This case study tells the real-life stories of two health facility governing committees in the same district. In Village A, the committee is highly accomplished and well-functioning. In Village B, the committee lacks drive and effectiveness.
By juxtaposing the well-functioning and poorly functioning committees, this case study raises questions about the value and limitations of including the voice of the population in the governance of health systems and the value of effective stakeholder processes. It helps students to understand the behaviours associated wit the success or failure of the committees and seeks to support students’ thinking about how to develop more effective community participation.