No more than 40% of SP funds can go to human resources, for example, and no more than 30% can be spent on pharmaceuticals with a minimum of 20% on preventive activities. For example, Italy has also been faced with a comparable situation to Mexico, having significant variation in administrative and managerial capacity across regions in a largely decentralised setting. Since the beginning of the 2000s, regions have been able to obtain additional resources conditional on improved reporting of health service activities, costs and outcomes.