Primary outcomes District management functions refer to the functions of budgeting and expenditure control, supervisory practices, staffing, planning and resource allocation, procurement of supplies, maintenance, local adaptation of national policies, and revenue raising and training. Leadership functions stand for interagency coordination, inter-sectorial collaboration, strategic orientation, and staff alignment and motivation Managerial and leadership functions are what Gilson (2012) refers to as the meso-level health system functions. | Â |