Italy Public health

Central level

The central government is responsible for:

  • The adoption of national sanitation plan with the Unified Conference;
  • The adoption of sectoral plans of national relevance;
  • The definition of main policy objectives and guidelines for public health;
  • The provision of legal framework for general principles for public health;
  • Sanitation and medical care for the army, the police, firemen, and railway personnel;
  • Information and statistics activities;
  • Grant permits regarding commercial production, import, introduction of medical and sanitation products;
  • Supplies and tariffs;
  • Controlling public and private authorities operating at the national or supra-regional levels;
  • Controlling sanitation funds, and
  • Scientific research, including international cooperation.

 
Responsible ministries/bodies

 

 
Regional level
 

Regional authorities, within the limits of the general principles laid down by the central Government, which is the guarantor of equity, are responsible for:

  • All the administrative functions and duties which are not expressly conferred to the State;
  • The planning, organisation and management of sanitation services;
  • Regional sanitation plans, and
  • The coordination of local health services and hospitals.

 
Local level
 

Provinces

Provincial authorities are responsible for:

  • Social care for people with disabilities;
  • Sanitation protection, and
  • Running public health services;

     

Municipalities

Municipal authorities are responsible for:

  • Participating in the administration of public health in the context of the constitutional principle of local self-administration;
  • Running public health services;
  • Overlapping responsibilities between provinces and municipalities, and
  • Hygiene and public health.

Expenditure for public health covers about 30% of total municipal expenditure.


 

Compare with:

Decentralization Index

​​An interactive tool with perspective on different dimensions of decentralisation (political, administrative and fiscal) across the 27 EU Member States

Go to the Decentralization Index