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In Trinidad and Tobago the current system of healthcare is highly centralized. The Ministry of Health maintains operational oversight of five regional health authorities. These are the North West Regional, North Central Regional, Eastern Regional, South West Regional and Tobago Regional. South West, North West and North Central are the largest regions; each catering for the healthcare needs of more than three hundred thousand people. tentoto

Regional bodies can collaborate in health planning. They can develop their strategic, business and budget plans cooperatively. Afterwards they can tweak their plans to fit their population needs. The main advantages of centralized planning will be greater transparency, accountability and inter-operational functionality. Inter-planning can reduce competition between regions and ensure that scare resources are used efficiently. In effect, the Ministry of Health can compare operational effectiveness and best practice across all regions and provide opportunities to strength operational or institutional efficiency. KIATOTO

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