Management Certainly Matters, and There Are Multiple
Ways to Conceptualize the Process
Comment on “Management Matters: A Leverage Point for Health Systems Strengthening in
Global Health”
he authors of “Management matters: a leverage point for health systems strengthening in global health,” raise a crucial
issue. Because more effective management can contribute to better performing health systems, attempts to strengthen
health systems require attention to management. As a guide toward management capacity building, the authors outline
a comprehensive set of core management competencies needed for managing global health efforts. Although, I agree
with the authors’ central premise about the important role of management in improving global health and concur that
focusing on competencies can guide management capacity building, I think it is important to recognize that a set of
relevant competencies is not the only way to conceptualize and organize efforts to teach, learn, practice, or conduct
research on management. I argue the added utility of also viewing management as a set of functions or activities as
an alternative paradigm and suggest that the greatest utility could lie in some hybrid that combines various ways of
conceptualizing management for study, practice, and research