Health System Governance: A Triangle of Rules

One well-known challenge of working in multidisciplinary fields (such as global health and health systems) is finding a language that is understandable, recognisable and useable by people from varying backgrounds. Without such language, it is difficult to have discussions that are necessary for multidisciplinary fields to grow and achieve their purpose. Forging a common language requires deliberate effort. Having a widely accepted framework can help, especially when accompanied by theories that connect the categories within the framework. Even then, some issues or subfields require working at a common language more than others — for example, governance, which, as far as words and concepts go, is remarkably nebulous. In this edition of BMJ Global Health, Bigdeli et al offer a promising framework; a ‘triangle of persons’, if you will, to explore hitherto ‘missing links’ in health system governance.

Publication Year:

2020

Publisher

SPARC

Author:

BMJ Global Health
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…