There should be a special word for Roger Bolton, now Radio 4's Feedback presenter, who played a leading role in several bitter clashes with authority over programmes he made about the Irish conflict, both for the BBC and for Thames TV.
A well-functioning DHS is however a necessary foundation if district managers are to assume authority over programmes.
Clarity regarding district managers' delegated authority over vertical programme functions is also important.
In light of an increasing global focus on health system strengthening and integration of vertical programmes within health systems, methods and tools are required to examine whether general health service managers exercise administrative authority over vertical programmes.
To measure the extent to which general health service (horizontal) managers, exercise authority over the HIV programme's monitoring and evaluation (M&E) function, and to explore factors that may influence this exercise of authority.
The reforms promote administrative integration, i.e. transfer of administrative authority over disease control programmes (DCPs) from DCP managers to GHS managers and re-defining DCP manager roles from implementation to specialist support.
Given the political context, it is uncertain if an NHIS Act that mandates states to adopt its programme will work out in practice or, alternatively, whether efforts at scaling-up would yield better results if states had authority over some aspects of the programme including resource control.
We don't ever over-programme.
This happened because of a decentralisation programme that shifted authority over coal plant construction approvals to local authorities.
The TB programme doesn't have authority over the hospital.
