Governance for strategic purchasing: An analytical framework to guide a country assessment

Governance is an overarching health systems function and is about “ensuring strategic policy frameworks exist and are combined with effective oversight, coalition-building, regulation, attention to system-design and accountability”. It equally applies to specific health system components as well as aspects of health financing. Effective governance arrangements constitute a critical enabler for strategic purchasing, i.e. making purchasing more strategic requires strong coordination of all key actors, clear decision-making rules and appropriate regulations. 

The framework provides guidance to assess the following areas