At the beginning of this module
we asked whether health systems are making best use of the social
resources that civil society offers to health, or if health systems
are meeting the public expectations which are channelled through
is still weakly integrated into health systems
The discussion above of areas
where health systems already include a role for civil society
signals that the potential for the effective involvement of civil
society is still unrealized, even while policy commitment exists.
In part this traces back to the perceptions and skills gaps within
health services that discourage groups and organizations outside
the state being included in a more active way. Health leadership
is essential to change this.