Why is there a need?
Health systems governance debates remain often elusive. Many governance discussions do not focus on systems or concrete, rooted actions enough. They remain in the world of high-level discourse. Intentions are honorable, but for people in the rough and tough realities of many places in the world, they are inadequate. This is why we focus on “actionable governance”, governance that addresses real challenges in health systems.
While there is often enough money and knowledge in health, compromised governance is often the stumbling block. In all the discussions around Universal Health Coverage, governance is seen as one of the crucial crosscutting prerequisites for success.
There is an urgent need for more local focus and new ways of operating. We need to have a different conversation about governance, and find new ways to deal with the issues that we face.