Table 4 Distribution of powers in federal or quasi federal states
Structure | National Responsibility | Regional Responsibility | Summary | |
|---|---|---|---|---|
Austria | 9 regions | Planning and co-ordination Situation monitoring Assessment Communication | Planning and co-ordination Situation monitoring Assessment Communication Overall responsibility for health care Responsibility increases in Phase 5 | Regional involvement. Mainly decentralised |
Germany | 16 regions | Planning and co-ordination Situation monitoring Assessment Communication | Pandemic preparedness Strategic action by health system | Mainly centralised |
Spain | 17 autonomous regions or communities and 2 autonomous cities | Planning and co-ordination Situation monitoring Assessment Communication Reducing the spread of diseases | Planning and co-ordination Situation monitoring Assessment Communication Reducing the spread of diseases Responsibility increases as of Phase 3 | Close involvement of Regional governments co-ordinated by National government |
Sweden | 21 provinces 290 municipalities | Planning and co-ordination Situation monitoring Assessment Communication Reducing the spread of diseases Guidance for health systems Management of health system Provision of a knowledge base | Planning and co-ordination Reducing the spread of diseases Contingency plans Provision of health care and medical services Distribution of vaccine and antiviral drugs | Mixed - response between National and Regional |
United Kingdom* | 4 regions | Four national health systems with a national Health Protection Agency Co-ordination and direction Strategy and activation of plan | Delivery Planning Support of National response | Mixed - response between National and Regional |