Relationships of power, responsibility and accountability between health systems actors are considered central to health governance. Despite increasing attention to the role of accountability in health governance a gap remains in understanding how local accountability relations function within the health system in Central Asia. This study addresses this gap by exploring local health governance in two districts of Tajikistan using principal-agent theory.

The results of the study:

These Public Expenditure and Accountability (PEFA) evaluation reports are the results of a joint project carried out by evaluators, authorities and regional government officials to systematically measure the quality of public finance management in different regions of Peru.

The quality control process followed for the preparation of this report complies with all the requirements of the Secretariat for the Public Expenditure and Accountability Program (PEFA) in Peru. 

This publication is the output of the latest collaborative project between the Basel Institute on Governance and the World Health Organisation Regional Office for Europe.

The document, which is co-edited by Juan Tello of WHO and Claudia Baez Camargo of the Basel Institute, offers a comprehensive view of the various manners in which different WHO member states have strived to improve their governance performance and specially throws light as to how different strategies to improve accountability have been rolled out responding to variations across institutional frameworks.