism

  • Revenue collection
  • Budgeting
  • Finance and expenditure overview

Module 7: Theory of Change in relation to decentralization

  • Change theory
  • Outcome framework
  • Identifying assumptions
  • Identifying indicators
  • Designing interventions
  • Output of theory of change

Module 8: Managing Organization Change: Decentralization in Healthcare

  • Define organizational structure and its basic elements.
  • Describe matrix, boundary less, and learning organizations.
  • Describe why and how organizations change.
  • Understand reasons why people resist change, and strategies for planning and executing change effectively.

Module 9: Decentralization and Human Resource

  • Introduction
  • Distribution of human resources
  • Regulation of Human resources
  • Human Resource management
  • Future trend

Module 10: Field visit

  • Visit to sub county hospital
  • Overview of health system decentralization


  • Participants should be reasonably proficient in English. Applicants must live up to Indepth Research Services (IRES) admission criteria.


  • The instructor led trainings are delivered using a blended learning approach and comprises of presentations, guided sessions of practical exercise, web based tutorials and group work. Our facilitators are seasoned industry experts with years of experience, working as professional and trainers in these fields.
  • All facilitation and course materials will be offered in English. The participants should be reasonably proficient in English.


  • Upon successful completion of this training, participants will be issued with an Indepth Research Services (IRES) certificate.


  • The training is residential and will be held at IRES Training Centre. The course fee covers the course tuition, training materials, two break refreshments, lunch, and study visits.
  • All participants will additionally cater for their, travel expenses, visa application, insurance, and other personal expenses.


  • Accommodation is arranged upon request. For reservations contact the Training Officer.
  • Email:
  • Mob: +254 715 077 817
  • Tel: 020 211 3814


This training can also be customized for your institution upon request to a minimum of 4 participants. You can have it delivered in our training centre or at a convenient location.

For further inquiries, please contact us on Tel: +254 715 077 817, +254 (020) 211 3814 or mail 


  • Payment should be transferred to IRES account through bank on or before C.O.B. 11th November 2019
  • Send proof of payment to This email address is being protected from spambots. You need JavaScript enabled to view it. 


  • Payment for all courses includes a registration fee, which is non-refundable and equals 15% of the total sum of the course fee.
  • Participants may cancel attendance 14 days or more prior to the training commencement date.
  • No refunds will be made 14 days or less to the training commencement date. However, participants who are unable to attend may opt to attend a similar training at a later date, or send a substitute participant provided the participation criteria have been met.
  • Please Note: The program content shown here is for guidance purposes only. Our continuous course improvement process may lead to changes in topics and course structure.

Event Properties

Event Duration 10 Days
Event Date 18-11-2019
Event End Date 29-11-2019
Cut off date 11-11-2019
Individual Price(Kenyan) KES 139,000
Individual Price (International) EUR 1,592
Individual Price(International in Dollars) USD 1,853
Location Nairobi, Kenya
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