Principle | Domains |
---|---|
Strategic vision | |
 Strategic vision means that actors should have strategic direction with clear priorities, roles and performance targets; and a shared long-term goal and strategic plan | Organisational autonomy of purchasing agency and providers. Selective contracting with providers |
Participation and consensus orientation | |
 People should have voice in decision-making for health, either directly or through their legitimate intermediate institutions that represent their interest | Participation in implementation of evidence of tax payment. Engagement of Local Health Authority Secretaries in reimbursement process. |
Rule of Law | |
 Legal frameworks pertaining to health and standards, guidelines, policies, and regulations should be fair and consistently enforced. | Enforcement of reimbursement standards |
Transparency | |
 Processes, institutions and information needed to monitor health matters are directly accessible to relevant health system actors when and where they are needed. | Transparency of benefit package design and reimbursement of providers. |
Responsiveness | |
 Institutions and processes should try to serve all stakeholders to ensure that policies and programs are responsive to health and non-health needs of its users | Policy modification through implementation, resource gaps and implications. |
Equity and inclusiveness | |
 All men and women should have opportunities to improve or maintain their health and well-being | Equity in access to free care |
Effectiveness and efficiency | |
 Processes and institutions should produce results that meet population needs and influence health systems outcomes without waste of resources | Organisational capacity of Steering and Implementation Committees of FMCHP |
Accountability | |
 Public officials and service providers are answerable to the public and institutional stakeholders for processes and outcomes. | Citizen-driven accountability in purchasing |
Intelligence and information | |
 Timely generation, collection, analysis and dissemination of accurate information to provide evidence for informed decisions that influence behaviour of different health system actors. | Availability of information technology-driven provider payment system. Generation and use of data for wider system monitoring and decision-making. |
Ethics | |
 Policies and institutional mechanisms should promote and enforce high ethical standards in healthcare and safeguard interests and rights of patients. | Rationing of free services and ethical standards of care. |