World Health Organization Regional Office for the Western Pacific

Leadership and governance / stewardship



Governance (or stewardship) is responsible attention to something entrusted to one's care. In the context of health it refers to the wide range of functions carried out by governments in their work to achieve national health goals to improve population health while ensuring equity in access to services, quality of services, and patients' rights. Governance is also concerned with the roles and responsibilities of the public, private and voluntary sectors - including civil society - and their relationships with each other, in the provision and financing of health care in pursuit of national health goals.

Effective governance implies leadership in maintaining the strategic direction of health policy development and implementation; detecting and correcting undesirable trends and distortions; articulating the case for health in national development; regulating the behaviour of actors involved in financing and delivery of health interventions; establishing effective accountability mechanisms and promoting healthy public policy and legislation in other areas of government that impact on peoples' health. In countries that receive significant amounts of development assistance, governance will be concerned with managing these resources in ways that promote national leadership, contribute to the achievement of agreed policy goals, and strengthen national management systems. While the scope for exercising governance functions is greatest at the national level, the concept can also cover the steering role of regional and local authorities.

Fact sheets

News and press releases

No news/press releases available at this time.

Relevant publications and documents

Towards better leadership and management in health

Western Pacific Country Health Information Profiles

A Tool to Assist Implementation of the International Health Regulations through Law by Mrs Josephine Cooper
The document "A Tool to Assist Implementation of the International Health Regulation through Law" includes a checklist that identifies the IHR (2005) requirements that apply both to State Parties and their competent authorities. These need to be evaluated in a local context to determine whether legislation is needed or not and, if so, whether current legislation is adequate or requires amendment.  The checklist has the further potential of being the basis of a model International Health Regulations (2005) (Adoption and Implementation) Act in which it could be provided that such an Adoption and Implementation Act prevails over previously enacted domestic laws to the extent of any inconsistency should the ideal of specific amendment of all existing affected laws not be feasible within required time-frames.[full text]

Aid Effectiveness and Health

Workshop on Public Health Law in Pacific Island Countries (Auckland, New Zealand)
The Workshop on Public Health Law for Pacific Island Countries was conducted in Auckland, New Zealand, from 12 to 15 February 2007 by the World Health Organization’s Regional Office for the Western Pacific.

Draft Cabinet Paper for the Implementation of the International Health Regulations
This draft generic Cabinet paper, prepared by Mrs Josephine Elizabeth Cooper, is for the use of the Ministers of Health and other Senior Officials for briefing governments on the legislative interfaces to be managed in the implementation of the International Health Regulations 2005 (IHR 2005).

[more publications and documents]

Upcoming meetings and events

No meeting/event planned at this time.



Print      Bookmark   Feedback   More

Contact Information

Health Services Development Unit