Leadership in public health issues can be challenging especially when tackling complex health issues such as suicide prevention, tuberculosis, or drug rehabilitation.
One approach is to look at more sophisticated, well-resourced government health systems and try to replicate the bureaucratic forms that they have. Just as Prof.Kotter describes below, Technical Working Groups, Joint Task Forces, Commissions and other coordinative bodies may work for a while, but begin to weigh down the organizational systems.
In countries with lower resource levels, there can be recognized bureaucratic gaps, or there may be non-functioning coordinating mechanisms which could be more difficult to address. Matt Andrews discusses how authorizations can be fragmented.
Fragmented and Dysfunctional Bureaucracy from BSC on Vimeo.
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