Responsibility	Country
	Ghana	India	Uganda	Kenya
Administrative	Unified bureaucratic hierarchy of Central government	Indirect control by central government	divestment of functions from central government	divestment of functions from central government
	Shifting of workload from centre to field	Public corporations and special authorities	clear legal and distinct geographical boundaries	clear legal and distinct geographical boundaries
	No authority for staff to decide	Creation of broad authority to plan and implement	corporate status	Independent decisions
	Routine decisions	some supervisory power form central government	Special authorities	reciprocal relations with central government
	Employees indirectly under central government	employees indirectly under the state government	employees indirectly under the central government	Employees under the devolved government
Fiscal	None	power to raise resources	power to raise resources	power to raise resources
Political	None	Vibrant Semi-autonomous units of government	Vibrant semi-autonomous units of government	Vibrant independent units of government
NPM Principles	Deconcentrated decision making	Delegated decision making	Devolved decision making	Devolved decision making
NPM Principles	authority to GHS and districts within Ministry Of Health structure	authority to State and City Corporations	authority to District Councils	authority to County governments
Areas of PPP	Administrative	Administrative	Fiscal	Fiscal
		Fiscal	Administrative	Administrative
		Fiscal	Administrative	Political
Decision Space	Minimum	Moderate	Moderate	Maximum