Progression pathway for governance of mixed health systems

Overview

The Progression Pathway for Governance of Mixed Health Systems aims to guide countries in governing mixed health systems to achieve universal health coverage (UHC). While the private sector's role in health offers benefits, it also poses challenges to equity, access, and financial sustainability if not properly governed. WHA Resolution 63.27 urges governments to gather strategic intelligence to assess the private sector's impact, identify engagement strategies, and develop regulatory frameworks for universal access and people-centered primary care. A collaborative "steering" approach to governance is recommended. The Progression Pathway has been designed to support the work of government agencies in three ways: 1. Identify the governance arrangements and capacities needed to deliver better health outcomes that will work in their context. 2. Take stock of existing governance arrangements and capacities, their strengths and weaknesses and identify the priority areas for improvement. 3. Help define strategies and specific actions for strengthening governance arrangements focused on building the capacity to make and implement health policies in the private sector to improve healthcare access, quality, and cost-effectiveness. It offers multiple entry points to work on health systems governance, such as informing the development or review of national health strategies. It can also serve as a reference tool for donors and international agencies supporting health system reform in a country.