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History of the term. Stewardship was originally made up of the tasks of a domestic steward, from stiÄ¡ (house, hall) and weard, (ward, guard, guardian, keeper). Stewardship in the beginning referred to the household servantâs duties for bringing food and drink to the castleâs dining hall.
National policy may also define the relative roles and responsibilities of the public, private and voluntary sectors-as well as civil society-in the provision and financing of health care. Stewardship is a political process that involves balancing competing influences and demands.