The phrase "at a decentralized level" is correct and usable in written English.
It can be used when discussing systems, organizations, or processes that operate without a central authority or control.
Example: "The decision-making process is conducted at a decentralized level, allowing for greater input from local teams."
Alternatives: "on a decentralized basis" or "in a decentralized manner."
Not only should the services be available at a decentralized level and in the same place, but there should also be effective patient support and health education at a grassroots level to maximize adherence and ensure a healthy birth.
The fact that this program was based at a decentralized level might have contributed to earlier diagnosis and good adherence in the program in a number of ways.
In addition to routine health care, the health centers provided comprehensive HIV care and started offering ARVs at a decentralized level, beginning in October 2003 in Kimironko and followed in January 2004 in Kinyinya.
In concordance with others [ 5, 12], tolerance of ART seemed to be as good or better in children than in adults, arguing against the need for specialist care for pediatric ART and in favor of providing ART treatment to children at a decentralized level.
Sometimes a decentralized level was set up for these mechanisms, like the focal points for user fees exemptions in Niger and Mali.
In South Africa, integrating the management of health services at a decentralized district level within the authority of general health service (GHS) managers is a reform priority.
The programme will also support implementation of child-sensitive policies enforced at national and at decentralized level.
This paper stresses the central role that a targeted decision-support tool can play in facilitating the use of information in health decision making at the decentralized level of a health system.
As of November 2010, it is available in the 800 rural municipalities and is being used as a key tool for planning at the decentralized level.
Moreover, this ordering principle generally lacks uniformity in rules and policies at the decentralized level because the national government will turn mostly to national schemes for large investors to create renewable energy.
Other service inputs and delivery arrangements are determined according to local circumstances and health service organization at the decentralized level.
