The Basic Health CarePlan (PAB) indecentralizedmunicipalities inColombia, 2001-2003

Authors

  • Oscar Sierra Universidad de Antioquia
  • Mónica María Lopera Universidad de Antioquia
  • Blanca Myriam Chávez
  • Paula Cristina Montoya Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.rfnsp.633

Keywords:

General Social Security Health System, Colombian BasicHealth Care Plan (PAB), public health, decentralization, Colombia

Abstract

The Colombian Basic Health Care Plan (PAB) as a part of the General Social Security Health System (SGSSS) involves several activities addressed to the community in order to guarantee the conditions required in the avoidance of disease or death risk caused by biological, environmental and social factors, which may be
prevented. The Ministry of Health issued regulation 4288 in 1996 and the PAB guidelines were established in 2000 as the plan assessment reference. This study was carried out with a randomized sample of 212 decentralized, categorized municipalities. The survey was completed by 174 municipalities from the study sample. The study allowed to identifying advantages and disadvantages, as well as the conclusion on the main problems found in the PAB management and the establishment of recommendations useful for decision making at a local level, contributing to improve the populationís public health. An unequal process of territory autonomy development in facing health and the lack of organization and management from the municipal and local health direction affected the development of the PAB. In addition, Colombiansí public health needs to highly exceed the actions implied in the plan. Therefore, it is necessary to reevaluate it through strategies based on inter institutional and inter sectors work, facilitating favourable environments and strengthening community action to allow collective institutions to become the welfare support.
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Author Biographies

Oscar Sierra, Universidad de Antioquia

Médico cirujano, magíster en salud pública; Decano y profesor de la Facultad Nacional de Salud Pública, Universidad de Antioquia

Mónica María Lopera, Universidad de Antioquia

Bacterióloga, magíster en salud pública, docente de cátedra y contratista de la Facultad Nacional de Salud Pública, Universidad de Antioquia

Blanca Myriam Chávez

Especialista en gerencia hospitalaria, magíster en salud pública, candidata al doctorado de salud pública en la Universidad Andina Simón Bolívar, de Bolivia; profesora de la Facultad Nacional de Salud Pública, Universidad de Antioquia.

Paula Cristina Montoya, Universidad de Antioquia

Odontóloga, magíster en salud pública; docente de la Facultad de Odontología, Universidad de Antioquia

References

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Published

2009-02-05

How to Cite

1.
Sierra O, Lopera MM, Chávez BM, Montoya PC. The Basic Health CarePlan (PAB) indecentralizedmunicipalities inColombia, 2001-2003. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Feb. 5 [cited 2025 Mar. 14];22(2). Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/633

Issue

Section

Research

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