Health Governance: Concepts, Experience, and Programming Options

Feb 1, 2008


Country health officials and donors have increasingly realized that resources allocated to health will not achieve their intended results without attention to governance. Particularly as global programs inject huge amounts of funding targeting specific diseases, weaknesses in health system governance threaten to undermine the effective utilization of the funds. Corruption is perhaps the most dramatic governance-related threat, but in addition poor accountability and transparency, weak incentives for responsiveness and performance, and limited engagement of citizens in health affairs contribute to low levels of system effectiveness as well.

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