Which of the following is NOT listed as a level of governmental health agencies?

• A. International
• B. National
• C. Local
• D. Regional

Answer: (D)

In public health, the common way we categorize levels of governmental health agencies is by scope of authority: international, national, and local. International organizations operate across borders and set global guidelines (like the World Health Organization). National agencies implement health policies within a country (for example, a country’s disease control center). Local agencies carry out health programs within communities such as cities or counties.

Regional isn’t typically listed as its own level of government health authority in these frameworks. Regions are usually geographic subdivisions within a country that may host regional offices or coordinate among nearby localities, but they aren’t considered a separate, formal level of government health governance like international, national, or local. That’s why regional would be the one not listed as a standard level in this context.