 The study found that community-led governance can be effective in ensuring accountability and transparency in healthcare systems. Community-based governance committees were able to hold public meetings and elections, which provided opportunities for community members to ask questions and provide feedback on the performance of the MWHs. Additionally, the committees were able to respond to questions posed by community members demonstrating their commitment to accountability. However, the study also showed that the committees could benefit from additional training and mentorship to better understand the strategic purpose of open public meetings and elections and how these relate to democratic accountability. This article was authored by Taryn Vien, Rachel M. Fong, Jeanette L. Kaiser and others.