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Global Health Justice and Governance$
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Jennifer Prah Ruger

Print publication date: 2018

Print ISBN-13: 9780199694631

Published to Oxford Scholarship Online: June 2018

DOI: 10.1093/oso/9780199694631.001.0001

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Shared Health Governance at the Domestic Level

Shared Health Governance at the Domestic Level

(p.359) 12 Shared Health Governance at the Domestic Level
Global Health Justice and Governance

Jennifer Prah Ruger

Oxford University Press

While no society can guarantee good health, societies can, if they will, create the conditions—effective institutions, social systems, and practices—to support all members as they seek to achieve central health capabilities. The SHG model sets out allocations of responsibility, resources, and sovereignty to state and non-state actors and institutions, NGOs, the private sector, communities, families, and individuals themselves. The primary responsibility for efficiently preventing and reducing shortfall inequalities in central health capabilities falls to the state, because national governments have the authority and resources to create health system infrastructures, including health care, public health, and other systems affecting health. State duties include developing and maintaining a national health care and public health policy and system and guaranteeing a universal comprehensive benefits package of medically necessary and appropriate goods and services as well as ensuring the social determinants of health.

Keywords:   central health capabilities, public health system, shared health governance, sovereignty, responsibility, resources

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