Responsibility	Level of Authority by form of decentralization
	Deconcentration	Delegation	Devolution
Administrative	Direct Control of Central government	Indirect control of central government	divestment of functions from central government
	Shifting of workload from Centre to field	Creation of broad authority to plan and implement	clear legal and distinct geographical boundaries
	No authority for staff to decide	Technical and administrative capacity to deliver	corporate status
	Routine decisions	Public corporations and special authorities	reciprocal relations with central government
	Employees remain of central government	employees indirectly under the central government	Independent decisions
	part of central government	some supervisory power form central government	Employees under the devolved government
Fiscal	None	power to raise resources	power to raise resources
Political	None	None	Creation of independent units of government
Political	None	None	providing services which satisfy local needs
NPM Principles	authority within the district/region within MOH structure	authority granted to semi-autonomous agencies and granted new powers	Decentralized decision making
NPM Principles	authority within the district/region within MOH structure		Authority to state. Regional, municipal or county governments
Areas of PPP	Administrative	Administrative	Fiscal
		Fiscal	Administrative
		Fiscal	Political
Decision Space	Minimum	Moderate	Maximum