In using the HSG framework it needs to be recognized that the principles are value driven
and not normative and are to be seen in the social and political context; and the framework
relies on a qualitative approach and does not follow a scoring or ranking system. It does
not directly address aid effectiveness but provides insight on the ability to utilize external
resources and has the ability to include the effect of global health governance on national
HSG as the subject itself gets better crystallized.