Central

Ministry of Civil Affairs in charge of defining basic principles for:

• Coordination and consolidation of Entities’ plans;
• Definition of international strategy.
  

Responsible ministries/bodies

Ministry of Civil Affairs
 
Regional 

Federation of Bosnia and Herzegovina
The federal ministry of Health is responsible of:

• Health (together with the Cantons);
• Functions that cannot be executed at the Cantonal level;
• Sanitary inspections at borders;
• Developing legislation at federal level;
• Developing health policy for the FBiH;
• Planning of the health care facilities network;
• Capacity building;
• Health inspections;
• Developing and regulating of compulsory health insurance;
• Monitoring and evaluating the health status of the population.

Republika Srpska

The departments of Public Health and Health Protection are responsible for:

• Health care centres;
• Analysis and monitoring of health status and needs of the population;
• Preparation and implementation of health policies and health strategies;
• Improving of the quality of health care system;
• Analysis, planning and monitoring of health care funding;
• Health insurance;
• Plans and programmes of capital investment in the health sector;
• Assessment of the results of applying health policies and health strategies, plans and programmes;
• Planning of a network of health institutions and organisation of health systems;
• Supervision of professional work and management of health institutions and other organisations in the health sector;
• Planning and implementation of health technologies in health care;
• Professional training and specialisation of health workers;
• Production and trade of medicines, poisons, chemicals and stupefying drugs;
• Planning, coordinating and undertaking measures in order to ensure quality, safe and effective use of medicines and drugs in the health care system;
• Safety of water, food and subjects for general use;
• Radiation protection and radiation safety;
• Medical waste management;
• Monitoring of modern achievements in the development of health systems;
• Harmonization with the EU standards and norms;
• Monitoring performance and development directions of health systems in other states;
• Cooperation with other institutions and organisations, professional associations, health professionals, international health organisations and NGOs.

Intermediate level

Cantons (FBiH)

• Health (together with the Federation);
• Cantonal health legislation;
• Advising on technical matters;
• Implementing regulations;
• Outpatient unit within Dom Zdravlja);
• Pharmacies and other Cantonal health institutions.
• Organising health care services and health policy;
• Planning mostly related to the Cantonal hospitals, the health centres (Dom Zdravlja – DZ), the ambulantas (basic

Responsible ministries/bodies

Federal Ministry of Health (FBIH)

Ministry of Health and Social Welfare of the Republic of Srpska
 
Local

FBiH’s Municipalities

• Conduct of activities for ensuring proper sanitation and health conditions;
• Management, financing and improvement of the operations and facilities of local infrastructures (public sanitation;
• Assessing the work of institutions and quality of services;
• Ensuring funds required for the improvement of their work and quality of services in accordance with the citizens’ needs and the local self-government units’ capabilities.

Republika Srpska’s Municipalities

• Public health (geriatric centres; sanitation);
• Health care;
• Provision of health care at local self- government unit includes activities for the implementation of health care primarily for the needs of the citizens at the territory of the local self- government unit;
• Monitoring of health institutions at the primary level of health care;
• Establishing a network of ambulantas (basic outpatient units) of family medicine;
• Provision of conditions for multi-sector cooperation;
• Provision of resources for co-financing of programmes and projects of health care of interest to the local government unit;
• Co-financing of construction and equipping of health institutions;
• Provision of resources for continuous maintenance of facilities, renewal and purchase of equipment for health facilities;
• Provision of resources for health insurance for socially disadvantaged persons;
• Reduction or elimination of health problems caused by elementary and other disasters and emergencies;
• Provision of local government budget items for health care;
• Establishment of the local government committee for health for the purpose of active participation in achieving goals of health strategies at the level of primary health care, support and help to health institutions and health workers, and direct involvement of citizens in addressing their needs for health care.

Sources:

Council of Ministers of BiH portal, Ministry of civil affairs

FBIH portal, Ministry of Health

Republic of Srpska portal, Ministry of Health and Social Welfare

Federal Ministry of Health, Work Plan 2016 - 2018

Constitution of Republika Srpska, Official Gazette of Republika Srpska, 6/92, 8/92, 15/92, 19/91, 21/92, 28/94, 8/96, 13/96, 15/96, 16/96 and 21/96.

Zakon o republickoj upravi [Law on Republic administration- unofficial translation], Official Gazette of Republika Srpska 118/08.

Zakon o Principima Lokalne Samouprave U Federaciji Bosne I Hercegovine [Law on the principles of local government in the Federation of Bosnia and Herzegovina - unofficial translation]. “Official Gazette of the Federation of Bosnia and Herzegovina”, 49/06, 51/09.

Zakon o zdravstvenoj zastiti [Law on health care Article 9, Official Gazette of Republika Srpska 106/10.