The essence of governance in health development

Kirigia, Joses Muthuri; Kirigia, Doris Gatwiri

doi:10.1186/1755-7682-4-11

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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