Managing in Turbulent Times: Emerging Leaders in Public Health

Ministries of Health

Ministries of health in Third World Countries can make the health care environment supportive to the best of their means. They can start by having a balanced approach that avoids concentrating heavily on just one system or another. There needs to be a balance between local and national needs in health care management.

Health care ministries need to focus reforms on both the local systems as well as the national systems. If the national system is focused on and the local systems get left out, this will create a lot of frustration by local health care workers. It's very important that local health care leaders feel that they can include their plans in with the national plan, and it's important that their needs are met and they are given the attention they deserve when it comes to bureaucratic regulations and positions.

Connections between all health care support systems are vital and they should be encouraged by health care ministries as well. The health care system, whether it be on a local level or a national level, should work together as one entity and the governments and role models should emphasize this. There should also be a plan for individual workers to make suggestions as to how to get things to run more effectively. All health care workers should be taken seriously.

Reforms can't just happen over night. Reformation takes time, precision, and organization so that the system doesn't collapse quickly and go back to the old, unorganized ways. Support systems must be strong in order for health care in general to become stronger.

Governments need to promote training, education, leadership and cohesiveness when it comes to health care systems. Managers and leaders, as well as all health care providers need essential and critical training that is hands on, and completely relevant to the job they do.

Jobs need to be well defined and expectations must be set at all levels, including management, support staff, vendors, pharmacies, care facilities & cosmetic surgery health care professionals and more. The better a worker knows his or her job and their expectations, the faster they can learn it with no confusion, and become competent at their positions. Leadership's goal and role is to ensure these positions are being filled the proper way and that people are meeting or exceeding their job expectations.


The ELPH Program provided personalized leadership training that taught me how to be an authentic leader. It challenged me everyday to continue to sharpen and redefine my skill set, and to take a strategic approach in building my network. Overall, the ELPH program was excellent with dynamic and inspirational speakers that really made learning exciting.

Corey Palmer, BS, MS, MPH (2008)
Public Health Analyst, United States Public Health Service, Rockville, MD