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. 2015 Nov 15;5(3):173–181. doi: 10.15171/ijhpm.2015.199

Table 3. Decision Space of Fiji’s Decentralised Suva Subdivision .

Functions Range of Choice
No Choice Narrow Moderate Wide
Finance
Sources of revenue Determined by MoH central office - - -
Allocation of expenditure High percentage earmarked by MoH in collaboration with MoF - - -
Income from fees No choice - determined by legislation - - -
Service Organisation
Health centre autonomy Defined by law - - -
Required programs Basic package of programs defined by MoH central office Flexibility to offer programs above the basic package, based on their resource - -
Human Resources
Salaries None - defined by PSC - - -
Contracts None - determined by PSC regulations - - -
Civil service Determined by PSC - - -
Access Rules
Targeting Centrally defined priority populations Flexibility to add above the centrally defined priority populations - -
Governance Rules
Facility boards Defined by legislation - - -
Community participation - Limited - -

Abbreviations: MoH, Ministry of Health; MoF, Ministry of Finance; PSC, Public Services Commission.