Governance is about how society, organizations and individual groups make and implement collective choices. It comprises shifting decision-making responsibilities from individuals to a governing authority, with implementation by one or more institutions and with accountability systems to monitor and assure the progress of the decisions taken. Governance in the health system is the way in which powers and control are exercised and shared among health stakeholders over health facilities for the best interest of the whole community. For instance, governance in the health sector involves a variety of stakehold­ers who share a common set of interests, privileges and means of community control. In order to operate a health system or a health facility, professionals in leadership and managerial positions must coordinate and support the efforts of all stakeholders to provide input for improving the health system. Strong leadership contributes to good governance by facilitating inter-agency collaboration, common understanding and defined roles and duties. Approaches to leadership and governance, particularly in healthcare systems, vary substantially (Smith et al., 2012). Leadership contributes to good gover­nance by ensuring that the requirements of clients, patients and healthcare pro­viders remain at the forefront of the agenda. Indeed, leaders at all levels give health stakeholders opportunities to offer support in enhancing the effective­ness of the healthcare system. In turn, governance structure provides strategic direction for leaders, helps to build commitment and shared goals and holds individuals accountable.