2013 MEPI Symposium: August 6-8, 2013 Presenter: Francis Njiri STRATEGIC MANAGEMENT OF INSTITUTIONAL LEADERSHIP FOR CHANGE: UNIVERSITY OF NAIROBI A SUCCESS STORY 2013 MEPI Symposium: August 6-8, 2013 PI: Prof. James Kiarie Lead: Prof. James Machoki M’Imunya Presenter: Francis Njiri

Partnership in Innovative Medical Education for Kenya PRIME-K Partnership in Innovative Medical Education for Kenya A leader is one who knows the way, goes the way, and shows the way —John Maxwell

Project Areas Engaging Leadership PRIME-K administration: responsible for day- to-day running, networking and sustainability PRIME-K Aim 4: improving research integrity and grant administration capacity MEPI Administrative Supplement: Strengthen Institutional Research and Innovation Management (iRIM)

Levels of Leadership University Council Vice Chancellor National Government ministries Education Health Finance County Government ministries Health University Council Vice Chancellor Deputy Vice Chancellors Administration Research Academics Finance Grants Procurement Legal Recruitment Postgraduate studies Grants administration College Principal Deans and Directors

Activities to engage leadership Linkage with external organization Implementation oversight Grants Management and compliance Benchmarking Sustainability

Linkage with external organizations Kenyatta University Maseno University Kenyatta National Hospital AMREF Existing Relationship Engage the top in both institutions Rules of engagement require legal office

Implementation Oversight PRIME-K Advisory board VC member of AIM 4 team IRIM Coordinating Committee Leaders want to lead!! Engaged leaders resolve administrative challenges Hierarchy is critical Engaging leadership avoids duplication and redundancy

Grants Management and compliance Attended by UoN leadership Guide implementation for 5 years Brought attention to PRIME-K KNH / UoN Ethics and Research Committee UoN Finance department grants funds management Grants Management strategic plan

Benchmarking Grants management Decentralized training UW: VC and PRIME-K team Malawi: Principal CHS and Aim 4 Lead UoN: UW Director of Office of Sponsored Programs Decentralized training Principal and PRIME-K team Ministry of Health leadership

Leaders are critical in setting Benchmarks!!

Engaging Ministry of Health Annual meeting Chaired by Director Medical services and Principal Attended by leads of decentralized training sites Attended by regional health managers Representatives of MoH attend monthly project meetings MoH trainees selected in consultation with facility leaders Decentralized training sites selected in consultation with MoH

Ensuring Sustainability Creation of new positions to support projects Grants Officer, Procurement Officer and IT Officer Appointment of adjunct faculty recognized by MoH Creation of accommodation space for students at decentralized sites

Challenges Leaders are busy Often have competing priorities Skeptical and slow adaptors Have to balance many competing interests

Conclusion Engagement of the leadership is critical for success Must be strategic Planned Purposeful Engagement takes time and evolves slowly Has to be sustained

Acknowledgements UoN Team UW Team KNH Team KU Team The project described was supported by Award Number R24TW008889 from the Fogarty International Center. * Co-author on this abstract