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.