Local and Sub-National Governments

Local government partners aim to increase access to quality, affordable care and maximize impact from resource investments in health.

Characteristics and Strengths

  • They are often led by locally elected political leaders and are motivated to demonstrate health impacts for continued political support
  • Tend to be more accountable to local communities
  • Have a thorough understanding of the local context and health needs of local communities
  • They often have the legal and administrative mandate to set local health priorities, plan, allocate and mobilize resources, and deliver primary health care to their respective communities
  • They are guided by national health strategy and community health strategy
  • They are responsible for managing CHWs
  • They are often motivated to adopt digital health technologies
  • May have deployed, or are planning to deploy, digital health tools in the community health space
  • Comparatively, they have less cumbersome bureaucratic processes and red-tape in building partnerships

Values

  • Health and well-being of their citizens
  • Equitable access to quality health care services
  • Social health protection of their constituencies
  • Local leadership and decentralization in health
  • Innovation and digital technologies in community health space
  • High impact door-step health care
  • Community participation
  • Partnerships with non-state actors
  • Cost-effectiveness
  • Sustainability

Needs

  • Health systems strengthening support to keep up with growing population needs and tackle emerging public health challenges, e.g. NCDs
  • Better institutional capacities to manage community health programs
  • Regular guidance, coordination and support from the state/provincial and national governments
  • Better data systems for evidence-based planning and monitoring
  • Technical partnership and support to manage digital health technologies