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Dr. Sohail Rasool
Dr. Nauman Ali Ch
Dr. Muhammad Navid Tahir



Objective: The main objective of this study was to investigate the effectiveness of new management structure that was introduced at secondary healthcare facility in Punjab, Pakistan

Methods: The study was conducted in a qualitative paradigm. 24 IDIs were conducted with the relevant stakeholders along with 10 FGDs were conducted with the NMS teams. Multistage random sampling technique was used to select research participants. Data were analyzed using thematic analysis approach however field observation was used to facilitate presentation of the results. The themes were generated from the objectives of the study and the results were presented under these themes.

Results: Findings of the study shows that the induction of NMS under revamping program was a good initiative that has brought some apparent improvement in hospital operations and service delivery. It has been evident from the study’s findings that the newly inducted officers were more efficient as compared to the old clerical staff and the NMS team is specialized in their own respective fields that has made a mark difference in the working of the administration. An overwhelming majority of research participants agreed that the NMS team comprised of well-educated and dynamic young professionals who would swiftly overcome any challenges that they might face due to limited experience, and has positive effect on the overall Hospital Performance. However, few stakeholders highlighted the need for grievance redressal committees, a robust service structure in terms of postings and promotions, and the need for further capacity building of NMS teams.

Conclusion: The New Management Structures across all the secondary hospitals in the Punjab have played a vital role in improving the overall condition of healthcare service delivery in District and Tehsil Headquarters Hospitals. This can be unwaveringly inferred that an efficient workforce alike NMS teams is crucial to upgrade and facilitate smooth transition of the hospitals under the revamping project.

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