This is best carried out with
key primary and secondary stakeholders, in a participatory manner.
The state has a number of tools
at its disposal to ensure that activities by non-state actors
are consistent with public health priorities and goals. National
priorities and essential public health measures can be built
into social contracts through:
- legal mandates
- tax incentives
- subsidies and grants for prioritized
- matching grants
- directing complementary state
resources towards particular outcomes
- setting up performance contracts
- building in budget rewards
and penalties for particular outputs.
The state may also use its
powers of supervision and inspection to monitor public health
practice and standards of such work.
The mix of incentive (rather
than punitive) measures and the extent of participation of stakeholders
in forging such state measures will influence the response to
and compliance with these measures.