Characterization of decentralization of the health sector in three municipalities: Itagüí, La Ceja and Balboa. Colombia

Authors

  • Gloria Molina M Universidad de Antioquia
  • Claudia Milena Ramírez T

DOI:

https://doi.org/10.17533/udea.rfnsp.827

Keywords:

Decentralization, institutional development, community participation, social security in health

Abstract

Decentralization of the health sector entails fiscal, political, social and administrative changes in order that municipalities assume functions transferred by the central and departmental governments through which government becomes responsible for health of people. This study analyses the characteristics of institutional development and community participation as main aspects of decentralization. The findings show that in spite of the fact that the three municipalities studied (Itagüí, La Ceja and Balboa) have different levels of
social and economic development, they have similar advances in implementing decentralization and have faced many obstacles such as the lack of political will of mayors to support the process, the lack of technical capacity of the staff of local health head quarters and their constant changes as a consequence of political lobbying and the complexity of legislation. The performance of managing in health organizations is low, and
coordination among them is poor or does not exist. The information system also showed low quality and effectiveness indicators in making decisions, however the health insurance system has the highest development and spite of the fact that there are several community organizations in each municipality they have had low influence in making decisions regarding health issues.
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Author Biography

Gloria Molina M, Universidad de Antioquia

Profesor Facultad Nacional de Salud Pública

References

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Published

2009-03-10

How to Cite

1.
Molina M G, Ramírez T CM. Characterization of decentralization of the health sector in three municipalities: Itagüí, La Ceja and Balboa. Colombia. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Mar. 10 [cited 2025 Dec. 6];20(2). Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/827

Issue

Vol. 20 No. 2 (2002)

Section

Research

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