For some critical resources, such as internal medicine physicians and oseltamivir tablets, the problem is mitigated if we assume perfectly effective, timely, and efficient movement of resources from provinces with surplus capacity to provinces with gaps.
In addition, there are significant variations in the infrastructure and capacities of these provinces.
Other tools such as the "Capacity Assessment Tool for Country Ownership of HIV Care and Treatment" have also offered frameworks to assess the capacity of a country or province to take on greater responsibility in the planning, organization, and management of HIV programs.
Challenges facing the health sector in China include trade protections within different provinces, weak purchasing capacity of some health authorities and health insurance management agencies in less developed regions, and strong lobbying from international and local pharmaceutical manufacturers and wholesale agents.
The health insurance coverage within a province can be correlated with the capacity of provision of health care services of the province.
The analytic and planning capacity of staff at all levels (district, province, center, civil society) is limited.
Although the data source is only facility-based and is not representative of the population, the random selection of provinces and facilities within those provinces ensured that there was no selection bias by capacity, proximity or population served.
In all times, capacity of the national programme to coordinate with provinces has been a challenge, and this has been even grimmer after the 2011 devolution.
10 The number of provinces in Canada.
