The ability to think in terms of a system is critical to achieving common direction, alignment, and commitment in highly distributed health systems. In Canada, provincial and territorial ministries of health provide leadership on the direction of health reform while leadership to align system levels is determined by a far more distributed group of…

The report describes the development and operation of a communal laundry center, or housewife club in Netivot, Israel which provides laundry facilities, a social meeting place, and a variety of classes and services for users. The proposal for the club grew out of the difficulties facing the district social welfare bureau in solving the laundry…