Governance in Health Care Delivery: Raising Performance

Members document

The World Bank - Maureen Lewis, Gunilla Pettersson

Publication details

Number of pages: 73
Publication date: 2009
Languages: English


This paper suggests that good governance is central to enhancing performance in health care delivery. Crucial to high performance are standards, information, incentives and accountability. While the outcomes are critical, measures of performance indicate whether the health system is meeting its objectives or whether resources are being used appropriately and if the priorities of the government are being implemented.

The paper proposes performance indicators that offer the potential for comparable measures whose collection is not overly complex nor costly. These measures when available are useful tools for cross-country comparisons and for tracking relative health performance and provide the context for the discussion of good governance in health service delivery.