“…39 The documents analyzed highlight the fact that the decision-making stage of public policy reform partly eludes two of the health system actors solicited in m-participation processes: health workers and health system users. Indeed, the participatory processes described in the thirty-six documents (n=36), solicit citizen m-participation in the process formulation phase, 12,25,27,29,43,[46][47][48]55 in its implementation phase, 21,23,45,49,54,57,58,61 or in its monitoring and evaluation of the participatory process 14,16,17,24,40,44,56,59 prior to transfer of evidence to policy makers. There is no mention of inclusion in the adoption or non-adoption of the final decision or its amendment prior to implementation.…”