Table 6 Theoretical questions for further engagement

- What is the main ideas underpinning ‘health system responsiveness’ not covered by other goals or indicators?

- How is health system responsiveness related to and supported by the broader and universal principles of human rights and patient-centred care?

- What are ‘legitimate expectations’? (who decides?)

- Who (precisely) are the citizens (population/ individuals /patients) the system is being responsive too?

- Are marginalized groups considered to be citizens with legitimate need? (e.g. migrants, those with mental health challenges, gender diverse individuals?)

- Is the focus on service improvement, or systems strengthening?

- What are ‘non-health/clinical aspects’?

- What is systems receptivity and how do you measure it?

- What are the variations of systemic ‘response’? (what is a response/reaction?)

- What are the differences between ‘health services’ and ‘health systems’ responsiveness?

- What would a ‘whole systems’ approach to improving responsiveness look like? (not necessarily national, but inclusive of different services, across building blocks etc)