Despite the constitutionally established principle of co-operative governance across national, provincial and local government in South Africa, in practice the two local organizations (MDHS and City Health) have health structures and processes, such as organograms and meetings, that are not fully aligned.
The National Health Act (Government of South Africa 2005) sets out principles of co-operative governance between the three spheres and adopts a primary health care (PHC) approach in transforming the health system using a district health system model, as is common in other African settings (WHO Regional Office for Africa 2008; WHO Regional Office for the Eastern Mediterranean 2010).
David Ogwang, Farm Africa's representative in Katine and the only remaining member of staff from the initial project, says the NGO's support included training for the board and staff in co-operative governance, financial management and business skills.
Then there's the extraordinary swagger shown by Co-operative Governance Minister Sicelo Shiceka as he confronts a mountain of breathtaking evidence compiled by the country's public protector.
The co-operative governance of primary level health services requires structures and processes for co-ordination and collaboration between the two organizations.
In the embedded case study reported here, the principle of co-operative governance embedded in the overarching design of the South African political and health system was brought alive locally through the shared development of norms and values to enable trusting relationships and guide collective action.
The conclave of developed and developing countries was supposed to usher in a new epoch of more co-operative global governance, and so it did – for the first 12 months after the G20's inaugural meeting in Washington in 2008.
These are some: The involvement of multiple stakeholders in the ownership and governance of co-operatives is not straightforward.
Many Labour MPs are sponsored by the Co-operative party, but the poor governance and losses at the Co-operative Group have strained that relationship.
We now hope that our support of the offer will play its part in the future success of the bank under the innovative hybrid structure which enshrines co-operative values while providing sound governance and access to capital markets".
The committee's chair, John Whittingdale, says: "The Government has said it will encourage the reform of football governance rules to support the co-operative ownership of clubs by supporters, and there is widespread concern that the current governance arrangements are not fit for purpose".
