The inclusion of stakeholders on a more formal basis for example in a standing committee or by officially delegating health policy and implementation responsibilities to them can strengthen the effectiveness and responsiveness of primary care policies.
Displacing state employees at a higher cost Cognizant is handling critical implementation responsibilities such as quality assurance; verification and validation tasks; building and maintaining the MMIS (which is currently done by qualified state employees).
The Ministry of Health takes the overall responsibility to manage and supervise the scheme while the policy implementation responsibilities are decentralized to county level governments.
To focus exchanges on implementation, visiting teams were encouraged to include participants who could represent the contrasting implementation responsibilities of each level of the system: the District Health Management Team, at least 1 subdistrict supervisory team, and 2 or more CHOs from the participating subdistrict.
Here, and elsewhere, "binding" would imply clear legal language that makes implementation a responsibility that states would, and could, be held accountable for.
Whereas, semi-structured guide for stakeholders mainly revolved around knowledge about the strategy, policy, and planning initiatives in implementation, expected responsibility in implementation and perception about implementation of the strategy at PHC facilities.
The interview guidelines covered topics such as entitlements and their allocation, utilization forms, the negotiation of regulations and their implementation, management responsibilities and practices, and conflict resolution.
(Hospital Manager 7, Provincial Hospital, North West Province)In the study provinces, the OSD implementation was the responsibility of the Human Resource divisions of the provincial health departments.
