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The Implementation perspective (n = 12) prioritized concrete actions to advance the operationalization of the plan, based on a guidance-based approach from the central level to the lower administrative levels.
"But this was disbursed from the central level to the provinces and then all the provinces had their own mechanisms of implementing.
But all these rewards come from the central level".
Eight policymakers from the central level were selected with regard to convenience and time limitation.
Yet the basket funds and block grant from the central level could not support this satisfactorily.
In Laos, responsibility for public programmes was shifted from the central level to provincial and district levels.
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Decentralization refers to the transfer of fiscal, administrative and political authority for health service delivery from the central levels of the Ministry of Health to alternate institutions, frequently district health systems [ 54].
There is local contribution at all levels of DACAW entry points, from MLD at the central level to the Women's Federation group at the village level.
Methodology The methodology used combined close study of documentation of the progress of the Programme from conception up to the present time, examination of national trends and the District variations of the key performance indicators with primary data collected from the selected eight Districts and from key stakeholders at the central level.
Revision of the monitoring and evaluation tools is ongoing to improve the workflow as some difficulties were found in the transmission of reports from the regional to the central level.
However, it has been shown that the reporting system from the health units to the central level is often not functioning well enough (4).
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