As responsibilisation strategies rely on the agent's activity and spontaneous initiative, the voluntary self-assignment of specific responsibilities, and the implementation of practical steps for their fulfilment, it might be said that responsibility in RRI is essentially an entrepreneurial attitude and a disposition of the subject.
In Bangladesh, the delivery of health and family planning services for 300 000 rural populations is coordinated from the sub-district (upazila), the lowest administrative structure with substantial responsibilities for planning and implementation of all development activities in rural areas [ 14].
Nansi Ellis is the Association of Teacher and Lecturer's (ATL) assistant general secretary with responsibility for development and implementation of all aspects of policy.
While residents and fellows have input on the decision-making process, attending Intensivists have full responsibility for development and implementation of the daily healthcare plan on each patient in the ICU.
Due to the fact that the Spanish National Health System is organized in ACs with full responsibility on planning and implementation of specific intervention programs [e.g., breast cancer screening], it is expected a cluster effect explaining part of the variation on surgery rates.
Assignment of responsibilities and arranging for implementation of a roadmap and monitoring plan.
Key components of the guidelines include: setting objectives and targets; identifying the logistics context, including identifying key actors and assessing their requirements for improving city logistics; identifying policy measures and service designs which can be analyzed and assessed; assignment and distribution of responsibilities; and development of implementation and monitoring plans.
After introducing near-miss case reviews in five hospitals in Benin, we performed a process evaluation to assess to what extent audit teams were able perform near-miss case reviews according to the rules, that is, to identify CMPs and underlying causes, propose solutions, define responsibilities and document the implementation of solutions.
It is known to lead to confusion, not only with the designs, but also with roles and responsibilities during implementation of programmes and projects based on it.
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.
