Abstract
The purposes of this study were: 1) to study organizational effectiveness, transformational leadership,
and good governance of district health office, 2) to study relationships among transformational
leadership, good governance, and DHO’s effectiveness, and 3) to study impacts of transformational
leadership and good governance on DHO’s effectiveness. This study was a descriptive research by using surveys. The units of analysis were chief district health officers, administrative personnel, academic
personnel, and directors of subdistrict health promoting hospitals from all 54 DHOs in Health Region 3
for a total of 270 samples. The research instrument was a 5-point rating scale questionnaire. The content
reliability was 0.982. The analysis for frequency, average, standard deviation, and one-sample t-test was
done on SPSS for Windows, and the analysis for validity was done on LISREL 8.8.
The results were: 1) The levels of organizational effectiveness, transformational leadership, and
good governance were between 3.72 and 4.21 which were higher than 3.5 in 5-point rating scale (p < 0.01).
2) Organizational effectiveness, transformational leadership, and good governance had high pairwise
correlation coefficients between 0.745 and 0.819 (p < 0.01). 3) Transformational leadership and good
governance together influenced the effectiveness by 70.90 percent of variance (p < 0.01).
Suggestions from this research: To improve DHO’s effectiveness, one should emphasize on the
leadership development for CDHOs so that they have transformational leadership and good governance.
Moreover, Ministry of Public Health should develop a policy guidance for assessing transformational
leadership and good governance in a selection process for the position.
