Change, a constant everywhere, seems particularly prevalent in the World Health Organization (WHO), and is coming again. On 21 July 2003, 57 year-old Dr Jong-Wook Lee of the Republic of Korea, took his place as the sixth WHO Director-General. He inherits a swollen organization that has put health on the political agenda and made many commitments for the next 12 years. He faces an or-ganization often described as underfunded, overcommitted, burdened with bureaucracy, and decades behind in its approach to management and governance. And he faces an organization that has seen many faces and much corporate history disappear in the past few years; one in which many of us now know few others. Tremendous challenges lie ahead, but Dr Lee is well qualified to address them. To begin with, he has spent 19 years inside WHO, in a variety of positions at country, national and headquarters levels. He has held tough portfolios in leprosy, polio, TB, and vaccine preventable diseases of children, as well as working in chronic care. And he is known as a patient listener, a sound administrator and a strong alliance builder. Dr Lee understands that to sustain an organization or a program requires stable resources, be they finances, staff, buildings, or technology. Among his priorities he cites his plans to: better use resources to serve countries more effectively, to run WHO more efficiently, to ensure that WHO becomes more accountable, and to strengthen human resources both inside WHO and within its member states. Committed to achieving tangible and measurable health outcomes, he plans to move more resources closer to the people needing them. He also promises to enhance transparency and communications so that people can work effectively together. What is most exciting is that these intentions imply strong support for the concepts of Primary Health Care, and a renewed commitment to Health For All. These are ideals close to the heart of nurses – ones for which we work and advocate daily. Today more than 12 million nurses stand ready to help advance a WHO agenda that addresses the ideals of primary health care, values the contributions all health professionals can make, and encourages nurses, midwives and others to work to their full potential in achieving the vision of healthy nations in a healthy world. But the real challenge for Dr Lee is internal. The challenge is not change itself, but managing the transitions that accompany successful change – the ‘psychological orientation’1 people must go through before the change can work. Managing the organizational and personal transitions – helping shift the internal culture as fluidly as possible – takes time and energy, and real belief in the importance of a positive work environment. Transitions should never be underrated. Today we have much evidence that managing them is worth the effort and much more to show that, without transitions, change simply doesn’t work. Dr Lee, we wish you highly successful transitions.
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