Health systems governance

We believe that robust Health Systems Governance is critical to the successful management and delivery of quality health services. Our team focusses on projects working with governments to reinforce good governance and leadership at all levels of the health sector.

Specifically, we work on:

• Improving understanding of the strengths and weaknesses of health systems at national, sub-national, and facility levels;
• Strengthening leadership and management capacity development of health managers;
• Improving understanding of the incentives that drive decision-making across the health system and how to use this understanding to inform reforms;
• Supporting countries to increase inclusivity in health management; and
• Strengthening health sector financial management.  

We do this through:

• Undertaking health sector assessments and development of strategies and business cases to improve coordination and efficient use of health funding;
• Supporting training needs analyses and providing a mix of formal training, on-the-job training, coaching, and mentoring;
• Undertaking Political Economy Analysis (PEA) to delve deeper into the incentives and motivations of different actors in a particular health system and context;
• Applying adaptive management, ‘doing development differently’, and gender transformative approaches in our support to countries;
• Working with governments to improve public financial management systems analysis and operations; and
• Supporting governments to integrate and regulate private and community health services.
• Thought leadership and publications that use the expertise, insights, and experience from our research and practice.

Examples of our thought leadership include:  

• Governance in Health - The Need for Exchange and Evidence Comment on "Governance, Government, and the Search for New Provider Models", International Journal of Health Policy Management. 
• How performance targets can ingrain a culture of ‘performing out’: An ethnography of two Indian primary healthcare facilities, Social Science & Medicine.