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Table 2 An hypothetical country health development governance index

From: The essence of governance in health development

Sub-functions of health development governance Actual
Score
(A) 		Maximum
(B) 		Minimum
(C) 		Sub-function
Governance
Index
(D) = (A-C)/(B-C)
1.1 Leadership responsibilities 20 100 0 0.20
1.2 National health policy (NHP) 15 100 0 0.15
1.3 National health strategic plan (NHSP) 10 100 0 0.10
1.4 Dissemination of NHP and NHSP 40 100 0 0.40
1.5 Implementation of NHSP 32 100 0 0.32
2.1 Existence of health-related legislation 32 100 0 0.32
2.2 Enforcement of health-related legislations 23 100 0 0.23
3.1 Participation in NHP and NHSP development 12 100 0 0.12
3.2 Participation in NHSP implementation 13 100 0 0.13
3.3 Participation in tracking of progress 11 100 0 0.11
3.4 Responsiveness to communities non-medical expectations 14 100 0 0.14
4.1 Intersectoral action 15 100 0 0.15
4.2 Public-private partnerships 16 100 0 0.16
4.3 Alignment of aid flows to national health development priorities 17 100 0 0.17
4.4 Strengthen capacity by coordinated support 18 100 0 0.18
4.5 Use of country procurement and public financial management systems 19 100 0 0.19
4.6 Strengthen national capacity by avoiding parallel implementation structures 20 100 0 0.20
4.7 Aid is more predictable 21 100 0 0.21
4.8 Aid is untied 32 100 0 0.32
4.9 Shared analysis 33 100 0 0.33
4.10 Sufficient integration of global programmes and initiatives into NHSP 43 100 0 0.43
5.1 Horizontal equity 54 100 0 0.54
5.2 Vertical equity 65 100 0 0.65
5.3 Fairness in financial contribution 55 100 0 0.55
6.1 Allocative efficiency 22 100 0 0.22
6.2 Technical efficiency 21 100 0 0.21
6.3 Productivity growth 25 100 0 0.25
6.4 Institutionalization of efficiency monitoring 51 100 0 0.51
7.1 Existence of transparent results-oriented reporting and assessment frameworks 52 100 0 0.52
7.2 Diagnostic reviews 53 100 0 0.53
7.3 Use of information from diagnostic reviews 54 100 0 0.54
7.4 Publishing of audit reports for public consumption 61 100 0 0.61
8.1 National health research systems 62 100 0 0.62
8.2 Health knowledge management systems 62 100 0 0.62
8.3 Health management information systems 63 100 0 0.63
8.4 Information, Communication and Technology Connectivity 64 100 0 0.64
9.1 International ethical guidelines for medical practice and health research 65 100 0 0.65
9.2 Bioethics review system 71 100 0 0.71
9.4 Institutionalization of ethics training 72 100 0 0.72
10.1 Link between NEDP, PRSP and NHP/NHSP 15 100 0 0.15
10.2 Existence of a MTEF 20 100 0 0.20
10.3 Political stability 10 100 0 0.10
     14.73
OVERALL GOVERNANCE INDEX: 0.35
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