The Partnership for Management Development (Johnson & Johnson and PEPFAR/USAID)








One of EGPAF-Lesotho’s key health systems strengthening initiatives has been the Partnership for Management Development (PMD), a program designed by the University of Cape Town (UCT) Graduate Business School faculty for the Lesotho MOH and implemented by EGPAF. The program aimed to address an identified gap in health services and accelerate the elimination of mother-to-child transmission (MTCT) of HIV by developing the management capacity of African healthcare leaders. The PMD program was funded through a public-private partnership between PEPFAR/USAID and Johnson & Johnson. A gap analysis identified four topics for improvement: team-based leadership; facility-based deliveries; supply/drug stock-outs; and data use to support managerial approaches. More than 700 healthcare workers were trained. In one year, the percentage of HIV-positive infants decreased from 4% to 3%, and average attendance of first and fourth ANC visits increased by 7 %. Facility-based deliveries increased from 41% to 64%, and timeliness of report submission from health facilities to district level also improved.