2. Governance

 

This chapter will discuss ideal governance, process and institutional attributes of HBP design, adjustment/disinvestment, enforcement and evaluation and discuss how these attributes have or have not been reflected in practice, with attention to the varying institutional and process arrangements that are possible and strategies undertaken to get around obstacles to better institutional design. Attention to conflict of interest, transparency and consultation. Tensions and links to related policies such as pricing, payment/reimbursement, prescribing and legal issues will also be discussed. More specific background papers from Chile, Ghana and Thailand will be referenced. Links will be made to the sections on political economy and ethics, among others. To the extent feasible, operational, legal and legislative issues and context related to governance, process and institutions will also be addressed, or key links provided.