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"Having the workshop conducted in a truly participatory manner enabled us to do a meticulous assessment of ourselves and our organization, discovering the weaknesses and devising remedial measures right on site. The MOST process made this simple and easy."

—MOST workshop participant, Dhaka, Bangladesh

Management and Organizational Sustainability Tool (MOST)

The Need for Strong Management Systems

High debt, inability to recover costs, inefficient financial systems, poor planning, and poor expense monitoring—these are some of the challenges facing organizations and health systems around the world. Improved management systems enable organizations and health systems to respond effectively to change and produce improved health outcomes.

What will the MOST process achieve?

Through MOST, an organization will:

  • Assess the current status of the management systems;
  • Identify feasible changes that will make the organization more effective;
  • Develop specific plans to implement the changes;
  • Generate staff buy-in needed to support management improvements.

The MOST process allows an organization to assess their own management performance and develop a concrete action plan that will result in organization-wide improvements.

What is MOST?

MOST is different from traditional management assessments. It is about making change happen through a structured, participatory process, in which staff members:

  • Use a simple instrument to collect data from their own experience across five management competencies;
  • Analyze the data;
  • Use their analysis to make practical plans for improvements.

The MOST process recognizes that meaningful changes in management rarely occur through a single event. The process therefore includes monitoring plans and a follow-up phase to adapts them to the changing conditions.

For information on purchasing a copy of MOST, visit the MSH Bookstore.



Success Stories


Evaluations


Additional Reading and Resources

MOST

News
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arrow LMS/Nigeria Project Given Top Rating by Mission in Most Recent Portfolio Review
Jan 16, 2008
In December 2007, USAID/Nigeria completed a full portfolio review of its projects, covering the period October 1, 2006, to September 30, 2007.

 
arrow Results of External Evaluation of the RFE/Tanzania
Dec 17, 2007
The Rapid Funding Envelope (RFE) continues to be one of the most effective funding mechanisms in Tanzania to enable civil society organizations to participate fully in the national multi-sectoral response to the AIDS epidemic.

 


Results

As of June 2005, MOST has been applied approximately 110 times by MSH in over 20 countries. During M&L, 20 new facilitators were trained (half of which were not MSH staff). The process is now being replicated in Mozambique with no outside funding, and is being replicated by TCNetwork members in West Africa under the EngenderHealth AWARE Project. A total of 1,300 copies of the second edition of MOST have been disseminated in English. Since being translated into French and Spanish in April 2004, 200 copies in French and 60 copies in Spanish have been disseminated.

In April 2005, the Royal Tropical Institute of the Netherlands developed the Sector Policy Review (SPR) Tool, which was based heavily on MOST. The SPR is a "kit for involving important stakeholders more directly in reviewing health sector development."