Overview

Encouraging citizen involvement in health policy decision- making processes can enhance equitable health outcomes, trust in public institutions and support for health reforms. Stable and predictable financing is vital for meaningful social participation that includes transparency, reason-giving, and opportunities to appeal decisions. Some social participation methods cost more and are more demanding to implement. Examples from Brazil, Kenya, Norway, and Thailand, highlight financing considerations in public participation. Importantly, financing for social participation should not compromise investment in health services, especially in health systems that are underfinanced; separate budget streams for participatory policy processes can ensure that resources are not diverted from essential health services.