English
Management is not paperwork.
Not sitting in an office.
Not just telling people what to do.
It means right things, right time, right way.
So children receive safe surgery.
Swahili
Usimamizi si makaratasi.
Si kukaa ofisini tu.
Si kuamuru watu tu.
Ni kufanya jambo sahihi, kwa wakati sahihi, kwa njia sahihi.
Ili watoto wapate upasuaji salama.
English
More children get surgery.
Staff treated and paid better.
Hospital becomes stronger.
Swahili
Watoto zaidi wanapata upasuaji.
Wafanyakazi wanathaminiwa na kulipwa vizuri.
Hospitali inakuwa imara.
English
Children wait.
Mistakes increase.
Staff get frustrated.
Donors lose confidence.
Swahili
Watoto wanasubiri.
Makosa yanaongezeka.
Wafanyakazi wanachoka.
Wafadhili wanapoteza imani.
English
More & better surgeries.
Better pay and conditions.
Sustainable systems.
Every decision must support one goal.
If not — question it.
Swahili
Upasuaji zaidi na bora.
Mishahara na mazingira bora.
Mifumo endelevu.
Kila uamuzi uunge mkono lengo moja.
Kama hauungi — jiulize kwa nini.
English
Busy is not effective.
80% results from 20% work.
Find your vital 20%.
Protect high-impact tasks.
Choose what matters most.
Swahili
Kuwa busy si kuwa na matokeo.
80% ya matokeo hutoka 20% ya kazi.
Tafuta 20% muhimu.
Linda kazi zenye athari kubwa.
Chagua kilicho muhimu zaidi.
English
10 focused minutes daily.
Exercise briefly.
Clear your mind.
Write 3 priorities.
Review yesterday.
Swahili
Dakika 10 kila asubuhi.
Fanya mazoezi kidogo.
Safisha mawazo.
Andika vipaumbele 3.
Pitia jana.
English
Management is influence.
Be clear.
Be calm.
Confirm understanding.
Lead people as they are.
Swahili
Usimamizi ni ushawishi.
Kuwa wazi.
Kuwa mtulivu.
Hakikisha wameelewa.
Ongoza watu walivyo.
English
Outline the task.
Assign ownership.
Review results.
No review = no management.
Review improves performance.
Swahili
Eleza kazi kwa uwazi.
Mpe mtu jukumu.
Pitia matokeo.
Bila review hakuna usimamizi.
Review huleta maboresho.
English
Children are safer.
More surgeries happen.
Funding increases.
Pay improves.
Stress reduces.
Swahili
Watoto wanakuwa salama.
Upasuaji unaongezeka.
Ufadhili unaongezeka.
Mishahara inaboreshwa.
Msongo unapungua.
English
What are the three main goals?
What does 80/20 mean?
What are the 3 steps of delegation?
Why plan in the morning?
Why is communication important?
Swahili
Malengo matatu makuu ni yapi?
Kanuni ya 80/20 ina maana gani?
Hatua 3 za kugawa kazi ni zipi?
Kwa nini kupanga asubuhi ni muhimu?
Kwa nini mawasiliano ni muhimu?
Management is an important organisation function that involves overseeing people and processes and guiding towards a common goal or outcome. Â
For morechildsurgeries.com and CST and Selian Childrens Hospital the common goals we worked through in 2020 from all of you and have stuck to since are:
Hi and welcome to Management Training 2026,
You asked for it—and now you’ve got it. I’m genuinely looking forward to this, and I hope you are too.
We’ll be running Zoom sessions once or twice a month. Macha will send out the invitations ahead of each session.
What’s the purpose?
More and better child surgeries.
You earning more money.
If you turn up and engage, you will learn—and when you pass the short test each session, you’ll earn bonuses on your next pay. There will also be extra bonuses for effective management solutions you implement along the way.
Most importantly, your improved skills will help CST, Selian, and the entire More Child Surgeries program become more sustainable and effective.
You’re also welcome to invite anyone with a genuine interest in helping children.
And if you’re smart, consider allocating a portion of your bonuses to the wealth creation strategies we’ve been talking about.
Let’s make this count.
About the Zooms
Each session will run for 30 minutes total, and we’ll be starting on time. I recommend joining five minutes early—if you miss the first part, it’ll be hard to pass the tests.
Here’s the structure:
20 minutes of training
5 minutes of testing
5 minutes of review (sometimes of this session, sometimes the previous one)
The Textbooks?
They’re essentially what you see here. I’ve read all seven over the Christmas break in preparation for this management training you asked me to do.
Our Core Focus: Child Safety
Rather than following a general management path, we’re anchoring everything around child safety. That’s our lens.
The first three books—Patient Safety, To Err is Human, and Crossing the Quality Chasm—are scientific publications from the American Institute of Medicine. These are Harvard-level textbooks used in their patient safety master’s course. Legitimate and deeply researched.
The next four:
Make It Stick
Essentialism
Never Split the Difference
These are all multimillion-copy bestsellers—proven and practical.
And then there’s Talk by Professor Alison Brooks (Harvard), who has taught her acclaimed communication course for over a decade.
These seven books will shape this year’s practical, purpose-driven management training.
Why it matters:
Children will be safer and better cared for.
You will likely earn more and feel more fulfilled.
Your organisation will grow stronger through your enhanced skills.
Let’s build something worthwhile.
Mal
January 2026
You asked for it—and now you’ve got it. I’m looking forward to walking this path with you.
We’ll meet once or twice a month via Zoom. Macha will send the invites.
Each session runs for 30 minutes. Be early—if you miss the first part, you might miss the test… and the bonus.
Each session includes:
20 minutes – Live training
5 minutes – Test (3 questions)
5 minutes – Review
More & Better Child Surgeries
Better Pay & Conditions for Medical Workers
More Sustainable Hospitals & Health Networks
Your greatest competition is yourself.
Not another hospital. Not another donor. Just the version of you that didn’t plan yesterday.
You can’t outperform your attitude.
What you believe shows up in your work. Fix the mindset. Everything else follows.
Use the 80/20 Rule.
80% of your results come from 20% of your work. Focus on the few actions that matter.
Morning routines work.
Start with:
Quick exercise
Clear the mind
Plan the day:
3 priorities for you
Review yesterday: What worked? What didn’t?
Set meaningful goals.
Your goals + morechildsurgeries goals:
More surgeries
Better pay
Sustainable systems
Don’t expect everyone to be like you.
Lead with strength, not frustration.
Children will be safer and better cared for.
You may earn more and feel more fulfilled.
Your hospital will grow stronger through better skills.
What is management in our work?
Set your personal and team goals
Understand bonuses and expectations
Test Q: What are our 3 goals?
Job allocation and team roles
What systems help children?
Who manages what?
Bring your ideas
Build a simple system for better results
Share with the group
How to ask for help, support, or money
Learn “tactical empathy” (understanding others)
Focus on what matters
Communicate clearly with:
Children
Other medical workers
Donors
MoreChildSurgeries
Good leaders listen
How to manage and report clearly to donors
Celebrate best practices
Share improvements in surgery and care
Test Q: What’s one safety change your team made?
Learn under pressure
Practice remembering and applying quickly
You don’t need a big title to be a leader
Be accountable and lead by example
Reflect on your growth
Connect what you’ve learned to surgeries, pay, systems
Celebrate progress
Plan for 2027
Bonuses + certificates
Test Q: What are you most proud of this year?
Use your bonuses to build long-term success:
Emergency savings
Small investments
Personal development
Â
Let’s learn. Let’s act. Let’s make a difference.
Mal
For CST, Selian & MoreChildSurgeries.com – 2026
Biashara Africa inahusu kukusaidia wewe na familia yako ili uweze kusaidia na upasuaji zaidi kwa watoto na familia zingine.



























Biashara Africa is about helping you and your family so that you can help with more surgeries for children and other families.