The Need for Leadership in Public Health
Indeed the modern approaches being implemented to improve public health are insufficient just as Beaglehole and colleagues assert. As the world modernizes and technology advances, the primary focus in the health sector has and is still on biomedical research and elements that necessarily promote and sustain unhealthy behavior patterns are overlooked. Henceforth, there is a need to put in place a holistic strategy that addresses the key themes of current health care, namely health system leadership, collaboration actions, multidisciplinary approach, community partnerships and political engagement in public health policy.
Leadership is an essential component of any state seeking to drive improvements in patients’ safety and health care quality. A high impact leadership is required to improve the care and health of the populations as well as reduce costs. Most often, countries and the world focus on reducing disease-specific mortality and morbidity instead of a meaningful management and leadership skills needed in achieving the outcomes desired. In a nutshell, public health workforce is less related to matters of science and expertise of public health and more about management and leadership competencies of the national health workers. It further means that health in modern era requires leaders that maximize the contribution of individual and public health together with management and clinical strategies.
Values that enhance passion for instituting and improving the health of the population need to include the courage to advocate for change, skills to run political organizations, application of the evidence-based approach to making decisions and influencing individual behaviors. In fact, the other four themes identified above are affected by the kind of leadership since it determines how matters relating to public health are run including enacting laws and injection of resources to the sector. Management that is based on engagement and making partnership is essential in influencing long-term welfare and health, reducing inequalities, nurturing social inclusions and instilling a sense of community. Therefore, for the world to improve health in the manner suggested by Robert Beaglehole and colleagues an approach to nurturing leadership skills of the future public health workforce is needed. Focus on essential elements in addition to scientific research approach to addressing health will be a necessary point of focus as countries try to improve management healthcare systems.
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