Governance & Health

Effective governance is key to achieving sustainable improvements in public health. KIT’s advisors in this field support governments, civil society organisations, private sector and NGOs in their efforts to improve health sector governance.

Governance in this context refers to the formal and informal processes of interaction and decision-making that determine the sustainability of the health system and the equity of health services and outcomes.

The Millennium Development Goals  have improved the lives of millions but sustainable progress can only be achieved through inclusive and effective governance.

African post-2015 dialogue, October 2012

Institutional quality and accountability mechanisms

Due to widespread poverty and inequality and a lack of resources, sustainable and equitable development will remain elusive unless attention is given to building strong institutions and accountability mechanisms within health systems.

KIT is involved in initiatives to improve the accountability relations within health systems through supply-side measures, for example through results-based financing and incentive based systems, quality improvement programmes, contracting, supervision and training.

Over the past few years, demand-side accountability has gained ground in the health sector. By this we refer to processes or interventions whereby individuals and groups of citizens voice their concerns, demand explanations and accountability, and impose sanctions on poor performance. From KIT’s and from a human rights perspective, both demand-side and supply-side mechanisms of accountability need to be strengthened to enhance performance of health services to ensure sustainable and equitable health systems in the long term.


KIT provides support by assessing the governance, sustainability and equity dimensions of policy making and service delivery. We do so by combining the expertise of advisers with diverse and complementary backgrounds in health system development, gender and rights, governance and rural development.

Our services

Monitoring, Evaluation & Impact Assessment

Monitoring, evaluation, and impact assessment are powerful tools to assess health, social, and economic impact. They allow us to learn what works and why. Our expertise and track record in these areas make us well-equipped to evaluate your work. 

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Training, Coaching & Education

KIT Royal Tropical Institute provides tailor-made training to clients such as educational and research institutes, NGOs and local or national governments and ministries across the globe. Our programmes are specifically designed to address the unique objectives and capacities of the requesting organisation.

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Our expert

Our advisors work in both Anglophone and Francophone countries, in both stable and fragile states.

Photo of Marjolein Dieleman

Marjolein Dieleman

Senior Advisor

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Photo of Ankie van den Broek

Ankie van den Broek

Senior Advisor

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