… and transparent mechanisms for allocating resources

State-civil partnerships are more likely to be trusted where resource allocation mechanisms are based on shared and public evidence, and incorporate agreed priorities. Fiscal decentralization -the devolution of authority over revenue or expenditure decisions to lower levels of government or health systems - is sometimes proposed as a means of strengthening public accountability. However, it is not a sufficient measure unless specific mechanisms are built in for policy accountability, management accountability and transparency.

Civil society has been noted to play an important local role in furthering these policy goals, both in making localized revenue control more transparent and accountable, and in ensuring that expenditures match wider public priorities (Litvak et al., 2000).


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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