There are three generally accepted health system goals: (1) im-
proved health status through more equitable access to quality
health services and preventive and promotion programmes,
(2) responsiveness to legitimate patient and public expectations
and (3) fair financing that protects against financial risks for
those needing health care (WHO 2000; Roberts et al. 2004).
While lead governance responsibility for these goals lies largely
with state actors, achieving them requires the active engage-
ment of other actors as well