Governance in obstetrics and gynecology associations in sub-Saharan Africa: Challenges and adaptive strategies for enhanced organizational effectiveness.

Abstract

This review examines the governance structures of professional associations within the obstetrics and gynecology sector in Sub-Saharan Africa (SSA), emphasizing the need for adaptive and resilient governance models. Using a mixed-methods approach, this study integrates quantitative and qualitative data to assess the effects of governance on organizational effectiveness. The findings indicate that adaptive governance significantly enhances organizational resilience and performance. The review highlights specific governance challenges unique to the African context, such as resource limitations, cultural diversity, and regulatory variability. Recommendations are made for the implementation of flexible, context-aware governance frameworks that can improve health outcomes by enhancing the operational capacities of professional associations in SSA.