Consider boundaries of system, nested and overlapping systems
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• Making the distinction between the national health system and local urban administrative systems, and focusing capacity building on the MHDs
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• Local system and stakeholder mapping
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• Identification of interrelated roles between MOHFW and MHD
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Construct reality through multiple perspectives
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• Voices from all segments of society included in process
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• Visioning and scenario planning
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• Participatory process
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• Iterative, evidence based, and
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• participatory review of progress
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• Gender and equity awareness building through diversity in planning
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Value and build on relationships
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• Forum creation for relation between MHD – WHC – MOH
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• Participatory assessment, bringing diverse stakeholders together
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• WHC as a hub for health promotion
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• Mutual accountability through review of progress
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• Accountability of the municipal government to communities
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Iterative learning
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• Defining assessment criteria in HICAP and WHC
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• Regular measurement of outcomes in multiple dimensions of assessment
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• Involvement of MHD and WHCs in Knowledge, Practice and Coverage Household Health Surveys including disaggregation by wealth quintiles to assess equity
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• Cycle of visioning, defining measures, measuring, reviewing, adjusting
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