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The difference in providers' preferences for SP for management of uncomplicated malaria may also be related to performance of the health facilities governing committees.
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The public sector consists of health facilities governed by the Ministry of Health (MOH), Royal Medical Services (RMS), and University Teaching Hospitals (UTHs).
Community participation in service delivery through health facility governing committees would improve governance of the health services by the users.
The communities are linked to the health system through health facility governing committees, which have been formed by a local government act (30).
In rural areas, training of facility governing committee members and supervision were substantial costs (Table 4).
However, many health facility governing committee were reported to be weak, raising CHMT concern over their governing functions.
Council Health Service Boards (CHSBs) and health facility governing committees (HFGCs) operate at the district level and at the facility level respectively.
In practice, as its name suggests, a health facility governing committee serves the purpose of appraising and approving 'curative' plans drafted by the health facility medical staff.
Although health facility governing committees and VHWs serve as a bridge between the health system and the communities, their involvement is largely in approving facility-based plans.
Health facility governing committees (HFGC) are needed to improve quality services delivery, either by overseeing facility resources or holding accountable health service providers.
(CHMT member 7) In addition to this, the respondents indicated a desire to have effective community participation through active health facility governing committees.
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