Navigating governance for equitable health systems: ethical dimensions, ideological impacts, and evidence-based improvements

  • Rita Komalasari Yarsi University
  • Cecep Mustafa


The essay's purpose is to comprehensively address the gaps in the literature by analyzing the ethical dimensions of selective partnerships, the influence of political ideologies, the importance of comprehensive analytical work, and the synthesis of insights from diverse regions. These elements collectively contribute to evidence-based governance improvements that foster equitable resource allocation and enhanced health outcomes. Drawing from an extensive review of existing literature, the essay synthesizes insights from empirical case studies in both European and Asian contexts. The theoretical framework used—the "Political Economy of Health Governance"—provides a comprehensive lens to examine the intricate interplay between political, economic, and ethical factors that shape governance practices within health systems. The analysis reveals several novel perspectives that offer fresh insights into evidence-based governance improvements. The ethical dimensions of selective partnerships are explored, shedding light on potential equity implications. The impact of political ideologies on governance practices is uncovered, emphasizing the need for alignment with equitable health outcomes. The essay advocates for comprehensive analytical work as a precursor to policy, ensuring transparent decision-making and stakeholder inclusivity. By synthesizing insights from diverse regions, the essay enriches the understanding of governance qualities that drive successful health system reforms. In conclusion, this essay contributes to the field by addressing existing gaps in the literature and offering a holistic view of governance's impact on health systems performance. The synthesis of diverse perspectives and the application of the "Political Economy of Health Governance" theory provide a nuanced understanding of evidence-based governance improvements. These insights hold the potential to reshape policy paradigms, promoting equitable resource allocation and enhanced health outcomes within health systems.