In Uganda, the Health Policy Analysis Committee (Additional file 1: Panel 2) has progressively played a prominent coordinating role while in the case of Cameroon a technical secretariat was established to steer and pilot the implementation of the health sector strategy with less responsibility.
The first phase has been the implementation of the formal-sector programme, which began four and half years ago.
Sufficient professional nurses seem to be a necessary condition for the successful implementation of the public-sector ART programme (at baseline), but not a sufficient one.
We argue that lack of locally perceived legitimacy is one of the most important underlying reasons for the troublesome implementation of the recent forest sector reforms in Peru.
Although external partners are involved in the coordination process, it is the government which is ultimately held accountable for failure or success in the implementation of the annual health sector action plans.
There is a need for the Planning and Budgeting Unit of the Ghana Health Services to continually monitor the productivity growth, allocative efficiency and technical efficiency of all its health facilities (hospitals and health centres) in the course of the implementation of health sector reforms.
In spite of the several reported achievements, there are also reported challenges facing the implementation of health sector decentralization in different countries in the world.
Thus health worker migration matters because human resources are fundamental to the delivery of health services, and explicit human resource policies are crucial for the implementation of health sector reforms in low and middle income countries, and for the achievement of the Millennium Development Goals[4].
As current immunization services management and delivery systems were substantially defined and implemented in the period 1992-1996, prior to the recent implementation of health sector reforms, an immunization services review is timely in this transitional period.
However, health workers do play an important role in the implementation of health sector reform policies.
