Practicing governance towards equity in health systems: LMIC perspectives and experience
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Date
2017
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed Central
Abstract
The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance
in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative health
system goal addressed through the architecture and design of accountability and regulatory frameworks, these papers
provide insights into the real-world decision-making of health policy and system actors. Their multiple, routine decisions
translate policy intentions into practice – and are filtered through relationships, underpinned by values and norms,
influenced by organizational structures and resources, and embedded in historical and socio-political contexts. These
decisions are also political acts – in that they influence who accesses benefits and whose voices are heard in decisionmaking,
reinforcing or challenging existing institutional exclusion and power inequalities. In other words, the everyday
practice of governance has direct impacts on health system equity.
The papers in the series address governance through diverse health policy and system issues, consider actors located
at multiple levels of the system and draw on multi-disciplinary perspectives. They present detailed examination of
experiences in a range of African and Indian settings, led by authors who live and work in these settings. The overall
purpose of the papers in this
Description
Keywords
Governance, Health systems, Equity, Everyday practice
Citation
Gilson, et al. (2017). Practicing governance towards equity in health systems: LMIC perspectives and experience. International Journal for Equity in Health, 16: 171