In this task, you are given a question and a context passage. You have to answer the question based on the given passage.

Let me give you an example: what is the first event mentioned?, Context: The Russian Revolution is the series of revolutions in Russia in 1917, which destroyed the Tsarist autocracy and led to the creation of the Soviet Union. Following the abdication of Nicholas II of Russia, the Russian Provisional Government was established. In October 1917, a red faction revolution occurred in which the Red Guard, armed groups of workers and deserting soldiers directed by the Bolshevik Party, seized control of Saint Petersburg (then known as Petrograd) and began an immediate armed takeover of cities and villages throughout the former Russian Empire.
The answer to this example can be: Russian Revolution
Here is why: This is a good example, and the Russian Revolution is the first event mentioned.

OK. solve this:
What is the happening when  health care is being taken down to more of a local level, Context: The Ministry of Health is responsible for developing health policy as well as managing the SNS. Five regional health administrations are in charge of implementing the national health policy objectives, developing guidelines and protocols and supervising health care delivery. Decentralization efforts have aimed at shifting financial and management responsibility to the regional level. In practice, however, the autonomy of regional health administrations over budget setting and spending has been limited to primary care.
Answer:
Decentralization