International Research Journal of Public and Environmental Health

Original Research Article

Assessing leadership for optimal performance of district health management teams: Experience from Burkina Faso

Ziemlé Clément Meda1,2,*, Bernard Ilboudo3,4, Hervé HIEN3,5, Isaïe Meda5, Souleymane Kabore5, Robert Karama5, Abdoulaye Nitiema5, Oumar Ouattara5, Issa Konate5, Léonel Hien5, Yéri Sylvie Youl5, Ouo Mireille Coulibaly5, Léticia Sakana5, Salif Sougue5, Adama Ouattara1,2, GB Léon Savadogo1,2 and Issiaka Sombie1,6

1Institut supérieur des sciences de la santé (INSSA), Université Nazi Boni, Bobo Dioulasso, Burkina Faso.
2Centre hospitalier universitaire Souro Sanou de Bobo Dioulasso, Burkina Faso.
3Département de santé publique, Centre Muraz, Bobo Dioulasso, Burkina Faso.
4Ministère de la santé, Burkina Faso.
5Institut de recherche en sciences de la santé (IRSS), Bobo Dioulasso, Burkina Faso.
6Organisation Ouest Africaine de la santé (OOAS), Bobo Dioulasso, Burkina Faso.

*Corresponding Author Email: medacle1(at)

Tél: +2670244827

Ziemlé Clément Meda

Bernard Ilboudo

Hervé HIEN

Isaïe Meda

Souleymane Kabore

Robert Karama

Abdoulaye Nitiema

Oumar Ouattara

Issa Konate

Léonel Hien

Yéri Sylvie Youl

Ouo Mireille Coulibaly

Léticia Sakana

Salif Sougue

Adama Ouattara

GB Léon Savadogo

Issiaka Sombie

Article Number: irjpeh.20.007  |   Pages: 45-51  |   Vol. 7 (2), March-April 2020   |   DOI:

 Received: November 23, 2019  Accepted: January 20, 2020  Published: March 21, 2020


To assess leadership for optimal performance of the District Health Management Teams (DHMT) in Burkina Faso. A cross-sectional study was conducted from May 2014 to September 2015. The data collected were: socio-demographic and professional data, and domains (management, leadership, communication, decision-making, problem-solving) from the online Mind Tools resources, and planning. The factors of management were identified using the linear regression through the SPSS software 20. The 64 participants had a mean-age of 37.1 (35.8-38.5) years-old. The score by domain were the following: leadership score was 63.8 (62.6-65.1), score management = 73.6 (71.1-76.2), score communication = 55.5 (53.9-57.0), score of decision making = 64.1(62.2-66.1), score problem-solving = 63.9 (62.0-65.9), and score planning = 39.5 (37.7-41.3). By univariate analysis, the factors of the health district’s leadership were: decision making score (p<0.001) and management score (p= 0.003). By multivariate analysis, the factor of the health district’s leadership was the decision making score (p=0.023).For strong leadership, the decision-making must be at the heart of district health management for best performances.


Africa, communication, decision-making, health system management

How to Cite this Article

Meda ZC, Ilboudo B, Hien H, Meda I, Kabore S, Karama R, Nitiema A, Ouattara O, Konate I, Hien L, Youl YS, Coulibaly OM, Sakana L, Sougue S, Ouattara A, Savadogo GBL, Sombie I(2020).Int. Res. J. Public Environ. Health. 7 (2):45-51.

Author(s) retain the copyright of this article. Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution License 4.0 International License.