Governance Health Systems Health Organizations Image Governance of Health Systems and Health Organizations

Governance of Health Systems and Health Organizations is intended to support the important work of the leaders who govern health service delivery organizations. While the principles and practices described in this chapter apply to diverse organizations in a country’s health sector, including health insurance organizations and pharmaceutical and biomedical supply organizations, the focus here is principally on organizations that deliver health services or advocate for better health care and health gain. The chapter presents the four essential practices for good governance in health sectors and health institutions and explains the application of the four practices within governmental organizations, multi-sectoral organizations, and nongovernmental organizations (NGOs) or civil society organizations (CSOs), respectively. These practices are cultivate accountability, engage with stakeholders, set shared direction, and steward resources. (This publication is Chapter 3 of Health Systems in Action: An eHandbook for Leaders and Managers).

health systems strengthening, organizational development, organizational improvement, health outcomes, human resources management, administration


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Success Stories

Ministry of health officials and provincial public health coordination committees (in Afghanistan), Ministry of health officials and their partner civil society organizations (in Nigeria, Togo, and Mali), MSH Master Trainers and University faculty (in Ethiopia), and Regional and district health officials (in Cote d’Ivoire) have used this tool. The tool was used in the course of governance workshops organized for the purposes of governance action planning, governance orientation, governance assessment, or governance training of trainers. The tool influenced governance knowledge and governance practice of the participants.

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