Effective civil participation requires the existence of mutually trusted mechanisms…

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.


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Enhancing civil society

Priority health problems

Facilitating roles
Interactive exercise

Policy accountability

Equity in health
Responding to communities
The potential for success
Interactive exercise