This Decree sets the operation modalities for some health competencies transferred by the State to the regions.
The Decree establishes the system for financing the actions of provincial governments and municipal administrations, as deconcentrated executive bodies of the central administration, within the framework of the delimitation of competences for the provision of public goods and services between the central administration and local administrations and between them.
This decree creates the services of the decentralized territorial authorities and fixes their attributions.
The decree creates a technical-administrative division known as a health district for towns, departments, arrondissements and communes. The Health District is the local level for the design, planning, implementation, monitoring and evaluation of health policy.
The order M°154/MSP/CAB of 29 December 1994 provides the structure and mandate for the Departmental Directorate for Health ("Direction Departementale de la Santé"); this directorate represents the Ministry of Public Health at the level of the department or the urban community and participates in the elaboration, implementation and evaluation of the National Health policy ( providing the competence of the Department Direction for Health). The subdivisions of this directorate include an Executive Secretariat; an Administrative, Financial and Personnel Management Department; a Family Health Service; a Programming and Health Information Department; a Health Education, Hygiene and Sanitation Department; a Health Education, Hygiene and Sanitation Department; a Pharmacy and Laboratory Department.