The 2000 World Health Report unambiguously states that people are the centre of health services.

Health systems must reach people and be acceptable to them to be successful - whatever other measures are put in place to finance, provide, use or guide them.

Good policies informed by evidence are essential to improving health systems and health outcomes. So too is the effective organization of the social forces and capabilities that ensure and enable the implementation of these policies.

Public pressure is as much a vehicle of transformation as is technical argument. It needs to be equally explored, understood, fed with information and effectively organized.