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Table 2 Virtual versus grassroots realities – key points

From: Exploring health systems research and its influence on policy processes in low income countries

1. Marked difference between theory and practice in health systems operation

2. Informal mechanisms are parallel to formal processes, and are not well understood

3. Analysis of opinion leader functioning is critical

4. Donor agencies influence health systems development, often to the exclusion of other stakeholders but may be non-inclusive