This review describes the current state of health leadership and management capacity and issues that affect management performance at the district level in Lao People's Democratic Republic (Lao PDR or Laos).
A review and analysis of the health management and leadership capacity issues that affect the performance of district health managers in Lao PDR (Laos).
The first six chapters provide descriptions of the health system of the country and the final four chapters attempt to assess the management and leadership capacity. The challenges faced by Laos with regards to health management and leadership capacity and performance are similar to those faced by low- and middle income countries elsewhere. They relate both to the competency of managers and the broader health system in which they operate. In seeking to strengthen management and leadership capacity, Laos must not focus only on building the competence of individual managers but adopt a holistic approach that pays equal attention to systemic and structural issues affecting management performance.