Decentralisation; The Question of Management Capacity: A Response to Recent Commentaries

Whilst decentralisation as an instrument of healthcare reform remains popular, commentaries 1-5 to our paper titled “Decentralisation of health services in Fiji: A decision space analysis” 6 highlight the complexity in understanding decentralisation, with the significant body of research on decentralisation lacking consensus on its definition, 7 differing on what constitutes decentralisation, 7-11 emphasising different theoretical underpinnings and frameworks, 7,12-14 and reporting varying applications and outcomes of decentralisation.