Nor are the authors convinced that governance systems, such as ethics committees, can be truly regarded as risk reduction mechanisms.
Our analysis is thought to be generalizable across different corporate governance systems, such as the US-American one-tier system or the German two-tier system.
However, in focussing on the dynamics of vertical governance, direct comparisons can be made to governance arrangements in other contexts, including in federal governance systems such as Mexico and India, decentralised systems such as those found elsewhere in the Caribbean and other multi-layered systems of governance, such as the European Union.
Multi-level governance systems such as the PHC system in Nigeria are described as 'polycentric' when the different levels of decision making are formally independent of each other, whether or not they actually function independently (Ostrom et al. 1961).
CEO salaries of tens of millions of dollars--which empty out the corporate treasury and leave nothing for average workers--exist because our leaders have allowed a corporate governance system that allows such looting.
Developing institutional interaction and soft modes of governance between the EU, the Regional Sea Conventions, Member States and the governance arrangements of the different marine sectors will be crucial in evolving towards such a nested governance system for EBMM.
The aim of this paper is to start a debate as to what such a global governance system might look like, and how it might be constituted.
Inputs and process can include changes to the health system, such as changes to governance, financing, infrastructure, information and communication technologies, health workforce, and supply chain [ 17].
The study reiterates the need for fully integrating such innovations into the district health governance system if they are to be effective.
