Health systems embody people, institutions, and resources arranged together following policies established by a government to improve the health of the population it serves1. Within the health sector, arrangements are intended to improve health system performance - equity in the use of health services, service quality and financial protection. Most countries have pluralistic health systems, where a mix of public and private entities deliver health related goods and services. This may include a large variety of private entities, from small not-for-profit providers to large multinational private for-profit companies.