• Establishment of health services governance or management structures
• Deciding on inclusion of community members in health management structures
• Interaction with the community - seeking information on and responding to community health needs
• Ensuring the community has information on costs of health services, delivery options and available resources
• Reporting local health priorities to national authorities
• Intersectoral collaboration
• Negotiating donor support to health services
• Defining the role of the private sector
• Monitoring donor activity in health
• Enforcing health legislation, regulation and standards
• Assessment of constraints to health performance