ArticleHealth policy and planning2022
Theorizing community health governance for strengthening primary healthcare in LMICs.
Article in Health policy and planning, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Predicting the status of 35 sustainable development goal indicators in Indian villages: a semi-supervised machine learning approach for precision public policy.The Lancet regional health. Southeast Asia · 2026Article
- Public Health Policy Responses to Population Aging in Mexico: A Rights-Based and Socio-Legal Approach.Healthcare (Basel, Switzerland) · 2026Review
- Role of health workers and representative health worker organisations in LMIC pharmaceutical policy: a scoping review protocol.BMJ open · 2025Article
- Licensing Issues at Primary Clinics Resulting From the Omnibus Law in Indonesia: A Case Study From Surabaya City.International journal of health policy and management · 2025Article
- Contribution of health system governance in delivering primary health care services for universal health coverage: A scoping review.PloS one · 2025Article
- Analyzing Primary Healthcare Governance in Indonesia: Perspectives of Community Health Workers.Cureus · 2024Article
- Article
- How can community participation strengthen a health insurance system? The case of health insurer's user associations in Colombia.BMJ global health · 2022Article
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2 authors.
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Abstract
In recent years, community health governance structures have been established in many low and middle-income countries (LMICs) as part of decentralization policies aimed at strengthening primary healthcare systems. So far, most studies on these local structures either focus on measuring their impact on health outcome or on identifying the factors that affect their performance. In this paper we offer an alternative contribution that draws on a sociological interpretation of community health governance to improve understanding of how the government's policy vision and instrumentation translate to interactions that take place within local spaces at field level. We study 13 Village Health Sanitation and Nutrition Committees (VHSNCs) in Karnataka, India, from 2016 to 2018 focusing on sanitation, nutrition and hygiene which remain impediments to improving primary healthcare amongst poor and marginalized communities. Three local governance mechanisms of horizontal coordination, demand for accountability and self-help help to explain improvements that have taken place at village level and contribute to the creation of a new theory of community health governance as evolving phenomenon that requires a constant process of learning from the field to strengthen policymaking.
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