This study, a cross-sectional census survey with arncase control analysis, assesses various determinants ofrnfunctionality of District Health Management Teams (DHMTs)rnin Addis Ababa. The questionnaire survey component wasrncarried out among 16 DHMTs from December, 1992 tornFebruary, 1993. The objectives of the study were torndescribe the work of the various health teams andrnclassify them as functional ir nonfunctional. Thernfindings revealed that eight of the DHMTs were performingrn60% or more of the activities mentioned in their jobrndescription, this being the cut-off point for determiningrnfunctionality. The criterion for functionality was thenrnfurther strengthened, limiting functionality to thosernteams who performed 64% of their required activities,rnleaving seven in this category. comparing these with thernfive nonfunctional teams (~ 56% of their requiredrnactivities) various associations between structural teamrncharacteristics and internal team interaction processesrnwere found. DHMT functionality was positively associatedrnwith the academic qualifications of the team leaderrn(OR=14.1 with 95% CI 14-259), with the presence of jobrndescriptions for the team members (OR=4.0 with 95% CIrn3.8-57.3), with the size of the team (OR=10 with 95% CIrn9.98-128.82), and with the presence of researchrnactivities (OR=5 with 95% CI 4.1-106.4). Among the teamrn... eo ' N' .. i