Given the task definition and input, reply with output. In this task, you are given a question and a context passage. You have to answer the question based on the given passage.

How does the regional level work?, 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.
Five regional health administrations are in charge of implementing the national health policy objectives, developing guidelines and protocols and supervising health care delivery