North Macedonia Public health

Central

Central government is responsible for:

  • Legislation, national strategies and action plans;
  • Health care and health insurance;
  • Management of Fund for Helathcare Insurance of Macedonia;
  • The organisation and development of public health policy;
  • The monitoring of the population’s health;
  • The supervision and control over quality and safety of food
  • The protection against infectious diseases deriving from harmful gases, ionizing radiation, as well as noise, air, water and land pollution;
  • Sanitary matters;
  • Medicines, supplementary medicines, medical devices and medical equipment, and
  • Poisons and narcotic drugs.
  • Management of approximately 100 state pharmacies;
  • Oversight of city and regional hospitals.

Local

Local authorities are responsible for:

  • Health protection, including managing health care organisations and facilities in the primary health care;
  • Health education;
  • Health improvement;
  • Preventive activities;
  • The protection of health of workers and protection at work;
  • Health monitoring of the environment;
  • The monitoring of the contagious diseases, and
  • Assistance to patients with special needs (mental health, child abuse, etc.); 


Responsible ministries/bodies

The Ministry of Health


Sources:

Law on organisation and operation of State Administration Bodies, Official Gazette 58/2000, 44/2002, 82/2008, 167/2010, 51/2011

Law on Local Self-Government, Official Gazette 05/02

Euro-Cities.com, Macedonia Health Profile

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