Developing a model for progressing and monitoring governance, leadership and accountability for Primary health Care in a municipal health department: A Case study from Guatemala to inform a fellowship/grant application
Many countries are in the process of developing comprehensive primary health care (PHC) systems to achieve health for all. Within urban centres this task is more complex due to the plethora of health providers that are often private and unregulated. This means that municipal health departments must have strong governance, leadership and accountability structures to ensure the most disadvantaged of people living in cities have fair access to health and health care. This project seeks to develop a model to identify and monitor mechanisms to improve governance, leadership and accountability policies and practices that support PHC within urban municipal health departments.