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National Public Health Institutes Organizational Strengthening Module Framework: Applying Organizational Development Principles Cover

National Public Health Institutes Organizational Strengthening Module Framework: Applying Organizational Development Principles

Open Access
|May 2026

Figures & Tables

Figure 1

Improving linkages between public health functions and organizations: U.S. Centers for Disease Control and Prevention.

Table 1

Piloting of OSM framework and tools to date.

OSMTIME FRAME OF ENGAGEMENTMODALITY
Zambia—ZNPHI
Assessment and Mapping of Public Health FunctionsAugust 2021 to November 2021Series of virtual Zoom meetings
Partnership Mapping and Strategy DevelopmentSeptember 2022 to January 2023Series of virtual Zoom meetings
In‑Country Workshop
Liberia—NPHIL
Strategic PlanningAugust 2021 to November 2021In‑Country Workshop
Workforce Strategy and DevelopmentDecember 2022 to June 2023Series of virtual Zoom meetings
In‑Country Workshop
Financial Strategy and DiversificationDecember 2023 to April 2024Series of virtual Zoom meetings
In‑Country Workshop
Strategic CommunicationsMarch 2025 to June 2025Series of virtual Zoom meetings
Sierra Leone—Nascent NPHA
Strategic PlanningFebruary to April 2021In‑Country Workshop
Burkina Faso
Financial Strategy and DiversificationDecember 2023 to April 2024Series of virtual Zoom meetings
In‑Country Workshop
Figure 2

Framework for NPHI strengthening.

Table 2

OSM goals, activities, and key outputs.

ORGANIZATIONAL STRENGTHENING MODULE (OSM)GOALACTIVITIESKEY OUTPUTS
Assessment and Mapping of Public Health FunctionsGuide NPHIs to reflect on and strengthen their role in performing the public health functions outlined in their legal mandate and/or strategic plan.
  • Decision Space Analysis

  • Process mapping building off DSA to identify bottlenecks in processes experienced by NPHI

  • Root Cause Analysis taking process map bottlenecks

  • OSM prioritization exercise

  • Completed decision space analysis matrix for 2–3 functions

  • Process map for 2–3 functional units

  • Completed root cause analysis for identified bottlenecks

  • Prioritized OSMs for future action

Strategic PlanningEnable NPHI leadership to actively engage in the strategic planning process by introducing established strategic planning tools to the local context and fostering country ownership.
  • Conduct environmental scan (SWOT)

  • Draft mission, vision, and values

  • Draft goals and strategic objectives

  • Established and/or clarified the mission and vision of the NPHI

  • Completed SWOT analysis

  • Strategic objectives for 3–5 years

  • Draft NPHI strategic plan

Partnership Mapping and Strategy DevelopmentEnable the NPHI to identify and prioritize key partners and provide support in developing a partnership strategy that addresses challenges and guides partner engagement.
  • Conduct social network analysis (NetMap)

  • Partner presentations and/or discussions

  • Examine partner influence and investment

  • Develop partnership action plan

  • Network map of current and potential NPHI partners

  • Draft partnership action plan

Workforce Strategy and DevelopmentDevelop guidance, tools, and workforce planning approaches to analyze, attract, retain, and nurture talent to meet current and future public health needs to effectively deliver core NPHI functions.
  • Determining strategic direction

  • Supply analysis

  • Demand analysis

  • Gap analysis

  • Culture and core values

  • Completed supply, demand, and gap analysis for NPHI workforce

  • Demographic, capability, engagement, satisfaction, and burnout data for NPHI

  • Draft workforce strategic action plan

Financial Management and DiversificationDevelop a 3–5‑year financial strategy with a focus on strengthening operational autonomy, sustainability, and execution of prioritized NPHI public health functions, as articulated in the organizational strategic plan.
  • Conduct NPHI financial health diagnostic assessment

  • Identify opportunities for improvement

  • Identify strategies and activities

  • Develop action plan

  • Draft financial strategy

Change ManagementGuide NPHI leadership through the fundamentals of change management to be able to understand and develop a comprehensive change management plan for the NPHI’s needs.
  • Articulate “burning platform” for change

  • Form change coalition

  • Develop change vision and communication plan

  • Action plan for change

  • Draft change management strategy (broad, i.e., establishing a new NPHI)

  • Draft change management strategy for OSM implementation (i.e., rolling out new strategic plan or financial management software, etc.)

Strengthening of Governance FunctionsSupport the establishment and/or strengthening of NPHI governance functions to protect the scientific independence, credibility, and agility of NPHIs.
  • Review of current governance structures

  • Identify current and future governance needs

  • Define barriers and resources needed to establish or strengthen governance structures and develop a plan to address them

  • Develop strategic guidance for establishing new governance structures as needed by the NPHI (i.e., board, advisory board, audit unit)

  • Standard operating procedures for various processes

Strategic CommunicationsEquip NPHIs with the necessary knowledge, skills, and strategies to develop a plan in which they can effectively communicate with various stakeholders.
  • Review fundamentals of strategic communications

  • Identify communication goal(s), target audience(s), objective(s), and key messages

  • Review key communication strategies applicable to NPHIs

  • Draft Strategic Communications plan

  • Provide communication strategy toolkit

  • Draft strategic communications plan

DOI: https://doi.org/10.5334/aogh.4994 | Journal eISSN: 2214-9996
Language: English
Page range: 45 - 45
Submitted on: Oct 3, 2025
Accepted on: Apr 14, 2026
Published on: May 22, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Bhakti Hansoti, Catherine Stodola, Smriti Ridhi, Binita Adhikari, Cyrus Engineer, Shelly Bratton, Caroline Carnevale, Julius S.M. Gilayeneh Sr, Roma Chilengi, Sara Bennett, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.