Influence of leadership styles on quality health service delivery

Influence of Leadership styles

1. STUDENT: AISHA MWINYI GANUGA
DR. RUKAYYA WAKIF
SUPERVISOR
INFLUENCE OF LEADERSHIP STYLES ON
QUALITY HEALTH SERVICE DELIVERY AT
MNAZI MMOJA HOSPITAL ZANZIBAR
1

2. Presentation Overview
Findings
Study Background
1
Objectives3
Methodology
5
7
2
4
6
Statement of the Problem
Literature Review
Conclusion
Recommendations
8
2

3. Background of the study
●Thedeliveryofqualityhealthservices
restsontheeffectivenessoftheleadership
style(s)practicedintheorganizationoffering
healthservices(Mpambije,2017).
●Saidet.al.,(2020)saysleadershipstyle
adoptedbyleadersisverycrucialin
deliveringqualityhealthservices.
3

4. Cont:
●Leadershipstyleisparamounttobringin
successorfailureinservicedeliveryinany
organization.
●Themainroleofaleaderistoencourage
his/herfollowerstoaccomplishacommongoal
(performance)(Chakupewaandstephen2016).
●Heathserviceorganizationsneedtochose
leadershipstylewhichpullemployeestowards
qualityhealthservicedelivery(Danaeet.al,.
2017). 4

5. Statement of the Problem
●Leon and Ali, (2018) opined that public hospitals
in Zanzibar are facing challenges which hinder
quality service delivery such as access of drugs,
demoralized health workers, deficit of health care
professional, disorganized health care facilities etc.
●Further, a study by Fulcheret. al., (2020) showed
employee turnover at Mnazimoja was 5.7%,
unfriendly working conditions was 39% and poor
administration was 16%.
5

6. Cont:
Numerous studies have been done such as:-
●AlaDeen et. al., (2014) in Saudi Arabia on nature of
leadership and challenges faced by leaders on
offering quality of services
●Said et al., (2020) on challenges in health service
delivery under public-private partnership in Tanzania.
However, the studies focused on challenges in
provision of quality health service unlike this
study focused on leadership styles on health
service delivery
6

7. Objectives
General Objective
●The general objective of the study was to assess the
influence of leadership styles on health service
delivery at MnazimmojaHospital, Zanzibar.
Specific Objectives
1.To assess the influence of transformational leadership
style on quality health service delivery at Mnazi-mmoja
Hospital.
2.To assess the effect of Transactional Leadership style on
quality health service delivery at Mnazi-mmojaHospital.
3.To examine the relationship of democratic leadership style
on quality health service delivery at Mnazi-mmojaHospital.
7

8. Literature Review
The study based on three theories;
a)ThePath-goal leadership theory.
b)The Transformational leadership theory.
c)Transactional leadership theory
8

9. 9
S/NTheory Theme of the theory Contribution of theory to the study
1. Path-goal
Leadership theory
(House 1996)
Effectiveness of leader in
creating high levels of
moraleand productivity
The theory gives a foundation of
leaders effectiveness which is
required at MnazimojaHospital
2. Transformational
leadership theory
(McGrgor1978)
The relationship between
the leader and the follower
in which all parties are
mutually motivated by each
other to higher levels
Leaders use of their qualities to
motivate followers and isused in the
study to gauge ifthe tenets of the
theory are practiced in Mnazimoja
Hospital.
3. Transactional
leadership theory (
Max Weber 1947)
Leaders initiative in making
contact with followers for
the purpose of an exchange
of valued thingsto enhance
performance.
Used in the study to gauge whether
management at Mnazimojafocuses
on leading to innovation by means of
rewards and reinforcement of
employees.

10. Conceptual Framework
10

11. Methodology
Research Design-cross-sectional involving
(quantitative approach).
Area of study-Mnazimoja Hospital, Zanzibar
Population-1843 employees
Sample size-317 will be determined using the Krejcie
& Morgan (1970) table.
Sampling Technique-Stratified Sampling.
Data collecting tool-Questionnaire (MLQ)
Validity-Experts method.
Reliability-pre-test method (test-retest). The
Cronbach’s alpha was used.
11

12. Data Analysis
●Data was done using SPSS Statistics
version 20.
Analysis done:-
●Mean and Standard deviation
●Regression.
12

13. FindingsObjective 1:The influence of transformational
leadership style on quality health service
delivery
Mean and standard deviation
13

14. FindingsObjective 2: Effect of Transactional
Leadership style on quality health service
delivery
Mean and standard deviation
14

15. FindingsObjective 3: The relationship of democratic
leadership style on quality health service
delivery
Mean and standard deviation
15

16. 16
Regression coefficients of the relationship between quality health
service delivery and the three predictive variables (Independent
Variable).
Findings

17. 17
Conclusion
1.Aspects of transformational leadership style analyzed were
moderately used at Mnazi-mmoja and hence affected
quality of health service delivery moderately.
2.aspects of transactional leadership style were found to be
poorly practiced by leaders and hence highly affecting
quality health service delivery in Mnazi-mmoja.
3.aspects of democratic leadership style were practiced
moderately and hence affected quality health service
delivery moderately.
4. The linear regression analysis concluded that
transformational leadership style, transactional leadership
style and democratic leadership style impacted quality
service delivery with 37.3%, 25.7% and 21.8%
respectively.

18. Recommendations
3. Increased the use of the aspect of democratic
leadership style to lessen effects on offering quality
health service delivery.
1.Mnazi-mmoja hospital staff to
put effort in practicing the
aspects of transformational
leadership style in order to
reduce effect on delivering
quality health service
2. The management to advocate the
use of transactional leadership
style to improve mean scores and
thus reduce their effect on offering
quality health service delivery.
01
03
02
18