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The achievement of this goal requires strengthening of the essential public health functions, establishment or strengthening of mechanisms for social participation, and dialogue for the development and implementation of inclusive policies, accountability, and transparency. The following are key for the achievement of this goal:

• leadership of the national health authority in the formulation, monitoring, and evaluation of policies, plans, and programs, with mechanisms that facilitate social participation and accountability;
• national legal and regulatory frameworks consistent with the commitment of countries to universal access to health and universal health coverage;
• competencies and capacities for the regulation of service delivery;
• mechanisms for coordination with other sectors (public, social security, private, nongovernmental) and geographical units (subnational, state, provincial, municipal);
• comprehensive management of international cooperation⁽¹⁾ to ensure alignment with national health priorities.

• Achieve universal access to health and universal health coverage, according to the national context (adapted from SDG target 3.8 and ¹ú²úÂ鶹¾«Æ· Strategy on Universal Health Access and Universal Health Coverage, document CD53/5, Rev. 2 [2014]).
• Perform the essential public health functions according to established standards (Core competencies for public health: A regional framework for the Americas, ¹ú²úÂ鶹¾«Æ·, 2013).⁽²⁾
• Strengthen stewardship, governance, and transparency, including policies, plans, rules, and processes for health system organization and mechanisms for monitoring and evaluation (¹ú²úÂ鶹¾«Æ· Strategy on Universal Health Access and Universal Health Coverage, document CD53/5, Rev. 2 [2014]).⁽³⁾
• Develop and strengthen mechanisms, as applicable, for the regulation of health service delivery in order to expand access and improve quality (¹ú²úÂ鶹¾«Æ· Strategy on Universal Health Access and Universal Health Coverage, document CD53/5, Rev. 2 [2014]).
• Increase the participation of all stakeholders, including civil society and communities, in the policy-making and evaluation process relating to Health in All Policies to reduce health inequities (¹ú²úÂ鶹¾«Æ· Plan of Action on Health in All Policies, document CD53/10, Rev. 1 [2014]).