What question did this study set out to answer?

To evaluate the establishment and functioning of a Municipal Health Committee pilot model in a fragile setting to determine factors influencing good local health governance.

July 30, 2026Health Policy and PlanningOpen Access

Local solutions, local governance: the municipal health committee initiative in Majdal Anjar, Lebanon

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Authors

JKJoanna KhalilInnovative Vector Control Consortium RYRouham YamoutAmerican University of Beirut WMWesam MansourLiverpool School of Tropical Medicine

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Implication

Implementation research demonstrates that municipal health committees enhance local participation and trust in crisis-affected Lebanon, suggesting sub-national governance bolsters resilience.

Key Points

To evaluate the establishment and functioning of a Municipal Health Committee pilot model in a fragile setting to determine factors influencing good local health governance.
Conducted a participatory action research and implementation research study in Majdal Anjar, Lebanon.
Gathered qualitative data via process documentation, field observations, 6 critical reflective meetings, and 9 key informant interviews.
Analyzed governance practices using the TAPIC framework, assessing transparency, accountability, participation, integrity, and capacity.
Committee implementation increased inclusive participation and transparency, strengthening local legitimacy and fostering evidence-informed health decisions.
Institutional integrity faced continuous challenges from external political interference, patronage networks, weak accountability enforcement, and severe financial precarity.
Sustained research mentorship improved committee capacity, though long-term sustainability requires municipal ownership and autonomy from political capture.

Cite This Study

Khalil et al. (2026) studied this question.

synapsesocial.com/papers/6a73c38f6acfb9d2a78de606 https://doi.org/10.1093/heapol/czag096

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Implication

Implementation research demonstrates that municipal health committees enhance local participation and trust in crisis-affected Lebanon, suggesting sub-national governance bolsters resilience.

Local solutions, local governance: the municipal health committee initiative in Majdal Anjar, Lebanon

Discussion

Member takes

Implication

Key Points

Cite This Study

Local solutions, local governance: the municipal health committee initiative in Majdal Anjar, Lebanon

Discussion

Member takes

Implication

Key Points

Cite This Study

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