The promise to fully integrate Ward Development Committees into healthcare provision within the first year is a broken commitment. The absence of any structural, procedural, or reported evidence of this integration indicates that the proposed shift to participatory health governance has not materialized.

This represents a significant shortfall in the administration's governance model. Fulfilling this promise would require moving beyond merely informing communities about health projects to formally empowering them to shape, oversee, and judge those projects. Without this, healthcare delivery remains a top-down service rather than a collaborative partnership with the people it serves.