… which can be managed if the benefits are clear to both
For all groups, participation must be seen to affect outcomes and produce visible results. Equally, participation should enhance the possibilities for meaningful public input, including from the poorest groups, rather than provide one more bureaucratic structure that distances systems from knowing about, understanding and addressing pressing health issues. These conditions mean that there can be no prescriptions or simple paths to supporting effective civil involvement or civil-state relations in health. It calls for judgement, key informant input and taking advantage of existing initiative and capacities. The next section outlines some of the tools that may be used for this and ways of assessing the effectiveness of work with civic groups.  

site map
forward and back

Enhancing civil society

Priority health problems

Facilitating roles
Interactive exercise

Policy accountability

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