Description of the governance elements of the adapted framework
| Governance element | Description10 27 |
| Policy guidance and vision | Formulating sector strategies and also specific technical policies; defining goals, directions and spending priorities across services |
| Participation, collaboration and coalition building | Across sectors in government and with actors outside government, including civil society, to influence action on key determinants of health and access to health services; to generate support for public policies, and to keep the different parts connected—so called ‘joined up government’ |
| Accountability and transparency | Ensuring all actors involved in health are accountable to the public as well as to the institutional stakeholders. Transparency is needed to achieve accountability |
| Regulation and incentives | Designing regulations and incentives and making sure they are fairly enforced |
| System design | Ensuring a fit between strategy and structure and reducing duplication and fragmentation |
| Intelligence and information | Ensuring generation, analysis and use of intelligence and information on coverage, service access especially for vulnerable populations |