Health governance

A neglected and an uncharted path of governance in Africa

Authored by: Oyewale Tomori

Routledge Handbook on the Politics of Global Health

Print publication date:  December  2018
Online publication date:  December  2018

Print ISBN: 9781138238596
eBook ISBN: 9781315297255
Adobe ISBN:


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Governance is too complex for a simple definition. Broadly, governance encompasses ‘the collective action and mechanism of a society to achieve common and agreed goals’ (Dodgson, et al., 2002, p. 6). Governance therefore should, on a daily basis, embrace and have positive effect on every aspect of societal activities, from politics to economy and from health to social activities. There are two major players in the act of governance: the governor and the governed. The governor may include the government, the board/chief executive of a company, or the decision maker in a public or private setting, each holding the reins of power or controlling the instrument of power. The governed are the individuals who make up the society, a group or a company, who benefit or suffer the effect of governance. Ideally and in the strict sense of the word, governance should be of benefit to all involved; however, in reality and for many nations, especially in Africa, poor governance has been responsible for the undesirable state of social and economic development.

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