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A new scale to assess health-facility level management: The development and validation of the facility management scale in Ghana, Uganda, and Malawi

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The increased recognition of governance, leadership, and management as determinants of health system performance has prompted calls for research focusing on the nature, quality, and measurement of this key health system building block. In low- or middle-income contexts (LMIC), where facility-level management and performance remain a challenge, valid tools to measure management have the potential to boost performance and accelerate improvements.
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A new scale to assess health-facility level management: The development and validation of the facility management scale in Ghana, Uganda, and Malawi