Civil influence is ineffective,
or pushed into conflict, when the structures and mechanisms for
state-civil cooperation are weak. Politicians may also be insensitive
to the social issues involved in health decisions.
Some civic groups and NGOs
have therefore brokered mutually supportive relations between
civil society, state health workers and elected leaders to strengthen
the equitable allocation of public funds.
One example from South
Africa shows how effective such brokering can be.