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True, cultural aspects do affect the responsiveness of citizens to efforts from municipal authorities to encourage water savings.
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The basic responsibility of citizens is twofold.
Infrastructure management at the level of the municipality represents an advantage in terms of the exercise of democracy and responsiveness to citizens, but economic growth and the availability of resources will struggle to keep apace of the requirements of urban populations.
Both reports concluded that responsiveness to citizens' expectations was a valued and desired outcome of health system performance.
Provision of health services (of which HRH is a key element) leading to increased state responsiveness to citizens' needs, which in turn increases legitimacy in their eyes.
The main goal of such reforms was to enhance equity, increase efficiency and ensure more participation and responsiveness of government to citizens (3– 11) (see Box 1).
The often-stated aims of these reforms are to enhance the responsiveness of government to citizens, to stretch the effectiveness of scarce public resources and to move decision-making closer to the constituents of the public sector.
Effective health systems enable the responsiveness towards legitimizing the expectations of citizens and fairness of financing.
While national elections enjoy relatively healthy turnouts all across the massively complex Indian demographic (58.4percentt of the electorate voted in the 2009 national elections), a certain resignation and deep skepticism lingers regarding the responsiveness of government to its citizens.
We also seek to understand the practices that might strengthen accountability in ways that improve responsiveness – of the health system to citizens' needs and rights, and of providers to patients.
The physical shape of cities will determine the behaviours of its citizens and the responsiveness of its institutions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com