This cross sectional study assessed organizational management of district hospitals in terms of operational planning and follow-up, program and guidelines, organizational and work routines, personnel, facilities and medical equipment, process orientation and control. Four district health centers employees (n=208) were involved. We assessed using Likert-type scale ranging from 1 (very poor) to 5 (excellent). The overall mean score given to organizational management was 3.09 +/- 0.91. There was statistically significant difference in assessing operational planning and follow-up (p<0.044) and control (p<0.014) by different occupations. In conclusion, the findings confirm our hypothesis that there is a lack of management capacity within the public sector in Ulaanbaatar.
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