Historically, the state has been the primary developer and organizer of health systems. In many countries, state-driven welfare systems and government-sponsored associations going down to grass-roots level were used to build trust and legitimacy around policies and programmes that were essentially developed at central level.

Yes. Styles of governance are changing…

Liberalization policies have widened the roles, responsibilities and burdens of social actors outside the state. They have led to a refocusing of the relationship between state and non-state actors in shaping and implementing public policy.