Fig 1.
Simplified overview of the administrative structure of government health facilities in the Philippines before and after devolution.
Fig 2.
Present and previous areas of health sector-related work of the 27 decision-makers.
Locations indicate assignments that were ≥3 years. (Map tiles by Stamen Design, under CC BY 3.0. Data by OpenStreetMap, under ODbL.).
Fig 3.
Durations of government service of the 27 decision-makers, the institutions they worked in, and their levels of decision-making.
Selected events in the Philippine health sector are also indicated.
Table 1.
Decision space at central and local levels for the functions of planning and financing and budget allocation (dark blue: Wide decision space; blue: Moderate; light blue: Narrow).
Enabling and hindering conditions are described.
Table 2.
Decision space at central and local levels for the functions of resource management, further classified into facilities, equipment, and supplies and human resources for health (dark blue: Wide decision space; blue: Moderate; light blue: Narrow).
Enabling and hindering conditions are described.
Table 3.
Decision space at central and local levels for the functions of program implementation and service delivery and monitoring and data management (dark blue: Wide decision space; blue: Moderate; light blue: Narrow).
Enabling and hindering conditions are described.
Fig 4.
A conceptual diagram inspired by the image of decentralization and centralization as movements between two opposite poles.
Various conditions to be considered for decentralization to be effective in improving the health system are proposed.