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TRHA's As outlined in the Regional Health Authorities Act No. 5 of 1994, part 11, Section 6 The powers and functions of an Authority are: To provide efficient systems for delivery of healthcare; To collaborate with the University of the West Indies and any other recognized training institution of persons, in the educating and training of persons, and in research in medicine, nursing, dentistry, pharmacy and biomedical and health science fields, veterinarian medicine, as well as any related ancillary and supportive fields; To operate, construct, equip, furnish, maintain, manage, secure and repair all its property; To facilitate new systems of healthcare; To provide the use of healthcare facilities for service, teaching and research; To establish and develop relationships with national, regional and international bodies engaged in similar or ancillary pursuits; and To do all such things as are incidental or conducive to the attainment of the objects of the Authority. The History of TRHA The Government of Trinidad & Tobago, spanning the stewardship of three political parties, identified the need to reform the Public Health Services Sector. Following in-depth analysis of the sector, a comprehensive Health Sector Reform Plan was developed and is now being implemented. One of the strategies for the implementation of this plan is the decentralisation of the operations of the Ministry of Health, by transforming the responsibility for bodies subject managerial discipline. This led to the creation of "autonomous bodies" known as the Regional Health Authorities with their own management structure, responsible and accountable for the delivery of healthcare. The Regional Health Authorities Act of 1994 is the Act which created the RHAs as legal entities. The Act was assented to by the President on the 19th December, 1994. The Tobago RHA is unique, in that it is subject to the THA Act. The RHA Act #5 of 1994, Part 11, Section 5.2 states that "In the exercise of its powers and functions. The Board of the Tobago Regional Health Authority is subjected to the provisions of the Within the THA, the Secretary for Health and Social Services has responsibility for the Health Sector. Management of the Community Health Services and the Hospital Services Sector has been delegated to the Tobago RHA.
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